Justice and the Justification of a Social Policy: The Distribution of Primary Care Physicians
Social Science and Medicine. 1983; 17(15): 1061-1074.
It is argued that a just geographic and demographic distribution of primary care physicians in the United States should be based on the principle of need and that the distribution pattern should be "egalitarian," i.e., aimed at providing a uniform per capita distribution while ensuring roughly equal geographic access. The author describes the nature of primary care, details present distribution inequities, and explains why need is the most relevant distribution principle. He considers the role of health care in assuring national security and economic productivity, as well as the contribution of primary care physicians to a sense of community. He refutes counterarguments, such as those based on objection to restrictions on a physician's liberty, and proposes an approach to implementing a public policy of equal geographic access to primary care. (KIE abstract)
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Wheeler, Margaret B.; Bach, Peter B.; Schrag, Deborah (2004-11-11)