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Pavadinimas: CHANGING TO NATIONAL HEALTH CARE : ETHICAL AND POLICY ISSUES
Autoriai: Edited by ROBERT P. HUEFNER, MARGARET P. BATTIN
Metai: 1992
ISBN: 0874803896
Leidykla: Salt Lake City : Univ. of Utah Press
Brūkšninis kodas: 4202198
Ieškoti VUB kataloge
Anotacija:      ETHICS IN A CHANGING WORLD is a series that responds to issues dealing with the ethical implications of developments in science and technology. Publications in this series present technically reliable accounts of such development and an extended examination of the ethical issues they raise.

Series preface vii
Preface ix
INTRODUCTION: OVERVIEW OF THE ISSUES
Ethical issues in National Health Insurance
Daniel Wikler 3
Notes from a medical perspective
Allan R. Nelson, M.D. 19
I. WHY DOESN`T THE UNITED STATES ALREADY HAVE NATIONAL HEALTH CARE?
Verging on National Health Insurance since 1910
Harold Bauman 29
Why the United States has not had National Health Insurance
Paul J. Feldstein 51
Comment: Insurance or access?
Suzanne Dandoy, M.D. 73
II. COMPARING NATIONAL HEALTH SYSTEMS
Lessons from abroad in assessing National Health Care Systems:
Ethics and decision making
John G. Francis 79
Expenditure and outcome in eight National Health Systems:
Why is the U.S. doing so poorly?
Norman J. Waitzman 107
Comment: Why Americans are different
Lawrence D. Brown 129
III. THE VA AS NATIONAL HEALTH CARE
Can we learn from our own experience? The VA as National Health Care
Mark W. Wolcott, M.D., and Charles B. Smith, M.D. 139
Comment: Lessons from the VA experience as a National Health Care System
J. William Hollingsworth, M.D. 163
Comment: A comparative perspective on National Health Insurance:
The VA as example and vehicle for changing in the United States
David Wilsford 171
IV. ETHICS AND THE DESIGN OF NATIONAL HEALTH CARE
Health Care in a National Health Program:
A fundamental right
Kenneth N. Buchi, M.D., and Bruce M. Landesman 191
Expectations and the design of a Universal Health Care System
Leslie Pickering Francis 209
Public and private responsibilities in the U.S. Health Care System
Allan Buchanan 235
Designing a Health Care System:
Considering the need to know
Robert P. Huefner 251
Comment: A National Health Program:
Would implementation be the problem?
Frank Thompson 301
V. PROVIDERS AND PATIENTS UNDER NATIONAL HEALTH CARE
Dying in 559 beds:
Efficiency, “Best buys”, and the ethics of standardization in National Health Care
Margaret P. Battin 313
Loyalty conflicts and the quality of the doctor/patient relationship in the context of
Managed Health Care
Leonard J. Haas and Peter C. Appleby 331
Comment: National Health Care, patient trust, and physician loyalty
Dan W. Brock 345
Contributors 353
Index 359

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