Of rescue and responsibility: Learning to live with limits

Journal of Medicine and Philosophy 19 (5):455-470 (1994)
  Copy   BIBTEX

Abstract

Universal access to health care is still a dream rather than a reality in the United States. This is partly because a rule of rescue, by impelling us to help people in need, urges us to ignore the limits of our health care policies wherever those limits would adversely affect a given individual. As the rule of rescue undermines whatever limits we set on health care entitlements, it can thwart the cost containment so essential to expanding access. Rather than accept unlimited expense, we have thus far declined to universalize health care. The situation is exacerbated by an economic insulation shielding patients and physicians from the costs of care, prompting both to regard health care as free, an unlimited right. To reverse this costly entitlement mentality and place reasonable limits on rescue, patients must exercise greater personal responsibility for the costs of their care by directly experiencing some of the economic consequences of their health care decisions. Several mechanisms are available to accomplish this goal without posing economic barriers to needed care or penalizing people for becoming ill. Keywords: Clinton health plan, rationing, rule of rescue CiteULike Connotea Del.icio.us What's this?

Links

PhilArchive



    Upload a copy of this work     Papers currently archived: 92,347

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 importance of 'social responsibility' in the promotion of health.Stefano Semplici - 2011 - Medicine, Health Care and Philosophy 14 (4):355-363.
The virtue of moral responsibility and the obligations of patients.Candace Cummins Gauthier - 2005 - Journal of Medicine and Philosophy 30 (2):153 – 166.
Collective responsibility in health care.Lisa H. Newton - 1982 - Journal of Medicine and Philosophy 7 (1):11-22.
Towards a just, courageous, and honest resolution of the futility debate.Rosemarie Tong - 1995 - Journal of Medicine and Philosophy 20 (2):165-189.
Rationing and the Clinton health plan.Richard D. Lamm - 1994 - Journal of Medicine and Philosophy 19 (5):445-454.
Health care responsibility.Andre Vries - 1980 - Theoretical Medicine and Bioethics 1 (1):95-106.

Analytics

Added to PP
2010-08-24

Downloads
22 (#713,531)

6 months
2 (#1,206,262)

Historical graph of downloads
How can I increase my downloads?