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42Just 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.
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16MiscellaneousHastings Center Report 32 (2): 35-36. 2002.It's not only necessary, but possible, if the public can be educated.
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33Medical Ethics Resource Network of Michigan: Development of a statewide Ethics NetworkCambridge Quarterly of Healthcare Ethics 1 (3): 271. 1992.
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56Just caring: Oregon, health care rationing, and informed democratic deliberationJournal of Medicine and Philosophy 19 (4): 367-388. 1994.This essay argues that our national efforts at health reform ought to be informed by eleven key lessons from Oregon. Specifically, we must learn that the need for health care rationing is inescapable, that any rationing process must be public and visible, and that fair rationing protocols must be self-imposed through a process of rational democratic deliberation. Part I of this essay notes that rationing is a ubiquitous feature of our health care system at present, but it is mostly hidden ration…Read more
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56Personalized Medicine's Ragged EdgeHastings Center Report 40 (5): 16-18. 2012.The phrase "personalized medicine" has a built-in positive spin. Simple genetic tests can sometimes predict whether a particular individual will have a positive response to a particular drug or, alternatively, suffer costly and debilitating side effects. But little attention has been given to some challenging issues of justice raised by personalized medicine. How should we determine who would have a just claim to access particular treatments, especially very expensive ones? How effective do thos…Read more
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6JUST Rationing or just Rationing? THE Challenge of Health ReformJurisprudence 6 (1): 131-137. 2015.
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857On being genetically "irresponsible"Kennedy Institute of Ethics Journal 10 (2): 129-146. 2000.: New genetic technologies continue to emerge that allow us to control the genetic endowment of future children. Increasingly the claim is made that it is morally "irresponsible" for parents to fail to use such technologies when they know their possible children are at risk for a serious genetic disorder. We believe such charges are often unwarranted. Our goal in this article is to offer a careful conceptual analysis of the language of irresponsibility in an effort to encourage more care in its …Read more
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55Just Caring: Health Care Rationing, Terminal Illness, and the Medically Least Well OffJournal of Law, Medicine and Ethics 39 (2): 156-171. 2011.What does it mean to be a “just” and “caring” society in meeting the health care needs of the terminally ill when we have only limited resources to meet virtually unlimited health care needs? That question is the focus of this essay. Put another way: relative to all the other health care needs in our society, especially the need for lifesaving or life-prolonging health care, how high a priority ought the health care needs of persons who are terminally ill have? On the one hand, we might see the …Read more
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13The Price of Compromise: The Massachusetts Health Care ReformHastings Center Report 37 (1): 4. 2007.
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34Four Volumes in Health Care Ethics (review)Teaching Philosophy 36 (1): 59-70. 2013.This review discusses four recently published textbooks in health care ethics. The theme I emphasize here is that the more common health care ethics issues addressed in these texts are of enormous personal, political and professional relevance today. More specifically, these issues have been enormously socially divisive, as the rhetoric about “death panels” illustrates. A course in health care ethics ought to provide students (future citizens in a liberal, pluralistic, democratic society) with t…Read more
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28The Costs of Caring: Who Pays? Who Profits? Who Panders?Hastings Center Report 36 (3): 13-17. 2006.
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25Civil Disobedience and Moral Law in Nineteenth-Century American Philosophy. By Edward H. Madden (review)Modern Schoolman 46 (4): 367-368. 1969.
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25Mary HM Bach is a student in the School of Pharmacy at the University of Washington, Seattle. Keith A. Bauer, MSW, is a graduate student in the Department of Philosophy/Medical Ethics at the University of Tennessee, Knoxville. His dissertation addresses the ethics and social dimensions of home-based telemedicine, the use of infor (review)Cambridge Quarterly of Healthcare Ethics 10 123-124. 2001.
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45Just Caring: Defining a Basic Benefit PackageJournal of Medicine and Philosophy 36 (6): 589-611. 2011.What should be the content of a package of health care services that we would want to guarantee to all Americans? This question cannot be answered adequately apart from also addressing the issue of fair health care rationing. Consequently, as I argue in this essay, appeal to the language of "basic," "essential," "adequate," "minimally decent," or "medically necessary" for purposes of answering our question is unhelpful. All these notions are too vague to be useful. Cost matters. Effectiveness ma…Read more
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59Whoopie 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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120Deliberative democracy for bioethics: could the web help?Hastings Center Report 31 (4): 7. 2001.
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18MiscellaneousHastings Center Report 32 (2): 35-36. 2012.It's not only necessary, but possible, if the public can be educated.
East Lansing, Michigan, United States of America
Areas of Interest
Applied Ethics |
Social and Political Philosophy |