Benchmarks of Fairness for Health Care Reform

Hardcover | June 27, 1996

byNorman Daniels, Donald W. Light, Ronald L. Caplan

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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 actuallyscoring 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, democraticprocedures for deciding the limits of care. The book also appraises the changes caused by the rapid growth of managed care systems since the collapse of national reform. Written by a leading moral philosopher of health care, an internationally known sociologist, and a health economist, Benchmarks ofFairness should be read by citizens, physicians, nurses, employers, and politicians.

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From Our Editors

These benchmarks of fairness represent the first time that a concept in moral philosophy has been transposed into a usable policy tool for scoring alternative proposals. The authors show how concerned members of the public and policy makers can use the benchmarks by actually scoring four major proposals for health care reform that exem...

From the Publisher

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 actuallyscoring four major proposals for health care ref...

From the Jacket

These benchmarks of fairness represent the first time that a concept in moral philosophy has been transposed into a usable policy tool for scoring alternative proposals. The authors show how concerned members of the public and policy makers can use the benchmarks by actually scoring four major proposals for health care reform that exem...

Norman Daniels, Ph.D., is Goldthwaite Professor of Philosophy and Medical Ethics at Tufts University. Donald W. Light, Ph.D., is Professor of Social and Behavioral Medicine at the University of Medicine and Dentistry of New Jersey. Ronald L. Caplan, Ph.D., is Assistant Professor of Public Health at Richard Stockton State College.

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Format:HardcoverDimensions:208 pages, 6.46 × 9.57 × 0.87 inPublished:June 27, 1996Publisher:Oxford University Press

The following ISBNs are associated with this title:

ISBN - 10:0195102371

ISBN - 13:9780195102376

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Table of Contents

1. Fairness and the Politics of Health Care Reform2. American Values and the Fairness of Health Care Reform3. Benchmarks of Fairness4. Using the Benchmarks to Score Insurance Reform5. Using the Benchmarks to Score Health Care Reform6. Reorganization or Reform? The Fairness of Current Trends7. Prospects for Fair Reform

From Our Editors

These benchmarks of fairness represent the first time that a concept in moral philosophy has been transposed into a usable policy tool for scoring alternative proposals. The authors show how concerned members of the public and policy makers can use the benchmarks by actually scoring four major proposals for health care reform that exemplify the most prevalent ideas of the 1990s in state and national debates. The authors pay particular attention to the problems of fairness in reforms that rely on competition. Although some reform ideas fare much better that others, all are found weak in establishing open, democratic procedures for deciding the limits of care. They also assess the current changes brought on by the rapid growth of managed care systems since the collapse of national reform.

Editorial Reviews

"Norman Daniels and his colleagues...begin by asking whether Americans are indifferent to fairness, and their answer is no. They then ask how a strong case for justice in health care--based on a right to such care--can be made and specify 10 benchmarks to serve as a criteria for fairness. Itis a bracing and impressive list. At that point the authors make an interesting move. Instead of applying their benchmarks to some hypothetical legislation, they apply them to four of the actual bills that were before the 103rd Congress....Daniels and his co-authors also use their benchmarks to testa number of current trends in health care....A most helpful and lucid contribution to our self-understanding, and that is a valuable way to begin the hard work that lies ahead."--Daniel Callahan, Ph.D., Hastings Center, in The New England Journal of Medicine