Medicine and Social Justice: Essays on the Distribution of Health Care / Edition 1

Medicine and Social Justice: Essays on the Distribution of Health Care / Edition 1

by Rosamond Rhodes, Margaret P. Battin, Anita Silvers
     
 

ISBN-10: 019514354X

ISBN-13: 9780195143546

Pub. Date: 08/29/2002

Publisher: Oxford University Press

Because medicine can preserve life, restore health and maintain the body's functions, it is widely acknowledged as a basic good that just societies should provide for their members. Yet, there is wide disagreement over the scope and content of what to provide, to whom, how, when, and why. In this unique and comprehensive volume, some of the best-known philosophers,

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Overview

Because medicine can preserve life, restore health and maintain the body's functions, it is widely acknowledged as a basic good that just societies should provide for their members. Yet, there is wide disagreement over the scope and content of what to provide, to whom, how, when, and why. In this unique and comprehensive volume, some of the best-known philosophers, physicians, legal scholars, political scientists, and economists writing on the subject discuss what social justice in medicine should be. Their contributions deepen our understanding of the theoretical and practical issues that run through the contemporary debate. The forty-two chapters in this reorganized second edition of Medicine and Social Justice update and expand upon the thirty-four chapters of the 2002 first edition. Eighteen chapters from the original volume are revised to address policy changes and challenging issues that have emerged in the intervening decade. Twenty-two of the chapters in this edition are entirely new. The treatment of foundational theory and conceptual issues related to access to health care and rationing medical resources have been expanded to provide a more comprehensive and nuanced discussion of the background concepts that underlie distributive justice debates, with global perspectives on health and well-being added. New additions to the section on health care justice for specific populations include chapters on health care for the chronically ill, soldiers, prisoners, the severely cognitively disabled, and the LGBT population. The section devoted to dilemmas and priorities addresses an array of topics that have recently become especially pressing because of new technologies or altered policies. New chapters address questions of justice related to genetics, medical malpractice, research on human subjects, pandemic and disaster planning, newborn screening, and justice for the brain dead and those with profound neurological injury.

Reviews of the first edition:

"This compilation brings a variety of perspectives, national settings, and disciplinary backgrounds to the topic and provides a unique survey of theoretical and applied thinking about the connections between health care and social justice... Physicians and others interested in this field will find this book an engaging introduction to the theoretical and practical challenges pertaining to social justice and health care."
New England Journal of Medicine

"Although much work in bioethics has focused on clinical encounters, there has been a current of discussion about questions of social justice for decades-at least since the allocation of access to dialysis was widely understood in the 1960s to be a matter of justice, not of medical judgment. This volume will facilitate heightened awareness and deeper discussion of such issues." JAMA

"Impressively, the editors have chosen an array of essays that explore the philosophical and bioethical foundations of distributive justice; review the current practice of rationing and patients' access to care in a number of different countries; highlight the issues raised by various special needs groups; and then wrestle with some dilemmas in assessing priorities in distributing healthcare... This book is an excellent resource. " Doody's

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Product Details

ISBN-13:
9780195143546
Publisher:
Oxford University Press
Publication date:
08/29/2002
Edition description:
Older Edition
Pages:
488
Product dimensions:
10.00(w) x 7.20(h) x 1.30(d)

Table of Contents

Contributors
ITheoretical Foundations
1Justice, Health, and Health Care6
2Justice and the Basic Structure of Health-Care Systems24
3Multiculturalism and Just Health Care: Taking Pluralism Seriously38
4Utilitarian Approaches to Justice in Health Care53
5Aggregation and the Moral Relevance of Context in Health-Care Decision Making65
6Why There Is No Right to Health Care78
7Specifying the Content of the Human Right to Health Care84
IIRationing and Access in Today's World
8Unequal by Design: Health Care, Distributive Justice, and the American Political Process102
9Health-Care Justice and Agency121
10Treatment According to Need: Justice and the British National Health Service134
11Rationing Decisions: Integrating Cost-Effectiveness with Other Values144
12Resources and Rights: Court Decisions in the United Kingdom156
13Justice and the Social Reality of Health: The Case of Australia169
14Justice for All? The Scandinavian Approach183
15Ethics, Politics, and Priorities in the Italian Health-Care System191
16Philosophical Reflections on Clinical Trials in Developing Countries197
IIISpecial Needs of Social Groups
17Racial Groups, Distrust, and the Distribution of Health Care212
18Gender Justice in the Health-Care System: Past Experiences, Present Realities, and Future Hopes224
19Bedside Justice and Disability: Personalizing Judgment, Preserving Impartiality235
20The Medical, the Mental, and the Dental: Vicissitudes of Stigma and Compassion248
21Children's Right to Health Care: A Modest Proposal259
22Age Rationing Under Conditions of Injustice270
23Just Expectations: Family Caregivers, Practical Identities, and Social Justice in the Provision of Health Care278
24Caring for the Vulnerable by Caring for the Caregiver: The Case of Mental Retardation290
25Justice, Health, and the Price of Poverty301
IVDilemmas for Medicine and Health-Care Systems: Assessment and Priorities
26Alternative Health Care: Limits of Science and Boundaries of Access319
27Justice in Transplant Organ Allocation345
28Priority to the Worse Off in Health-Care Resource Prioritization362
29Whether to Discontinue Nonfutile Use of a Scarce Resource373
30Disability, Justice, and Health Systems Performance Assessment390
31Responsibility for Health Status405
32Does Distributive Justice Require Universal Access to Assisted Reproduction?426
33Premature and Compromised Neonates438
34Just Caring: Do Future Possible Children Have a Just Claim to a Sufficiently Healthy Genome?446
Index459

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