Benchmarks of Fairness for Health Care Reform
DAVID DANIELS, Goldthwaite Professor and Former Chair of the Tufts Philosophy Department and Professor of Medical Ethics at Tufts Medical School Norman Daniels, Norman Daniels, Professor of Social and Behavioral Medicine Donald W Light, Donald Light, Ronald L. Caplan, Assistant Professor of Public Health Ronald L Caplan
Oxford University Press, 1996 - Medical - 198 pages
This book addresses probing questions by translating the general moral concept of fairness into specific criteria for measuring the fairness of proposals for health reform. The authors demonstrate how concerned members of the public and policy makers can apply their benchmarks by actually scoring four major proposals for health care reform exemplifying the most prevalent ideas of the 1990s. They pay particular attention to the moral foundation of reforms based on competition. Although some reform ideas fare better than others, all are found weak in establishing open, democratic procedures for deciding the limits of care. The book also appraises the changes caused by the rapid growth of managed care systems since the collapse of national reform. Written by a leading moral philosopher of health care, an internationally known sociologist, and a health economist, Benchmarks of Fairness should be read by citizens, physicians, nurses, employers, and politicians.
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103rd Congress ability to pay American health assess Average Score barriers Benchmarks of Fairness benefit package budget CALPERS chapter clinical Clinton bill co-payments community rating comprehensive reform concerns Cooper bill corporatization cost shifting criteria decisions effective employers enrollees equality of opportunity example expenditures funding grievance procedures Harry and Louise health care providers health care reform health care services health care system health insurance health plans heavily managed HMOs hospitals important income increase limits managed care organizations managed care systems managed competition McDermott/Wellstone bill Medicaid medical underwriting Medicare ment Michel bill Minimizing National Health numbers out-of-pocket out-of-pocket expenses outcomes patients payments percent phase-in physicians premiums primary primary care primary-care providers problems programs progressive tax protect public accountability public health reasonable received a score reduce reform proposals risk Score for Benchmark sector single-payer approach social specific tion unfair uninsured universal coverage value for money zero