+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Ethics, economics, and public financing of health care

Ethics, economics, and public financing of health care

Journal of Medical Ethics 27(4): 234-239

There is a wide variety of ethical arguments for public financing of health care that share a common structure built on a series of four logically related propositions regarding: (1) the ultimate purpose of a human life or human society; (2) the role of health and its distribution in society in advancing this ultimate purpose; (3) the role of access to or utilisation of health care in maintaining or improving the desired level and distribution of health among members of society, and (4) the role of public financing in ensuring the ethically justified access to and utilisation of health care by members of society. This paper argues that economics has much to contribute to the development of the ethical foundations for publicly financed health care. It focuses in particular on recent economic work to clarify the concepts of access and need and their role in analyses of the just distribution of health care resources, and on the importance of economic analysis of health care and health care insurance markets in demonstrating why public financing is necessary to achieve broad access to and utilisation of health care services.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 045998854

Download citation: RISBibTeXText

PMID: 11479353

DOI: 10.1136/jme.27.4.234

Related references

Ethics, Economics, and Public Financing of Health Care. Journal of Medical Ethics 27(4): 234-239, 2001

Ethics and Economics of Medical Care: The Case for Public Intervention in Financing Health and Medical Services. Medical Care 3(1): 59-62, 1965

Ethics versus economics in public health? On the integration of economic rationality in a discourse of public health ethics. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz 52(5): 494-501, 2009

Access of hiv infected persons to public health care financing programs in a less than universal health care financing system. Viii International Conference on Aids And The Iii Std World Congress Viii International Conference on Aids And The Iii Std World Congress; Harvard-Amsterdam Conference, Amsterdam, Netherlands, July 19-24, Pagination Varies Viii International Conference on Aids And The Iii Std World Congress: Amsterdam, Netherlands Paper : d512, 1992

Some aspects of the economics and financing of public health in the People's Republic of Bulgaria. Sovetskoe Zdravookhranenie 1975(2): 44-48, 1975

The economics of public health: financing drug abuse treatment services. Health Policy 66(3): 247-260, 2003

"Health care economics 101"--a tale of ethics, economics and empathy. Gha Today 49(2): 10, 2005

Economics and ethics in public health?. Gesundheitswesen ) 61(1): 1-7, 1999

The conflict between the ethics of th individual and the ethics governing public health: practical sustainability of health care in jeopardy?. Journal of Law and Medicine 15(3): 434-449, 2008

Essentials of health economics: part II--Financing health care. British Medical Journal 285(6348): 1101-1102, 1982

Public and private health-care financing with alternate public rationing rules. Health Economics 21(2): 83-100, 2012

Economics of Health Care Financing: The Visible Hand. Journal of Advanced Nursing 18(12): 2015-2015, 1993

Health care economics, financing, organization, and delivery. Family Medicine 36(Suppl.): S20-S30, 2004

Ethics and financing: overview of the U.S. health care system. Journal of Health and Human Resources Administration 16(3): 332-349, 1994

Health care services in Canada: public financing has a monopoly but there is also a competition among health care providers. Lakartidningen 86(11): 937-941, 1989