Journal of Medicine and Philosophy 37 (6):526-544 (2012)

Despite the well-documented social, economic, and adaptive advantages for young children, adolescents, and adults, the traditional family in the West is in decline. A growing percentage of men and women choose not to be bound by the traditional moral and social expectations of marriage and family life. Adults are much more likely than in the past to live as sexually active singles, with a concomitant increase in forms of social isolation as well as in the number of children born outside of marriage. These social shifts are also connected to public policies that provide incentives for individuals to exit the family, leaving behind its social, capital, and economic resources. The individualistic character of the social-democratic egalitarian ideology that underlies the current dominant approaches to health care financing in Western Europe and much of North America, for example, is associated with a decline in family stability. Welfare entitlements, including state-based health care, have made it easier to exit the family, undermining the centrality of the family’s core human relationships. This essay argues for the importance of recognizing the cardinal role and reality of the family and for the importance of family-based health care savings accounts for preserving family integrity, while also providing for sustainable long-term health care reform
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DOI 10.1093/jmp/jhs047
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Doctor-Family-Patient Relationship: The Chinese Paradigm of Informed Consent.Yali Cong - 2004 - Journal of Medicine and Philosophy 29 (2):149 – 178.
Truth Telling in Medicine: The Confucian View.Ruiping Fan & Benfu Li - 2004 - Journal of Medicine and Philosophy 29 (2):179 – 193.
Informed Consent in Texas: Theory and Practice.Mark J. Cherry & H. Tristram Engelhardt - 2004 - Journal of Medicine and Philosophy 29 (2):237 – 252.
Organ Donation by Capital Prisoners in China: Reflections in Confucian Ethics.M. Wang & X. Wang - 2010 - Journal of Medicine and Philosophy 35 (2):197-212.

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