Should We Create a Health Care System in the United States?
McCullough, Laurence B.
Journal of Medicine and Philosophy. 1994 Oct; 19(5): 483-490.
An orthodoxy has arisen which claims that there is a crisis in the United States health care system such that the system needs to be reformed. This essay challenges that orthodoxy by showing that we do not have a health care system in the United States. We have a non-system of health care, just as we do for virtually all basic social institutions. Challenging the current orthodoxy surfaces two ethical issues that have been ignored: creating a health care system will (a) cause resurgent paternalism and (b) pose a threat to moral pluralism.
Abortion; Advisory Committees; Autonomy; Beneficence; Cultural Pluralism; Decision Making; Economics; Ethics; Federal Government; Government; Government Financing; Government Regulation; Health; Health Care; Health Care Reform; Hospitals; Justice; Managed Care Programs; Managed Care; Paternalism; Patient Participation; Private Sector; Public Policy; Quality of Health Care; Regulation; Religious Hospitals; Values;
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DeGrazia, David (1996-06)Although nothing could be less fashionable today than talk of comprehensive health care reform, the major problems of American health care have not gone away. Only a radical change in the way the U.S. finances health care ...