Abstract

The greatest change, once it is accomplished, is simply the outcome of a vast series of adaptations and responsive accommodations, each to its own particular situation.”1It is in no way controversial to say that the U.S. health care system is failing to serve many of its citizens satisfactorily. While it is certainly true that most U.S. citizens are dissatisfied with our current health care system, creating agreement through open dialogue on what, more precisely, is wrong with the system, as well as on what we should do to fix the system, seems to many to be impossibly optimistic. Leonard Fleck, professor of philosophy and medical ethics at Michigan State University and author of Just Caring: The Ethical ..