Benchmarks of Fairness for Health Care Reform

Front Cover
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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Contents

Fairness and the Politics of Health Care Reform
3
Benchmarks of Fairness
35
Using the Benchmarks to Score Insurance Reforms
71
Using the Benchmarks to Score Health Care Reforms
99
Reorganization or Reform? The Fairness of Current Trends
135
Prospects for Fair Reform
167
Copyright

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About the author (1996)


Norman Daniels, Ph.D., is Goldthwaite Professor of Philosophy and Medical Ethics at Tufts University. Donald W. Light, Ph.D., is Professor of Social and Behavioral Medicine at the University of Medicine and Dentistry of New Jersey. Ronald L. Caplan, Ph.D., is Assistant Professor of Public Health at Richard Stockton State College.

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