Ethical dimensions of health policy / edited by Marion Danis, Carolyn Clancy, Larry R. Churchill.

Format:

Book

Contributor:

Danis, Marion.

Clancy, Carolyn M.

Churchill, Larry R., 1945-

Language:

English

Subjects (All):

Medical policy--Moral and ethical aspects.

Medical policy.

Health Policy.

Bioethics.

Medical Subjects:

Health Policy.

Bioethics.

Physical Description:

xxvii, 395 pages : illustrations ; 25 cm

Place of Publication:

Oxford ; New York : Oxford University Press, 2002.

Summary:

This book takes the conversation between bioethics and health policy to a new level. Moving beyond principles and normative frameworks, bioethicists writing in the volume consider the actual policy problems faced by health care systems, while policy-makers reflect on the moral values inherent in both the process and content of health policy. The result is a vigorous dialogue with some of the nation's leading experts at the interface of ethics and health policy. the book provides a history of the values implicit in U.S. health policy, a discussion of the federal and state roles in policy making, an ethical examination of the social goals expressed through various policies, an analysis of the role of public opinion in the creation of health policy, and an exploration of the value of the private sector in health policy. In addition, the authors examine some of the major ethical controversies in health policy, such as the challenge of balancing ethical concerns with economic realities, the need to allocate scarce health resources, the call for heightened accountability, and the impact of various policies on vulnerable populations. The book concludes with an examination of the ethical issues in health services research, including the threats to privacy that arise in such research. To a greater extent than any previous volume, it establishes a strong connection between the disciplines of medical ethics and health policy.

Contents:

Part I. Identifying the Goals of Health Care

1. Ends and Means: The Goals of Health Care / Daniel Callahan 3

2. Justice, Health, and Health Policy / Norman Daniels, Bruce P. Kennedy, Ichiro Kawachi 19

Part II. Connecting Ethics and Health Policy

3. What Ethics Can Contribute to Health Policy / Larry R. Churchill 51

4. Health-Care Policy in the United States in the 20th Century / Eli Ginzberg 65

5. Just Deliberation About Health Care / Amy Gutmann, Dennis Thompson 77

Part III. Examining the Ethics of How Policy is Made

6. The Reality of Public Policy Making / John W. Kingdon 97

7. When Public Opinion Counts: Inserting Public Opinion into Health Policy / Stanley B. Greenberg, Marion Danis 117

8. Medical Ethics in the Courts / M. Gregg Bloche 133

9. Health Policy Making: The Role of the Federal Government / Jo Ivey Boufford, Philip R. Lee 157

10. Health Policy and State Initiatives / Jonathan Oberlander, Lawrence D. Brown 184

11. Private Sector Incentives and Ethical Health Care / Stuart Butler 202

Part IV. Ethical Controversies in Health Policy

Resource Allocation

12. Patient v. Population: Resolving the Ethical Dilemmas Posed by Treating Patients as Members of Populations / Ezekiel J. Emanuel 227

Accountability

13. Accountability: Regulating Health Care As a Public Good / Christine K. Cassel, Elaine McParland 249

14. Perspectives on Accountability: Past, Present, and Future / Ruth E. Malone, Harold S. Luft 263

Vulnerable Populations

15. Health Resource Allocation for Vulnerable Populations / Dan W. Brock 283

16. Health Policy, Vulnerability, and Vulnerable Populations / Marion Danis, Donald L. Patrick 310

Ethical Considerations of Health Services Research

17. Values in Research: Picking Research Priorities Ethically / Bernard Lo 337

18. Ethical Considerations in Conducting Health-Care Research: Protecting Privacy / Lisa I. Iezzoni 355.

Notes:

Includes bibliographical references and index.

ISBN:

0195140702

OCLC:

47273143