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Just Caring Health Care Rationing and Democratic Deliberation

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ISBN-10: 0195128044

ISBN-13: 9780195128048

Edition: 2009

Authors: Leonard M. Fleck

List price: $61.00
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What does it mean to be a "just" and "caring" society when we have only limited resources to meet unlimited health care needs? Do we believe that all lives are of equal value? Is human life priceless? Should a "just" and "caring" society refuse to put limits on health care spending? In Just Caring, Leonard Fleck reflects on the central moral and political challenges of health reform today. He cites the millions of Americans who go without health insurance, thousands of whom die prematurely, unable to afford the health care needed to save their lives. Fleck considers these deaths as contrary to our deepest social values, and makes a case for the necessity of health care rationing decisions.…    
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Book details

List price: $61.00
Copyright year: 2009
Publisher: Oxford University Press, Incorporated
Publication date: 3/30/2009
Binding: Hardcover
Pages: 375
Size: 6.50" wide x 9.50" long x 1.25" tall
Weight: 1.848
Language: English

Just Caring: An Introduction
The "Just Caring" Problem: Core Argument
Rationing Justly: The Moral Challenge
Applications of the Deliberative Model
The Ethical Challenges of Health Care Rationing
The Story of Coby Howard and Its Lessons
Why Health Care Rationing Is Inescapable
Renal Dialysis and the Medicare End-Stage Renal Disease (ESRD) Amendments
The Totally Implantable Artificial Heart (TIAH)
Pricing Human Life: Getting Beyond Tragic Choices
Is Human Life Priceless?
Tragic Choices or Tragic Disingenuousness? Invisible Rationing
Invisible Rationing and the Publicity Condition
Managed Care and Health Care Rationing
Elements of Health Care Justice
Is Health Care Morally Special?
Non-ideal Justice: A Moral Analysis and Defense
Pluralism, Justice, and Rational Democratic Deliberation
Rational Democratic Deliberation: Scope and Structure
The Scope of Rational Democratic Deliberation
Fair Health Care Rationing: Not Markets, Not Physicians, Not Bureaucrats
Rational Democratic Deliberation: Taking Seriously the Tragedy of the Commons
Rational Democratic Deliberation: Key Structural Features
Rational Democratic Deliberation and Fair Health Care Rationing
Wide Reflective Equilibrium and Just Health Care Rationing
Priority Setting, Wide Reflective Equilibrium, and Rational Democratic Deliberation: Addressing the Stability Problem
Facts, Wide Reflective Equilibrium, and Democratic Deliberation
Constitutional Principles of Health Care Justice and Rational Democratic Deliberation
Evaluating the Deliberative Process
Objections and Responses
Setting Limits for Effective Costly Therapies
Problem Introduction
Setting Limits: Options in the ESRD Program
Setting Limits: Options for HIV+/AIDS Patients
Setting Limits: The Case of Artificial Hearts
Setting Limits: Concluding Comments
Last-Chance Therapies
Introduction: Scope of the Problem
Why Last-Chance Therapies? Weak Moral Arguments
Last-Chance Therapies and Rational Democratic Deliberation
Futility and Last-Chance Therapies
Rationing, Catastrophic Illness, and Disabled Patients
Introduction: The Scope of the Problem
Needs Are Not Enough; Effectiveness Must Matter
The Oregon Plan and the Disability Critique
Health Care Justice and the Disability Critique
Defining the Disabled: Ethical Implications
Is Age-Based Rationing Ever "Just Enough"?
Defining the Problem: Can We Accept Natural Limits to Life?
Justice and Age-Based Rationing: Fair Innings
The Prudential Life Span Account
Age-Based Rationing: Major Objections
Age-Based Rationing: Responses to Objections
Age-Based Rationing and the Duty to Rescue
Do Future Possible Children Have a Just Claim to A Sufficiently Healthy Genome?
Framing the Issue
Preimplantation Genetic Diagnosis (PGD): A Historical Side Note
Does Justice Require Public Funding for Limited PGD?
Concluding Comments: Justice and Genetic Enhancement
Organ Transplantation: When is Enough Enough?
Scope of the Issue
The Maximization Argument: A Critical Moral Analysis
The Pittsburgh Protocol: How Dead Must Donors Be?
Organ Procurement and Financial Incentives: A Critical Assessment
Presumed Consent/Duty to Donate: Critical Remarks
Justice and Multi-Organ Transplants or Retransplants
Concluding Comments
The Liberalism Problem
Justice, Health Care Needs, and Morally Controversial Interventions
Liberal Communitarianism: Is It Just Enough? Is It Liberal Enough?
Resolving the Liberalism Problem: Public Reason and Public Interests
Concluding Reflections
The Ethical Challenges of Priority Setting in Public Health
Defining the Problem
The Scope of Public Health: Challenges and Choices
Health Care Justice and Public Health: When Is Enough Enough?
Setting Public Health Priorities Justly: The Limits of Moral Theory
Financing Health Care Fairly
Why National Health Insurance?
Why Health Reform?
Assessing Competing Proposals for Health Reform
Health Savings Accounts: A Critical Assessment
Health Care Vouchers: A Critical Assessment
Single-Payer Reform: A Constructive Proposal
Summary and Reflective Conclusions