American Health Care: Realities, Rights, and Reforms - download pdf or read online

By Charles J. Dougherty

ISBN-10: 0195052714

ISBN-13: 9780195052718

Is our current health and wellbeing care method biased opposed to individuals with constrained schooling and source of revenue? Does each American have an ethical correct to health and wellbeing care? if that is so, what forms of care and what sort of? In a provocative examine American overall healthiness care supply, Charles J. Dougherty considers those and lots of different questions. His publication fills a big area of interest in modern scientific ethics and public overall healthiness literature by means of combining an outline and research of the yank overall healthiness care system--as it truly operates today--with an review of modern philosophical writings on justice. within the first part, Dougherty describes inequalities in healthiness care supply to blacks, the negative, and the fewer expert. He then experiences the philosophical theories of utilitarianism, egalitarianism, contractarianism, and libertarianism; applies them to healthiness care matters; and argues for an ethical correct to wellbeing and fitness care. He considers to be had coverage possible choices, concluding that the empirical facts and our realizing of justice and human rights may still devote us to a countrywide health and wellbeing care plan supported by means of nationwide medical health insurance.

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Extra resources for American Health Care: Realities, Rights, and Reforms

Sample text

These macroallocation decisions will generate certain derivative rights, usually legal as well as moral rights. Consider, for example, the logic of the moral reasoning behind the establishment of the series of policy choices institutionalized in the Medicare program. Amid all the political considerations at its inception, there were also the moral concerns of the utility to be expected from these policy choices compared with the utility to be gained by other choices or none at all. Analytically, two levels of rule-utilitarian judgments can be distinguished in the establishment of the program.

These, then, are three of the main approaches to justifying an affirmative answer to the question, Is there a right to health care? The utilitarian approach focuses on the likely production of good consequences and avoidance of bad consequences that would follow from acting on a right to health care. The egalitarian approach grounds the claim of right on the fundamen- A RIGHT TO HEALTH CARE 33 tal moral equality of persons and the respect for that status that a right to health care would establish.

The very strengths of the utilitarianism approach are its empirical character and its flexibility. But commitment to rule utilitarianism, while it creates a more stable moral theory in general, sacrifices these virtues to a great extent. Any given rule or policy that is good overall may dictate many individual acts whose empirical consequences in particular circumstances are bad on balance. Adherence to a policy of distributing health care benefits as an incentive or a policy of condemning lies may work in general, but may have just the wrong results in specific circumstances for specific persons today.

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American Health Care: Realities, Rights, and Reforms by Charles J. Dougherty


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