This book addresses probing questions by translating the general moral concept of fairness into specific criteria for measuring the fairness of proposals for health reform. The authors demonstrate how concerned members of the public and policy makers can apply their benchmarks by actually scoring four major proposals for health care reform exemplifying the most prevalent ideas of the 1990s. They pay particular attention to the moral foundation of reforms based on competition. Although some reform ideas fare better than others, all are found weak in establishing open, democratic procedures for...

The central idea for this book is that we lack consensus on principles for allocating resources and in the absence of such a consensus we must rely on a fair decision-making process for setting limits on health care. The authors characterize key elements of this process in a variety of health care contexts where such decisions are made- decisions about insurance coverage for new technologies, pharmacy benefit management, the design of physician incentives, contracting for mental health care by public agencies, etc.- and they connect the problem in the U.S. with the same problem in other...

How should medical services be distributed within society? Who should pay for them? Is it right that large amounts should be spent on sophisticated technology and expensive operations, or would the resources be better employed in, for instance, less costly preventive measures? These and others are the questions addreses in this book. Norman Daniels examines some of the dilemmas thrown up by conflicting demands for medical attention, and goes on to advance a theory of justice in the distribution of health care. The central argument is that health care, both preventive and acute, has a crucial...

This wide-ranging collection of essays by one of the foremost medical ethicists in the United States explores the claim that justification in ethics, whether of matters of theory or practice, involves achieving coherence or "reflective equilibrium" (as Rawls has called it) between our moral and nonmoral beliefs. Among the practical issues addressed in the volume are the design of health care institutions, the distribution of goods between the old and the young, and fairness in hiring and firing.

First published in 1975, this collection includes many of the best critical responses to John Rawls' A Theory of Justice, and the editor has elected to reissue the book without making any substitutions. As he argues in his new preface, the variety of issues raise in the original papers has been a major part of the book's appeal. He also acknowledges that no modest revision of this book could pretend to respond adequately to the considerable elaboration and evolution of Rawls' theory in the last fifteen years. Political philosophy has been one of the most exciting areas of philosophical...

In this election year, health care again proves to be one of our nation's most urgent issues. Daniels, Kennedy, and Kawachi shift the focus of the debate, forcing us to take a closer look at how our health is affected by social injustice and inequality. Arguing that it isn't enough to increase access to doctors, they call for improving social conditions-such as poverty, lack of education and affordable housing, and harmful work environments-that damage our health. By urging us to work toward equality of opportunity for all, the authors situate health care reform among the larger social...

Providing a thorough introduction to current philosophical views on morality, Normative Ethics examines an act's rightness or wrongness in light of such factors as consequences, harm, and consent. Shelly Kagan offers a division between moral factors and theoretical foundations that reflects the actual working practices of contemporary moral philosophers.The first half of the book presents a systematic survey of the basic normative factors, focusing on controversial questions concerning the precise content of each factor, its scope and significance, and its relationship to other...

Political philosophy, perhaps even more than other branches of philosophy, calls for constant renewal to reflect not just re-readings of the tradition but also the demands of current events. In this lively and readable survey, Jean Hampton has created a text for our time that does justice both to the great traditions of the field and to the newest developments. In a marvelous feat of synthesis, she links the classical tradition, the giants of the modern period, the dominant topics of the twentieth century, and the new questions and concerns that are just beginning to rewrite contemporary...

Presents the thought of Marx and Engels as sources of critical self-understanding of ourselves and our institutions, as well as sources of ideals for making ours a better world.