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Recapturing Justice in the Managed Care Era

Published online by Cambridge University Press:  29 July 2009

Jonathan D. Moreno
Jonathan D. Moreno
Affiliation:
Professor of Pediatrics and of Medicine, and Director, Division of Humanities in Medicine at SUNY Health Sciences Center at Brooklyn, New York.
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Extract

If economics has been the “dismal science” of the past century, health policy promises to be that of the next. Health policy issues evoke far less passion than the emotion-laden immediacies of bedside decision making. Nevertheless, it is patent that “macro” issues in all their obscurity and complexity are unavoidable if the health care delivery system of the future is to be fiscally sound and publicly acceptable. In addition, as Americans are now learning, options for care at the bedside are ineluctably constrained by seemingly distant societal choices.

Type
Special Section: Can Justice Endure Healthcare Reform?: From Patient Care to Policy (and Back Again)
Information
Cambridge Quarterly of Healthcare Ethics , Volume 5 , Issue 4 , Fall 1996 , pp. 493 - 499
Copyright
Copyright © Cambridge University Press 1996

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References

Notes

1. This is a familiar line of argument on health policy among market liberals, one apparently inspired by John Rawls. For a strong statement of this position see Green, P. “Health Care and Justice in Contract Theory Perspective.” In: Veatch, R, Branson, R, Eds. Ethics and Health Policy, Cambridge, Massachusetts: Ballinger Co., 1976.Google Scholar

2. See for example Dewey, J. Experience and Nature. New York: Dover Publications, 1958.Google Scholar

3. Povar, G, Moreno, JD. “Hippocrates and the H.M.O.” Annals of Internal Medicine 1988, 109:419–24.CrossRefGoogle Scholar

4. Morreim, EH. Balancing Act: The New Medical Ethics of Medicine's New Economics. Dordrecht: Kluwer Academic Publishers, 1991.Google Scholar

5. Emanuel, EJ. The Ends of Human Life: Medical Ethics in a Liberal Polity. Cambridge, Massachusetts: Harvard University Press, 1993, p. 148.Google Scholar

6. Clancy, CM, Brody, H. “Managed Care: Jekyll or Hyde?” Journal of the American Medical Association, 1995; 273:338–39.CrossRefGoogle ScholarPubMed