Abstract

The scarcity of goods is one of the central problems medical ethics has to deal with. Scarcity results from the connection of a naturallack of goods and human pleonexia, i.e. the desire always to wish for more. The old and the new answer on the problern of pleonexia is temperance which in the health care system could prove itself by considerately dealing with a permanently growing measure of different medical treatments. But since individual temperance can not be generally guaranteed, the question of justice, of a just organization of the Health Care System remains to be answered. A fair weighing of goods, to give a concrete example, is necessary in order to clarify which significance the health care system ought to have in politics, compared with other political topics, for example education. Moreover it is necessary to know for which of the possible medical treatments there exists a just claim for everybody. For this reason a model of health care insurance with different stages is considered.