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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Access, cost, and financing: achieving an ethical health reform
Norman Daniels1, Brendan Saloner, Adriane H Gelpi
1Global Health and Population, Harvard School of Public Health, Boston, Massachusetts, USA. ndaniels@hsph.harvard.edu
Abstract:
Three key ethical issues should inform the broader debate about health reform: (1) Why pursue universal coverage? (2) Why is cost containment an ethical issue? (3) What is fairness in financing? After examining these issues, we conclude that the core ethical values underlying each of these goals-including expanding opportunity, sharing burdens equally, and respect for persons-limit the means that can be pursued in health reform. Although national health reform will not accomplish all of the objectives of social justice, true comprehensive reform-even under conditions of political compromise-represents an important step forward.
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