MIES biblioteka

Naujausi A B C D E F G H I J K L M N O P R S T V W Y Z

ISBN: 0-521-23608-8
Brūkšninis kodas: 4202207
Ieškoti VUB kataloge

     How should medical services be distributed within society? Who should pay for them? Is it right that large amounts should be spent on sophisticated new technology and expensive operations, or would the resources be better employed in, for instance, less costly preventive measures?
     Just Health Care will be of interest to students of philosophy and medicine, medical administrators and political scientists, as well as general readers interested in the equitable distribution of health-care services.

Preface page ix
Acknowledgments xii
1 Is health care special? 1
Micro and macro 1
Rights to health care 4
General theories of justice 9
Some public policy issues 11
Is health care special? 17
2 Health-care needs 19
Why a theory of health-care needs? 19
Can we avoid talk about needs? 20
Not all preferences are created equal 23
Needs and species-typical functioning 26
Disease and health 28
Disease and opportunity 32
3 Toward a distributive theory 36
Satisfaction and social hijacking 36
The scope of justice 37
Fair equality of opportunity 39
Extending Rawls`s theory to health care 42
Some qualifications and clarifications 48
Summary and applications 56
4 Equity of access to health care 59
Sources of disagreement about access 59
When is access equal? 60
Three accounts of equitable access 63
Decent minimums and the requirements of justice 74
5 Am I my parents` keeper? 86
Opportunity, age-bias, and competition for resources 86
When are acts, policies, or institutions age-biased? 89
Does aging pose a distinct distribution problem? 94
Prudence and aging 98
Equal opportunity and health care for the elderly 103
Equity, errors, and the stability of “savings institutions” 108
Some qualifications 111
6 Doing justice to providers 114
Four issues 114
What are the obligations of providers to deliver just health care? 115
Does just health care violate provider liberty? 119
Does just health care deny physicians just economic rewards or incentives? 124
Does just health care threaten traditional ethical obligations of physicians to their patients? 135
Conclusion 138
7 Doth OSHA protect too much? 140
Fair equality of opportunity and preventive health care 140
Prevention and OSHA regulation 142
The OSHA “feasibility” criterion: in search of a rationale 144
The feasibility criterion: beyond market regulation 148
The “specialness” of health protection and the problem of consent 150
More protection than I want: a libertarian lament 153
Autonomy, paternalism, and risky life-style choices 156
Information and competency 159
Intrinsic and extrinsic rewards of risk-taking 162
Coercion 165
Voluntariness and justice 171
Worries and conclusions 176
8 Risk and opportunity 180
Safe workplaces and safe workers 180
Biological monitoring in the lead standard 187
Individual variation in sensitivity and discrimination in empoyment 199
Summary and conclusions 218
9 Philosophy and public policy 221
1 Does justice require funding heart transplants? 221
2 Frameworks and contexts of compliance 223
Works cited
Index 238

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