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Technical Justice and Health Care: Collected Essays
Posted on 2010-04-14
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More Allen E. Buchanan, "Justice and Health Care: Collected Essays" In this volume Allen Buchanan collects ten of his most influential essays on justice and healthcare and connects the concerns of bioethicists with those of political philosophers, focusing not just on the question of which principles of justice in healthcare ought to be implemented, but also on the question of the legitimacy of institutions through which they are implemented. With an emphasis on the institutional implementation of justice in healthcare, Buchanan pays special attention to the relationship between moral commitments and incentives. The volume begins with an exploration of the difficulties of specifying the content of the left to healthcare and of identifying those agents and institutions that are obligated to help ensure that the left thus specified is realized, and then progresses to an examination of the problems that arise in attempts to implement the left through appropriate institutions. In the last two essays Buchanan pursues the central issues of justice in healthcare at the global level, exploring the idea of healthcare as a human left and the problem of assigning responsibilities for ameliorating global health disparities. Taken together, the essays provide a unique and consistent position on a wide range of issues, including conflicts of interest in clinical practice and the claims of medical professionalism, the nature and justification for the left to health care, the relationship between responsibility for healthcare and the nature of the healthcare system, and the problem of global health disparities. The result is an approach to justice in healthcare that will facilitate more productive interaction between the normative analysis of philosophers and the policy work of economists, lawyers, and political scientists. List of Abbreviations ix Introduction 3 One The left to a Decent Minimum of Health Care 17 Two Health-Care Delivery and Resource Allocation 37 Three Public and Private Responsibilities in the U.S. Health-Care System 77 Four Privatization and Just Health Care 89 Five Ethical Issues in For-Profi t Health Care 105 Six Managed Care: Rationing Without Justice, But Not Unjustly 141 Seven Trust in Managed Care Organizations 156 Eight Is There a Medical Profession in the House? 175 Nine Specifying the Content of the Human left to Health Care 203 Ten Responsibility for Global Health 219 Notes 235 Bibliography 251 Index 255
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