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Toward a just healthcare system.

J J McCartney1

  • 1Villanova University, PA.

Health Progress (Saint Louis, Mo.)
|April 8, 1992
PubMed
Summary

The U.S. healthcare system needs reform to ensure equitable access based on need, not ability to pay. Modeling healthcare on the education system

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Area of Science:

  • Healthcare Policy
  • Medical Ethics
  • Social Justice

Background:

  • The U.S. healthcare system is characterized by inequities, leading to issues like prolonged dying, inadequate preventive care, and patient dumping.
  • Existing healthcare structures often fail to provide just and equitable access to medical services for all citizens.

Purpose of the Study:

  • To propose a more just and equitable U.S. healthcare delivery system.
  • To explore the ethical and civic responsibilities in reforming healthcare access.

Main Methods:

  • Conceptual analysis of the U.S. healthcare system's inequities.
  • Comparative model: applying the justice-based principles of the U.S. education system to healthcare.
  • Ethical framework: incorporating Christian values of solidarity and compassionate care.
  • Examination of provider, Church, and government responsibilities.

Main Results:

  • A healthcare system modeled on the education system, prioritizing need over ability to pay, is proposed as a just alternative.
  • Healthcare providers are called to solidarity with patients, reflecting Christian values.
  • Government and Church have civic and ethical roles in establishing a fairer system.

Conclusions:

  • Reforming the U.S. healthcare system requires a shift towards a needs-based model, drawing parallels with the education system.
  • Embracing principles of solidarity and shared responsibility among providers, the Church, and government can foster a more just healthcare landscape.
  • Catholic healthcare professionals are urged to lead change towards a system where care is based on need, not financial capacity.
Keywords:
Catholic Health AssociationHealth Care and Public HealthReligious Approach

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