Chronic Illness: Not-So-Passive Injustice?
Journal of Clinical Ethics. 1991 Fall; 2(3): 160.
Why is our system, which is so biased toward the provision of acute care, underserving the chronically ill?...I think the main reason...has to do with the difficulty of providing for the needs of the chronically ill through a system of largely employment-based private insurance. People who are chronically ill are likely to drop out of employment: they are not a group that employment-based insurance is intended to serve or that employers have an interest in serving....I do not believe we can shift the focus of organization of services for the chronically ill to home or family, as Douard suggests, without reforming the insurance system....
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Douard, John (1991)In summary, the health-care system in the US is inadequate, focused as it is on acute care, to meet the needs of the chronically ill. The trajectory model of chronic illness suggests a restructuring of the health-care ...