Title Just caring : health care rationing and democratic deliberation / Leonard M. Fleck

Published Oxford ; New York : Oxford University Press, 2009

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Description 1 online resource (xviii, 460 pages) Contents Just caring : an introduction -- The ethical challenges of health care rationing -- Pricing human life : getting beyond tragic choices -- Elements of health care justice -- Rational democratic deliberation : scope and structure -- Setting limits for effective costly therapies -- Last-chance therapies -- Rationing, catastrophic illness, and disabled patients -- Is age-based rationing ever 'just enough'? -- Do future possible children have a just claim for a sufficiently heathy genome? -- Organ transplantation : when is enough enough? -- The liberalism problem -- The ethical challenges of priority setting in public health -- Financing health care fairly Summary "In Just Caring, Leonard Fleck reflects on the central moral and political challenges of health reform today. He cites the millions of Americans who go without health insurance, thousands of whom die prematurely, unable to afford the health care needed to save their lives. Fleck considers these deaths as contrary to our deepest social values, and makes a case for the necessity of health care rationing decisions. The core argument of this book is that no one has a moral right to impose rationing decisions on others if they are unwilling to impose those same rationing decisions on themselves in the same medical circumstances. Fleck argues we can make health care rationing fair, in ways that are mutually respectful, if we engage in honest rational democratic deliberation. Such civic engagement is rare in our society, but the alternative is endless destructive social controversy that is neither just nor caring."--Publisher's description Bibliography Includes bibliographical references (pages 427-446) and index Notes Master and use copy. Digital master created according to Benchmark for Faithful Digital Reproductions of Monographs and Serials, Version 1. Digital Library Federation, December 2002. http://purl.oclc.org/DLF/benchrepro0212 MiAaHDL Print version record digitized 2010 HathiTrust Digital Library committed to preserve pda MiAaHDL Subject Health care rationing -- Moral and ethical aspects -- United States Public health -- Moral and ethical aspects -- United States Health services accessibility -- United States Right to health -- United States Health care reform -- United States Social justice -- United States Democracy. Health care reform. Health insurance. National health insurance. Health Care Reform -- United States Insurance, Health -- United States Health Priorities -- United States Health Care Rationing -- United States Democracy -- United States Healthcare Disparities -- United States Health Care Rationing Democracy Health Care Reform Health Priorities Healthcare Disparities Insurance, Health National Health Programs democracy. MEDICAL -- Health Risk Assessment. National health insurance Health insurance Democracy Health care rationing -- Moral and ethical aspects Health care reform Health services accessibility Public health -- Moral and ethical aspects Right to health Social justice Gesundheitsökonomie Gesundheitswesen Soziale Gerechtigkeit SUBJECT United States Subject United States USA Form Electronic book ISBN 9780199722891 0199722897

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