How should medical services be distributed within society? Who should pay for them? Is it right that large amounts should be spent on sophisticated technology and expensive operations, or would the resources be better employed in, for instance, less costly preventive measures? These and others are the questions addreses in this book. Norman Daniels examines some of the dilemmas thrown up by conflicting demands for medical attention, and goes on to advance a theory of justice in the distribution of health care. The central argument is that health care, both preventive and acute, has a crucial effect on equality of opportunity, and that a principle guaranteeing equality of opportunity must underly the distribution of health-care services. Access to care, preventive measures, treatment of the elderly, and the obligations of doctors and medical administrations are fully discussed, and the theory is shown to underwrite various practical policies in the area.
Preface; Acknowledgements; 1. Is health care special?; 2. Health-care needs; 3. Toward a distributive theory; 4. Equity of access to health care; 5. Am I my parents' keeper?; 6. Doing justice to providers; 7. Doth OSHA protect too much?; 8. Risk and opportunity; 9. Philosophy and public policy; Index.