Abstract
In this essay I examine different ways in which one can view health care allocations while trying more to determine what the relevant questions are than to propose particular answers. As a consequence, (1) I do not endorse a particular system of health care allocation nor (2) do I advocate a single ethical theory that will allow one then to derive a system of health care allocations. Rather, I address some of the bothersome difficulties that attend most of the ways one can view health care distributions with respect to ethical obligations. Towards this end I will contrast three genre of systems. There are surely many gradations, but I have chosen these three, for I believe they cover the spectrum and sufficiently signal the interesting issues.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Bibliography
Anon.: 1977, ‘Pay Beds: Decree Nisi’, The Economist, April 16, 22–23.
Anon.: 1978, ‘Phasing Out Private Consulting Rooms’, London Times, August 2.
Cook, J.: 1893, in Capt. W. S. L. Wharton (ed.), Captain Cook2019s Journal 1768–71, Elliot Stock, London.
Department of Health and Social Security: 1978, Further Withdrawal of Pay Beds, No. 78/145, London, May 10.
Detsky, A.: 1978, Economic Foundations of National Health Policy, Ballinger Publishing Company, Cambridge.
Fried, C.: 1976, ‘Equality and Rights in Medical Care’, Hastings Center Report 6, 29–34.
Green, R.: 1976, ‘Health Care and Justice in Contract Theory Perspectives’, in R. M. Veatch and R. Branson (eds.), Ethics and Health Policy, Ballinger Publishing Company, Cambridge, pp. 111–126.
Jonas, S. et al.: 1977, Health Care Delivery in the United States, Springer Publishing Company, New York.
Maclntyre, A.: 1980, ‘Why is the Research for the Foundation of Ethics so Frustrating’, in H. T. Engelhardt, Jr. and D. Callahan (eds.), Knowing and Valuing: The Search for Common Roots, The Hastings Center, Hastings-on-Hudson, New York, pp. 13–35.
Miles, R., Jr.: 1974, The Department of H.E.W., Praeger Publishers, New York.
Myers, R. J.: 1970, Medicare, Richard D. Irwin, Inc., Homewood, Illinois.
Nozick, R.: 1974, Anarchy, State and Utopia, Basic Books, New York.
Rawls, J.: 1971, A Theory of Justice, Harvard University Press, Cambridge.
Sade, R. M.: 1971, ‘Medical Care as a Right: A Refutation’, The New England Journal of Medicine 285, 1288–1292.
Singer, P.: 1976, ‘Freedom and Utilities in the Distribution of Health Care’, in R. Veatch and R. Branson (eds.), Ethics and Health Policy, Ballinger Publishing Company, Cambridge, pp. 175–193.
Subcommittee on Health and Scientific Research: 1979, ‘Health Care for All Americans Act’, May 14.
U.S Department of Health, Education and Welfare: 1976, National Health Insurance Proposals: Provision of the Bills Introduced in the 94 th Congress as of February 1976, Social Security Administration, Office of Research and Statistics, DHEW Publication No. ( SSA ) 76 - 11920.
Veatch, R. M.: 1976, ‘What Is a ‘Just’ Health Care Delivery?’, in R. Veatch and R. Branson (eds.), Ethics and Health Policy, Ballinger Publishing Company, Cam-bridge, pp. 127–153
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1981 D. Reidel Publishing Company
About this chapter
Cite this chapter
Engelhardt, H.T. (1981). Health Care Allocations: Responses to the Unjust, the Unfortunate, and the Undesirable. In: Shelp, E.E. (eds) Justice and Health Care. Philosophy and Medicine, vol 8. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-8392-2_9
Download citation
DOI: https://doi.org/10.1007/978-94-009-8392-2_9
Publisher Name: Springer, Dordrecht
Print ISBN: 978-90-277-1251-6
Online ISBN: 978-94-009-8392-2
eBook Packages: Springer Book Archive