Just health care / Norman Daniels.

Format:

Book

Author/Creator:

Daniels, Norman, 1942- author.

Series:

Studies in philosophy and health policy.

Studies in philosophy and health policy

Language:

English

Subjects (All):

Medical ethics.

Medical policy.

Social medicine.

Physical Description:

1 online resource (xiii, 245 pages) : digital, PDF file(s).

Edition:

1st ed.

Place of Publication:

Cambridge : Cambridge University Press, 1985.

Summary:

How should medical services be distributed within society? Who should pay for them? Is it right that large amounts should be spent on sophisticated 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.

Contents:

Cover

Frontmatter

Contents

Preface

Acknowledgements

Is health care special?

Micro and macro

Rights to health care

General theories of justice

Some public policy issues

Health-care needs

Why a theory of health-care needs?

Can we avoid talk about needs?

Not all preferences are created equal

Needs and species-typical functioning

Disease and health

Disease and opportunity

Toward a distributive theory

Satisfaction and social hijacking

The scope of justice

Fair equality of opportunity

Extending Rawls's theory to health care

Some qualifications and clarifications

Summary and applications

Equity of access to health care

Sources of disagreement about access

When is access equal?

Three accounts of equitable access

Decent minimums and the requirements of justice

Am I my parents' keeper?

Opportunity, age-bias, and competition for resources

When are acts, policies, or institutions age-biased?

Does aging pose a distinct distribution problem?

Prudence and aging

Equal opportunity and health care for the elderly

Equity, errors, and the stability of 'savings institutions'

Some qualifications

Doing justice to providers

Four issues

What are the obligations of providers to deliver just health care? 115

Does just health care violate provider liberty?

Does just health care deny physicians just economic rewards or incentives?

Does just health care threaten traditional ethical obligations of physicians to their patients?

Conclusion

Doth OSHA protect too much?

Fair equality of opportunity and preventive health care

Prevention and OSHA regulation

The OSHA 'feasibility' criterion: in search of a rationale

The feasibility criterion: beyond market regulation.

The 'specialness' of health protection and the problem of consent

More protection than I want: a libertarian lament

Autonomy, paternalism, and risky life-style choices

Information and competency

Intrinsic and extrinsic rewards of risk-taking

Coercion

Voluntariness and justice

Worries and conclusions

Risk and opportunity

Safe workplaces and safe workers

Biological monitoring in the lead standard

Individual variation in sensitivity and discrimination in employment

Summary and conclusions

Philosophy and public policy

1 Does justice require funding heart transplants?

2 Frameworks and contexts of compliance

Works cited

Index.

Notes:

Title from publisher's bibliographic system (viewed on 05 Oct 2015).

Includes bibliographical references and index.

ISBN:

1-139-08518-2

0-511-62497-2

OCLC:

935275425

Publisher Number:

2027/heb07669 hdl