Enterprise association or civil association? The uk national health service

Journal of Medicine and Philosophy 20 (6):669-688 (1995)
  Copy   BIBTEX

Abstract

This paper falls into three parts. In the first part I will briefly review the current process of reform that the United Kingdom National Health Service is undergoing. Two fundamental motivations for reform, the desire for increased efficiency and for an increased responsiveness to patients' needs and preferences will be discussed in greater detail. The second part attempts to provide a perspective on the moral debate concerning health care reform by introducing the distinction between ‘civil association’ and ‘enterprise association’ as proposed by the political philosopher Michael Oakeshott. In the final part, this distinction will be used to analyze the moral and political constitution of the National Health Service, in order to establish the relevance and scope of concerns with efficiency and patient and public accountability. A framework within which the current reforms can be assessed is thereby outlined. Keywords: access to health care, civil association, enterprise association, freedom of choice, health care reform, United Kingdom National Health Service CiteULike Connotea Del.icio.us What's this?

Links

PhilArchive



    Upload a copy of this work     Papers currently archived: 76,503

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

The articulation of values and principles involved in health care reform.Norman Daniels - 1994 - Journal of Medicine and Philosophy 19 (5):425-433.
Ethicists and health care reform: An indecent proposal?Laurence J. O'Connell - 1994 - Journal of Medicine and Philosophy 19 (5):419-424.
Health care reform and abortion: A catholic moral perspective.James T. McHugh - 1994 - Journal of Medicine and Philosophy 19 (5):491-500.

Analytics

Added to PP
2010-08-24

Downloads
25 (#466,413)

6 months
1 (#455,921)

Historical graph of downloads
How can I increase my downloads?

Author's Profile

Andrew Edgar
Cardiff University

Citations of this work

No citations found.

Add more citations

References found in this work

No references found.

Add more references