May a Government Mandate More Comprehensive Health Insurance than Citizens Want for Themselves?

In David Sobel, Peter Vallentyne & Steven Wall (eds.), Oxford Studies in Political Philosophy, Vol 4. Oxford University Press. pp. 167-191 (2018)

Abstract

I critically examine a common liberal egalitarian view about the justification for, and proper content of, mandatory health insurance. This view holds that a mandate is justified because it is the best way to ensure that those in poor health gain health insurance on equitable terms. It also holds that a government should mandate what a representative prudent individual would purchase for themselves if they were placed in fair conditions of choice. I argue that this common justification for a mandate is incomplete. A further reason for mandated insurance is that it helps secure social egalitarian public goods that would be underprovided if insurance were optional. I also argue that rather than mandating what a representative individual would choose for themselves, we should design the mandatory package by appealing to a pluralistic egalitarian view, which cares about improving people’s well-being, reducing unfair inequality, and maintaining egalitarian social relations.

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References found in this work

Justice as Fairness: A Restatement.John Rawls (ed.) - 2001 - Harvard University Press.
The Possibility of Altruism.Thomas Nagel - 1970 - Oxford Clarendon Press.
What is the Point of Equality.Elizabeth Anderson - 1999 - Ethics 109 (2):287-337.
Risk and Rationality.Lara Buchak - 2013 - Oxford University Press.
Justice as Fairness: A Restatement.C. L. Ten - 2003 - Mind 112 (447):563-566.

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