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Beyond Competition: The Normative Implications of Consumer-Driven Health Plans
The Federal Trade Commission/Department of Justice 2004 report Improving Health Care: A Dose of Competition appeals to efficiency arguments in promoting a wide range of health care market reforms. But the market-based ...
Just Health: Replies and Further Thoughts
This paper responds to discussion and criticism contained in a mini-symposium on Just health: meeting health needs fairly. The replies clarify existing positions and modify or develop others, specifically in response to ...
Process Is the Point: Justice and Human Rights: Priority Setting and Fair Deliberative Process
Most people responsible for setting priorities in health have considerable expertise relevant to deciding how to use resources effectively and the kinds of improvements that should be emphasized. Most are also concerned ...
Access, Cost, and Financing: Achieving an Ethical Health Reform
Three key ethical issues should inform the broader debate about health reform: (1) Why pursue universal coverage? (2) Why is cost containment an ethical issue? (3) What is fairness in financing? After examining these issues, ...
Toward Ethical Review of Health System Transformations
Efforts to transform health systems constitute social experiments on a population. Like clinical research, they deploy measures that are unproven in the context of the reform, and they often impose significant risks on ...