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Just Health Care : Studies in Philosophy and Health Policy - Norman Daniels

Just Health Care

Studies in Philosophy and Health Policy

Paperback Published: 30th September 1985
ISBN: 9780521317948
Number Of Pages: 260

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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? These and others are the questions addreses in this book. Norman Daniels examines some of the dilemmas thrown up by conflicting demands for medical attention, and goes on to advance a theory of justice in the distribution of health care. The central argument is that health care, both preventive and acute, has a crucial effect on equality of opportunity, and that a principle guaranteeing equality of opportunity must underly the distribution of health-care services. Access to care, preventive measures, treatment of the elderly, and the obligations of doctors and medical administrations are fully discussed, and the theory is shown to underwrite various practical policies in the area.

Prefacep. ix
Acknowledgementsp. xii
Is health care special?p. 1
Micro and macrop. 1
Rights to health carep. 4
General theories of justicep. 9
Some public policy issuesp. 11
Is health care special?p. 17
Health-care needsp. 19
Why a theory of health-care needs?p. 19
Can we avoid talk about needs?p. 20
Not all preferences are created equalp. 23
Needs and species-typical functioningp. 26
Disease and healthp. 28
Disease and opportunityp. 32
Toward a distributive theoryp. 36
Satisfaction and social hijackingp. 36
The scope of justicep. 37
Fair equality of opportunityp. 39
Extending Rawls's theory to health carep. 42
Some qualifications and clarificationsp. 48
Summary and applicationsp. 56
Equity of access to health carep. 59
Sources of disagreement about accessp. 59
When is access equal?p. 60
Three accounts of equitable accessp. 63
Decent minimums and the requirements of justicep. 74
Am I my parents' keeper?p. 86
Opportunity, age-bias, and competition for resourcesp. 86
When are acts, policies, or institutions age-biased?p. 89
Does aging pose a distinct distribution problem?p. 94
Prudence and agingp. 98
Equal opportunity and health care for the elderlyp. 103
Equity, errors, and the stability of 'savings institutions'p. 108
Some qualificationsp. 111
Doing justice to providersp. 114
Four issuesp. 114
What are the obligations of providers to deliver just health care?p. 115
Does just health care violate provider liberty?p. 119
Does just health care deny physicians just economic rewards or incentives?p. 124
Does just health care threaten traditional ethical obligations of physicians to their patients?p. 135
Conclusionp. 138
Doth OSHA protect too much?p. 140
Fair equality of opportunity and preventive health carep. 140
Prevention and OSHA regulationp. 142
The OSHA 'feasibility' criterion: in search of a rationalep. 144
The feasibility criterion: beyond market regulationp. 148
The 'specialness' of health protection and the problem of consentp. 150
More protection than I want: a libertarian lamentp. 153
Autonomy, paternalism, and risky life-style choicesp. 156
Information and competencyp. 159
Intrinsic and extrinsic rewards of risk-takingp. 162
Coercionp. 165
Voluntariness and justicep. 171
Worries and conclusionsp. 176
Risk and opportunityp. 180
Safe workplaces and safe workersp. 180
Biological monitoring in the lead standardp. 187
Individual variation in sensitivity and discrimination in employmentp. 199
Summary and conclusionsp. 218
Philosophy and public policyp. 221
Does justice require funding heart transplants?p. 221
Frameworks and contexts of compliancep. 223
Works citedp. 231
Indexp. 238
Table of Contents provided by Syndetics. All Rights Reserved.

ISBN: 9780521317948
ISBN-10: 0521317940
Series: Studies in Philosophy and Health Policy
Audience: Professional
Format: Paperback
Language: English
Number Of Pages: 260
Published: 30th September 1985
Publisher: Cambridge University Press
Country of Publication: GB
Dimensions (cm): 21.6 x 13.8  x 1.5
Weight (kg): 0.34