Personal Freedom and Responsibility: The Ethical Foundations of a Market-Based Health Care Reform
Moffit, Robert Emmet
Journal of Medicine and Philosophy. 1994 Oct; 19(5): 471-481.
The current health care system is not operating with a properly functioning market. Health care costs are hidden and often shifted, consumers and providers are insulated from the economic consequences of their decisions, and costs therefore go up dramatically. Instead of attacking both the structural deficiencies and the consequent inequities of the current employer based insurance system, the Clinton Plan simply expands them, and adds a heavier level of government regulation. The ultimate choice for the public is between a health care system based on a consumer choice or a government controlled system. In pursuing a market based health care reform that enhances personal freedom and responsibility, two ethical principles are served. First, American consumers will be made aware of the true costs of health care services, and market forces will thus introduce incentives on the part of providers to control costs. Second, justice will be served; for not only will providers of medical services receive their due, but public policy makers can target relief more effectively to those who need it most.
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Fins, Joseph J. (1992-05)...The paradox is inescapable: the market reforms offered in the 1980s to address the excesses of the health care system profoundly altered physician thinking and led to the physician-businessman of the 1990s. This causal ...