Health care allocation, public consultation and the concept of 'Health'

Health Care Analysis 6 (3):193-198 (1998)
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By comparing models of market-based allocation with state-controlled national health care systems, it will be suggested that the way in which different communicaties deal with the allocation of health care is central to their expression of what might be called a moral self-understanding. That is to say that the provision of health care may be expected to be a focus of communal debate, not simply about morally acceptable and unacceptable actions, but also about the community’s understanding of what it is that makes for a worthwhile and morally defensible human life. This moral self-understanding is seen to be entwined with the different concepts of ‘health’ that are implicit in different systems of allocation. In conclusion, it will be suggested that decisions concerning health care allocation must be made in response to a continuing, public and open debate about that health and health care mean to a particular community



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Andrew Edgar
Cardiff University

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References found in this work

Anarchy, State, and Utopia.Robert Nozick - 1974 - New York: Basic Books.
Just Health Care.Norman Daniels - 1985 - New York: Cambridge University Press.
IX.—Essentially Contested Concepts.W. B. Gallie - 1956 - Proceedings of the Aristotelian Society 56 (1):167-198.
Moral Consciousness and Communicative Action.David M. Rasmussen - 1993 - Philosophical Quarterly 43 (173):571.
W. B. Gallie’s “Essentially Contested Concepts”.W. B. Gallie - 1994 - Inquiry: Critical Thinking Across the Disciplines 14 (1):2-2.

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