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ISBN 10: 0199744203
ISBN 13: 9780199744206
Author: Rosamond Rhodes, Margaret Battin, Anita Silvers
Because medicine can preserve life, restore health and maintain the body's functions, it is widely acknowledged as a basic good that just societies should provide for their members. Yet, there is wide disagreement over the scope and content of what to provide, to whom, how, when, and why. In this unique and comprehensive volume, some of the best-known philosophers, physicians, legal scholars, political scientists, and economists writing on the subject discuss what social justice in medicine should be. Their contributions deepen our understanding of the theoretical and practical issues that run through the contemporary debate. The forty-two chapters in this reorganized second edition of Medicine and Social Justice update and expand upon the thirty-four chapters of the 2002 first edition. Eighteen chapters from the original volume are revised to address policy changes and challenging issues that have emerged in the intervening decade. Twenty-two of the chapters in this edition are entirely new. The treatment of foundational theory and conceptual issues related to access to health care and rationing medical resources have been expanded to provide a more comprehensive and nuanced discussion of the background concepts that underlie distributive justice debates, with global perspectives on health and well-being added. New additions to the section on health care justice for specific populations include chapters on health care for the chronically ill, soldiers, prisoners, the severely cognitively disabled, and the LGBT population. The section devoted to dilemmas and priorities addresses an array of topics that have recently become especially pressing because of new technologies or altered policies. New chapters address questions of justice related to genetics, medical malpractice, research on human subjects, pandemic and disaster planning, newborn screening, and justice for the brain dead and those with profound neurological injury. Reviews of the first edition: "This compilation brings a variety of perspectives, national settings, and disciplinary backgrounds to the topic and provides a unique survey of theoretical and applied thinking about the connections between health care and social justice... Physicians and others interested in this field will find this book an engaging introduction to the theoretical and practical challenges pertaining to social justice and health care." New England Journal of Medicine "Although much work in bioethics has focused on clinical encounters, there has been a current of discussion about questions of social justice for decades-at least since the allocation of access to dialysis was widely understood in the 1960s to be a matter of justice, not of medical judgment. This volume will facilitate heightened awareness and deeper discussion of such issues." JAMA "Impressively, the editors have chosen an array of essays that explore the philosophical and bioethical foundations of distributive justice; review the current practice of rationing and patients' access to care in a number of different countries; highlight the issues raised by various special needs groups; and then wrestle with some dilemmas in assessing priorities in distributing healthcare... This book is an excellent resource. " Doody's
PART I: Theoretical Foundations
1. Justice, Health, and Health Care
2. Justice, Liberty, and the Choice of Health-System Structure
3. A Utilitarian Approach to Justice in Health Care
4. Justice Pluralism: Resource Allocation in Medicine and Public Health
5. Health Risk and Health Security
6. Aggregation and the Moral Relevance of Context in Health Care Decision-Making
7. Why There Is No Right to Health Care
8. Equality, Democracy, and the Human Right to Health Care
PART II: Access and Rationing
9. Unequal by Design: Health Care, Distributive Justice, and the American Political Process
10. Justice of and Within Health Care Finance
11. Setting Priorities for a Basic Minimum of Accessible Health Care
12. Why Justice Requires Rationing in Health Care
13. Priority to the Worse Off in Health Care Resource Prioritization
14. Whether to Discontinue Non futile Use of a Scarce Resource
15. Responsibility for Health Status
16. Health Care Justice and Political Agency 2011
17. Allocating Health Care Resources in the UK: Putting Principles into Practice
18. Global Health, Human Rights, and Distributive Justice
19. Equal Access to Health Care Under the UN Disability Rights Convention
PART III: Populations
20. Justice, Health, and the Price of Poverty
21. Racial Groups, Distrust, and the Distribution of Health Care
22. Gender Justice in the Health Care System: An Elusive Goal
23. Justice for Gay and Lesbian People in Health Care
24. Health Care Justice for the Chronically Ill and Disabled: A Defi ciency in Justice Theory and Ho
25. Getting from Here to There: Claiming Justice for the Severely Cognitively Disabled
26. Cognitive Surrogacy, Assisted Participation, and Moral Status
27. Health Care Reform and Children’s Right to Health Care: A Modest Proposal
28. Premature and Compromised Neonates
29. Age Rationing Under Conditions of Injustice
30. Health Care for Soldiers
31. Social Justice and Correctional Health Services
PART IV: Dilemmas and Priorities
32. Are Pre-existing Condition Exclusion Clauses Just? Lessons from Causal and Ethical Consideration
33. Oral and Mental Health Services
34. Limits of Science and Boundaries of Access: Alternative Health Care
35. Just Expectations: Family Caregivers, Practical Identities, and Social Justice in the Provision
36. Justice in Research on Human Subjects
37. Just Genetics: The Ethical Challenges of Personalized Medicine
38. Expanded Newborn Screening: Contemporary Challenges to the Parens Patriae Doctrine and the Use o
39. Justice, Profound Neurological Injury, and Brain Death
40. Justice in Transplant Organ Allocation
41. Justice in Planning for Pandemics and Disasters
42. Justice Has (Almost) Nothing to Do With It: Medical Malpractice and Tort Reform
Index
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Tags: Rosamond Rhodes, Margaret Battin, Anita Silvers, Medicine, Essays
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