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