Cambridge Quarterly of Healthcare Ethics 30 (1):90-102 (2021)
AbstractHealth insurance coverage for incarcerated citizens is generally acceptable by Western standards. However, it creates internal tensions with the prevailing justifications for public healthcare. In particular, a conceptualization of medical care as a source of autonomy enhancement does not align with the decreased autonomy of incarceration and the needs-based conceptualization of medical care in cases of imprisonment; and rejecting responsibility as a criterion for assigning medical care conflicts with the use of responsibility as a criterion for assigning punishment. The recent introduction of sofosbuvir in Germany provides a particularly instructive illustration of such tensions. It requires searching for a refined reflective equilibrium regarding the scope, limits, and justifications of publicly guaranteed care.
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References found in this work
XI.—The Ascription of Responsibility and Rights.H. L. A. Hart - 1949 - Proceedings of the Aristotelian Society 49 (1):171-194.
The Ascription of Responsibility and Rithts.H. L. A. Hart - 1949 - Proceedings of the Aristotelian Society 49:171.
“Priority of Liberty” and the Design of a Two-Tier Health Care System.Friedrich Breyer & Hartmut Kliemt - 2015 - Journal of Medicine and Philosophy 40 (2):137-151.
Citations of this work
Vaccination Mandates, Physically Forced Vaccination, and Rationing in the Intensive Care Unit: Searching for Ethical Coherence in the COVID-19 Pandemic.Afschin Gandjour - forthcoming - American Journal of Bioethics:1-4.
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