The Lost Voice: How Libertarianism and Consumerism Obliterate the Need for a Relational Ethics in the National Health Care Service
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Christian Bioethics 14 (1):78-94 (2008)
This article analyzes the contribution Christian ethics might be able to make to the ethical debate on policy and caregiving in health and social care in the United Kingdom. The article deals particularly with the concepts of solidarity and subsidiarity which are essential in Christian social ethics and health care ethics, and which may be relevant for the ethical debate on health and social caregiving in the United Kingdom. An important argument in the article is that utilitarian and market-driven policies in the National Health Service (NHS) and the social care system have marginalized the position of the elderly and have seriously impoverished the quality of care for the elderly. The neglect of the elderly and other vulnerable groups is also the result of widespread consumerist attitudes among patients and of libertarian models of noninterference which are affirmed by a public ethos of self-sufficiency and counter-dependency. Those who need care dare not make their need known to others and ask for help, while simultaneously those who could help are so intimidated by the public affirmation of privacy and negative rights that they do not dare to offer help except if this is explicitly demanded. This distant and standoffish attitude is in an important way responsible for the fact that the voice of those in need is altogether lost to the public forum. Christian ethics puts much emphasis on responsibility and solidarity with the needy other but is not able to have much impact on the delivery of care in a secularized society and health care system like the NHS. Nonetheless, Christianity still has a powerful and respected voice, by speaking up for those who cannot speak for themselves, such as the elderly and the handicapped. Christians can find allies in the ethics of care and other relational approaches in health care ethics in order to combat libertarianism, consumerism, and utilitarianism
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
Rob Houtepen & Ruud ter Meulen (2000). The Expectation(s) of Solidarity: Matters of Justice, Responsibility and Identity in the Reconstruction of the Health Care System. [REVIEW] Health Care Analysis 8 (4):355-376.
Citations of this work BETA
N. Messer (2009). Christian Engagement with Public Bioethics in Britain: The Case of Human Admixed Embryos. Christian Bioethics 15 (1):31-53.
Similar books and articles
Pythagoras Petratos (2005). Does the Private Finance Initiative Promote Innovation in Health Care? The Case of the British National Health Service. Journal of Medicine and Philosophy 30 (6):627 – 642.
Andrew Edgar (1995). Enterprise Association or Civil Association? The Uk National Health Service. Journal of Medicine and Philosophy 20 (6):669-688.
Alex Rajczi (2007). A Critique of the Innovation Argument Against a National Health Program. Bioethics 21 (6):316–323.
James T. McHugh (1994). Health Care Reform and Abortion: A Catholic Moral Perspective. Journal of Medicine and Philosophy 19 (5):491-500.
Len Doyal & Lesley Doyal (1999). The British National Health Service: A Tarnished MoralVision? [REVIEW] Health Care Analysis 7 (4):363-376.
Chris Swift (2013). A State Health Service and Funded Religious Care. Health Care Analysis 21 (3):248-258.
J. Wisely & J. Lilleyman (2007). Implementing the District Hospital Recommendations for the National Health Service Research Ethics Service in England. Journal of Medical Ethics 33 (3):168-168.
T. Sorell (1997). Morality, Consumerism and the Internal Market in Health Care. Journal of Medical Ethics 23 (2):71-76.
Michael D. Place (1999). Health Care as an Essential Building Block for a Free Society: The Convergence of the Catholic and Secular American Imperative. Kennedy Institute of Ethics Journal 9 (3):245-262.
Marian A. Verkerk (2001). The Care Perspective and Autonomy. Medicine, Health Care and Philosophy 4 (3):289-294.
B. Towers (1977). Prospects for a National Health Service or for Comprehensive Health Insurance. Journal of Medical Ethics 3 (1):42-48.
Lisa H. Newton (1982). Collective Responsibility in Health Care. Journal of Medicine and Philosophy 7 (1):11-22.
David Shaw (2008). Crocodile Tiers. Journal of Medical Ethics 34 (8):575.
Alan Cribb (2001). Reconfiguring Professional Ethics: The Rise of Managerialism and Public Health in the UK National Health Service. [REVIEW] HEC Forum 13 (2):111-124.
Michael L. Gross (2008). Why Treat the Wounded? Warrior Care, Military Salvage, and National Health. American Journal of Bioethics 8 (2):3 – 12.
Added to index2010-09-14
Total downloads2 ( #406,222 of 1,679,349 )
Recent downloads (6 months)1 ( #183,761 of 1,679,349 )
How can I increase my downloads?