In the context of both the US and Canadian health care systems, critiques two approaches to justice, Norman Daniel's fair equality of opportunity and Allen Buchanan's right to a decent minimum of health care. After finding neither able to carry the moral weight their authors thought, proposes David Gauthier's theory of justice, and shows how it can lead to a right to a just minimum that would resolve the theoretical bottomless-pit problem. Annotation copyrighted by Book News, Inc., Portland, OR

It was the best of times, it was the worst of times, it was the age of wisdom, it was the age of foolishness, it was the epoch of belief, it was the epoch of incredulity, ... it was the spring of hope, it was the winter of despair. . . . -Charles Dickens, A Tale of Two Cities Dickens, of course, did not have the contemporary dilemmas of modern genetics in mind. Indeed, we need to remind ourselves how short the history of modern genetics really is. Recognition that genetic traits are carried by deoxyribonucleic acid (DNA) occurred only about 40 years ago. Knowledge of the three-dimensional structure of DNA is only about 30 years old. The correct number of human chromosomes was not deter mined until the mid-1950s, and Down syndrome was recognized only in 1959. It was not until in 1968 that the exact location of a gene was determined on an autosomal chromo some, and the study of genes, rather than their protein products, has been possible for barely a decade.

Fully updated for this new edition, Health Care Politics and Policy in America combines background and context for the evolution of U.S. health care policy with analysis of recent trends and current issues. The book introduces public policy students to the complex array of health care issues, and health care professionals to the study of public policy. It provides comprehensive coverage of policy issues related to health care at the federal, state, and provider/patient levels, from Medicare and Medicaid funding and managed care to medical liability law and ongoing debates over the beginning of life and end-of-life decisions. Health Care Politics and Policy in America successfully integrates political, ethical, economic, legal, technological, and medical factors in an issue-focused survey of U.S. health care policy. It includes a chronology of health care-policy-related events and legislation from 1798 through 2005, and an appendix comparing medical malpractice tort laws state-by-state.

Health policy in the United States has been shaped by the political, socioeconomic, and ideological environment, with important roles played by public and private actors, as well as institutional and individual entities, in designing the contemporary American healthcare system. Now in a fully updated fifth edition, this book gives expanded attention to pressing issues for our policymakers, including the aging American population, physician shortages, gene therapy, specialty drugs, and the opioid crisis. A new chapter has been added on the Trump administration's failed attempts at repealing and replacing the Affordable Care Act and subsequent attempts at undermining it via executive orders. Authors Kant Patel and Mark Rushefsky address the key problems of healthcare cost, access, and quality through analyses of Medicare, Medicaid, the Veterans Health Administration, and other programs, and the ethical and cost implications of advances in healthcare technology. Each chapter concludes with discussion questions and a comprehensive reference list. This textbook will be required reading for courses on health and healthcare policy, as well as all those interested in the ways in which American healthcare has evolved over time.

This book provides a comprehensive examination of the ways that health policy has been shaped by the political, socioeconomic, and ideological environment of the United States. The roles played by public and private, institutional and individual actors in designing the healthcare system are identified at all levels. The book addresses the key problems of healthcare cost, access, and quality through analyses of Medicare, Medicaid, the Veterans Health Administration, and other programs, and the ethical and cost implications of advances in healthcare technology. This fully updated fourth edition gives expanded attention to the fiscal and financial impact of high healthcare costs and the struggle for healthcare reform, culminating in the passage of the Affordable Care Act, with preliminary discussion of implementation issues associated with the Affordable Care Act as well as attempts to defund and repeal it. Each chapter concludes with discussion questions and a comprehensive reference list. Helpful appendices provide a guide to websites and a chronology. PowerPoint slides and other instructional materials are available to instructors who adopt the book.

Pivoting on Daniel Callahan's proposal to withhold publicly funded life-prolonging medical care from the very old in his 1989 Setting Limits: Medical Goals in an Aging Society, 14 essays consider the health-care crisis looming early in the next century as the baby boomers reach retirement age. They discuss the role of the aged in society, what the old and young deserve of each other, the source of medical cost increases, implications of rationing according to age, and proposals for a system that will address both immediate problems and long-term conditions. Annotation copyright by Book News, Inc., Portland, OR

In this volume Allen Buchanan collects ten of his most influential essays on justice and healthcare and connects the concerns of bioethicists with those of political philosophers, focusing not just on the question of which principles of justice in healthcare ought to be implemented, but also on the question of the legitimacy of institutions through which they are implemented. With an emphasis on the institutional implementation of justice in healthcare, Buchanan pays special attention to the relationship between moral commitments and incentives. The volume begins with an exploration of the difficulties of specifying the content of the right to healthcare and of identifying those agents and institutions that are obligated to help ensure that the right thus specified is realized, and then progresses to an examination of the problems that arise in attempts to implement the right through appropriate institutions. In the last two essays Buchanan pursues the central issues of justice in healthcare at the global level, exploring the idea of healthcare as a human right and the problem of assigning responsibilities for ameliorating global health disparities. Taken together, the essays provide a unique and consistent position on a wide range of issues, including conflicts of interest in clinical practice and the claims of medical professionalism, the nature and justification for the right to health care, the relationship between responsibility for healthcare and the nature of the healthcare system, and the problem of global health disparities. The result is an approach to justice in healthcare that will facilitate more productive interaction between the normative analysis of philosophers and the policy work of economists, lawyers, and political scientists.

This bioethics handbook offers concise, up-to-date, and easy to read chapters on a broad range of bioethical topics in the following categories: foundational concepts, theory and method, healthcare ethics, research ethics, public health, technology, and the environment. The volume provides a snapshot of current bioethics, taking into account current affairs and emerging new topics. Each chapter acknowledges and critically breaks down the historical developments of the subject and the most authoritative existing literature on respective topics, providing accessible and up-to-date philosophical analysis. As such, the chapters are designed to be attractive as primary or supplementary teaching material for university classes of the philosophical or bioethical variety, with clear demarcations and indicators for key terms, ideas, and arguments that should also facilitate productive note-taking and points for critical discussion for students. The handbook also serves as a one-stop starting resource for multi- and interdisciplinary researchers and practitioners who engage with bioethics in their work.