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Fleck, Leonard M
Just caring : health care rationing and democratic deliberation / Leonard M. Fleck
Oxford ; New York : Oxford University Press, 2009
book jacket
Location Call Number Status
 4th Floor  RA410.53 .F62 2009    AVAILABLE
Subject(s) 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
Deliberative democracy -- United States
Physical Description xviii, 460 p. ; 25 cm
Note Includes bibliographical references (p. 427-446) and index
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 healthy 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

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