How should medical services be distributed within society? Who should pay for them? Is it right that large amounts should be spent on sophisticated technology and expensive operations, or would the resources be better employed in, for instance, less costly preventive measures? These and others are the questions addreses in this book. Norman Daniels examines some of the dilemmas thrown up by conflicting demands for medical attention, and goes on to advance a theory of justice in the distribution of health care. The central argument is that health care, both preventive and acute, has a crucial effect on equality of opportunity, and that a principle guaranteeing equality of opportunity must underly the distribution of health-care services. Access to care, preventive measures, treatment of the elderly, and the obligations of doctors and medical administrations are fully discussed, and the theory is shown to underwrite various practical policies in the area.
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Examines some of the dilemmas that have emerged from confronting demands for medical attention. The issues of equality of access to health care, paternalism, and the obligations of doctors and medical administrators are discussed at length.
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4.0 out of 5 stars
A classic ethical analysis,
By
This review is from: Just Health Care (Studies in Philosophy and Health Policy) (Paperback)
Daniels' book from 1985 is one of the classic works on the ethics of health care and the distribution of health care. His approach follows in the footsteps of John Rawls and emphasizes the need to take care of the least well off in our society. Increasing medical costs have spawned a number of attempts to rein in medical spending, from the Oregon Health Plan to HMOs to the (at the time of this writing) new Massachusetts health plan. This book lays a good foundation for examining these plans from an ethical standpoint. Amazon links to the table of contents above, and this does provide a clear picture of the breadth of the work.
For readers interested in specific recommendations about health care -- whether heart transplants should be funded, for example -- you will need to look elsewhere. Daniels is very clear that this book is about an ethical framework, and specific recommendations will depend upon how fully implemented that framework is. This was my own frustration with the book. Even so, it is a valuable resource and well worth the read.
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Inside This Book
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First Sentence:
Medical ethics, a child of the 1970s, has thrived on the exotic. Read the first page Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
technological feasibility criterion, libertarian lament, health hazard regulation, temporary medical removal, decent basic minimum, equal opportunity account, normal opportunity range, argument from function, guaranteeing fair equality, provider liberties, truncated scale, job placement decisions, personal medical services, realized access, irrelevant traits, sensitive workers, protecting worker health, basic tier, pay proposals, business necessity defense, provider autonomy, hazard pay, primary social goods, other social goods, natural lottery Key Phrases - Capitalized Phrases (CAPs): (learn more)
Rehabilitation Act, President's Commission, Commission Report, United States, Cotton Dust Case, Charles Fried, Supreme Court, Argument From Fair Shares, Blue Cross, Blue Shield, Court of Appeals, Federal Register, John Rawls, Massachusetts General Hospital, Securing Access New!
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Front Cover | Table of Contents | First Pages | Index | Back Cover | Surprise Me!
Medical ethics, a child of the 1970s, has thrived on the exotic. Read the first page Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
technological feasibility criterion, libertarian lament, health hazard regulation, temporary medical removal, decent basic minimum, equal opportunity account, normal opportunity range, argument from function, guaranteeing fair equality, provider liberties, truncated scale, job placement decisions, personal medical services, realized access, irrelevant traits, sensitive workers, protecting worker health, basic tier, pay proposals, business necessity defense, provider autonomy, hazard pay, primary social goods, other social goods, natural lottery Key Phrases - Capitalized Phrases (CAPs): (learn more)
Rehabilitation Act, President's Commission, Commission Report, United States, Cotton Dust Case, Charles Fried, Supreme Court, Argument From Fair Shares, Blue Cross, Blue Shield, Court of Appeals, Federal Register, John Rawls, Massachusetts General Hospital, Securing Access New!
Books on Related Topics | Concordance | Text Stats Browse Sample Pages:
Front Cover | Table of Contents | First Pages | Index | Back Cover | Surprise Me!
Citations (learn more)
This book cites 24
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- The Crisis in Social Security: Problems and Prospects by Michael J. Boskin in Back Matter (1), Back Matter (2), and Back Matter (3)
- Ethics and Health Policy by Cambridge in Back Matter (1), and Back Matter (2)
- Access to Health Care (Key Indicators for Policy Series) by Center for Health Economics Research in Back Matter (1), and Back Matter (2)
- Methods of Ethics by Henry Sidgwick in Back Matter
- Anarchy, State, and Utopia by Robert Nozick in Back Matter
See all 24 books this book cites
- The Ends of Human Life: Medical Ethics in a Liberal Polity by Ezekiel J. Emanuel on 15 pages
- Justice and Justification: Reflective Equilibrium in Theory and Practice (Cambridge Studies in Philosophy and Public Policy) by Norman Daniels on 9 pages
- Ethical Dimensions of Health Policy by Marion Danis on 7 pages
- Choosing Who's to Live: ETHICS AND AGING by James W. Walters on 5 pages
- Genes and Future People: Philosophical Issues in Human Genetics by Walter Glannon on 5 pages
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