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27Children and Organ Donation: Some Cautionary RemarksCambridge Quarterly of Healthcare Ethics 13 (2): 161-166. 2004.My task is to provide some critical commentary on the preceding essays. My unfortunate conclusion will be that the issues that are their primary focus are more likely to become more ethically intractable over the next several years as medicine progresses. I do not see any easy or obvious way to avoid this conclusion
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21The Great Awakening: How to Accomplish the Reform That Justice RequiresHastings Center Report 38 (2): 4-4. 2008.
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30Bette Anton, MLS, is Head Librarian of the Pamela and Kenneth Fong Optometry and Health Sciences Library. This library serves the University of California, Berkeley–University of California, San Francisco Joint Medical Pro-gram and the University of California, Berkeley School of OptometryCambridge Quarterly of Healthcare Ethics 13 117-118. 2004.
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41Just health care : Is beneficence enough?Theoretical Medicine and Bioethics 10 (2). 1989.Few in our society believe that access to health care should be determined primarily by ability to pay. We believe instead that society has an obligation to assure access to adequate health care for all. This is the view explicitly endorsed in the President's Commission Report Securing Access to Health Care. But there is an important moral ambiguity here, for this obligation may be construed as being either beneficence-based or justice -based. A beneficience-based construal would yield a much we…Read more
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13Just Caring: Do Future Possible Children Have a Just Claim to a Sufficiently Healthy Genome?In Rosamond Rhodes, Margaret P. Battin & Anita Silvers (eds.), Medicine and Social Justice: Essays on the Distribution of Health Care, Oup Usa. pp. 446. 2002.
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42DRGs: Justice and the invisible rationing of health care resourcesJournal of Medicine and Philosophy 12 (2): 165-196. 1987.Are DRGs just? This is the primary question which this essay will answer. But there is a prior methodological question that also needs to be addressed: How do we go about rationally (non-arbitrarily) assessing whether DRGs are just or not? I would suggest that grand, ideal theories of justice (Rawls, Nozick) have only very limited utility for answering this question. What we really need is a theory of “interstitial justice,” that is, an approach to making justice judgments that is suitable to as…Read more
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21Whoopie Pies, Supersized FriesCambridge Quarterly of Healthcare Ethics 21 (1): 5-19. 2012.The annual cost of healthcare in the United States reached $2.5 trillion in 2009 (about 17.6% of GDP) with projections to 2019 of about $4.5 trillion (about 20% of likely GDP).
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21Critical Care Limits: What Is the Right Balance?American Journal of Bioethics 16 (1): 48-50. 2016.
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29It’s not fair! Or is it? The promise and the tyranny of evidence-based performance assessmentTheoretical Medicine and Bioethics 33 (4): 293-311. 2012.Evidence-based medicine (EBM), by its ability to decrease irrational variations in health care, was expected to improve healthcare quality and outcomes. The utility of EBM principles evolved from individual clinical decision-making to wider foundational clinical practice guideline applications, cost containment measures, and clinical quality performance measures. At this evolutionary juncture one can ask the following questions. Given the time-limited exigencies of daily clinical practice, is it…Read more
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77Just Caring: In Defense of Limited Age-Based Healthcare RationingCambridge Quarterly of Healthcare Ethics 19 (1): 27. 2010.The debate around age-based healthcare rationing was precipitated by two books in the late 1980s, one by Daniel Callahan and the other by Norman Daniels. These books ignited a firestorm of criticism, best captured in the claim that any form of age-based healthcare rationing was fundamentally ageist, discriminatory in a morally objectionable sense. That is, the elderly had equal moral worth and an equal right to life as the nonelderly. If an elderly and nonelderly person each had essentially the …Read more
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52Pricing Life: Why It's Time for Health Care Rationing, by Peter A. Ubel, M.D. Cambridge, Mass.: MIT Press, 2000. 208 pp. $25.00 (review)Cambridge Quarterly of Healthcare Ethics 10 (2): 214-218. 2001.This is a book for reflective laypersons and health professionals who wish to better understand what the problem of healthcare rationing is all about. Ubel says clearly in the Introduction that it is unlikely that professional economists or philosophers are going to be very satisfied with this effort. For him it is more important (p. xix). This is a reasonable aim made achievable by Ubel's clear and engaging writing style. Probably the people who most need to be drawn into these debates are phys…Read more
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74Just health care : Is equality too much?Theoretical Medicine and Bioethics 10 (4). 1989.In a previous essay I criticized Engelhardt's libertarian conception of justice, which grounds the view that society's obligation to assure access to adequate health care for all is a matter of beneficence [1].Beneficence fails to capture the moral stringency associated with many claims for access to health care. In the present paper I argue that these claims are really matters of justice proper, where justice is conceived along moderate egalitarian lines, such as those suggested by Rawls and Da…Read more
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41Just caring: Health reform and health care rationingJournal of Medicine and Philosophy 19 (5): 435-443. 1994.Health reform must include health care rationing, both for reasons of fairness and efficiency. Few politicians are willing to accept this claim, including the Clinton Administration. Brown and others have argued that enormous waste and inefficiency must be wrung out of our health care system before morally problematic cost constraining options, such as rationing, can be justifiably adopted. However, I argue that most of the policies and practices that would diminish waste and inefficiency includ…Read more
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20Review of shlomi segall, Health, Luck, and Justice (review)Notre Dame Philosophical Reviews 2010 (2). 2010.
East Lansing, Michigan, United States of America
Areas of Interest
Applied Ethics |
Social and Political Philosophy |