LEADER 03810nam 2200613Ia 450 001 9910777621203321 005 20231009231434.0 010 $a1-280-52341-7 010 $a9786610523412 010 $a0-19-974867-5 010 $a1-4294-0099-4 035 $a(CKB)1000000000465648 035 $a(OCoLC)243614159 035 $a(CaPaEBR)ebrary10142224 035 $a(SSID)ssj0000102114 035 $a(PQKBManifestationID)11131477 035 $a(PQKBTitleCode)TC0000102114 035 $a(PQKBWorkID)10050589 035 $a(PQKB)11045527 035 $a(MiAaPQ)EBC3052055 035 $a(Au-PeEL)EBL3052055 035 $a(CaPaEBR)ebr10142224 035 $a(CaONFJC)MIL52341 035 $a(OCoLC)922952738 035 $a(EXLCZ)991000000000465648 100 $a19870605d1988 uy 0 101 0 $aeng 135 $aurcn||||||||| 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 10$aAmerican health care $erealities, rights, and reforms /$fCharles J. Dougherty 210 1$aNew York :$cOxford University Press,$d1988. 215 $a1 online resource (x, 227 pages) 300 $aIs our present health care system biased against people with limited education and income? Does every American have a moral right to health care? If so, what kinds of care and how much? In a provocative examination of American health care delivery, Charles J. Dougherty considers these and many other questions. His book fills an important niche in contemporary medical ethics and public health literature by combining a description and analysis of the American health care system--as it actually operates today--with an assessment of recent philosophical writings on justice. In the first section, Dougherty describes inequalities in health care delivery to blacks, the poor, and the less educated. He then reviews the philosophical theories of utilitarianism, egalitarianism, contractarianism, and libertarianism; applies them to health care issues; and argues for a moral right to health care. He considers available policy alternatives, concluding that the empirical data and our understanding of justice and human rights should commit us to a national health care plan supported by national health insurance.--Publisher's description. 300 $aBibliographic Level Mode of Issuance: Monograph 311 0 $a0-19-505271-4 320 $aIncludes bibliographies and index. 327 $aPart I: Realities 1. Some American Health Care Realities: Access to Needed Care; Quality of Care; Rising Costs Part II: Rights 2. A Right to Health Care: The Concept of a Right; For and Against a Right to Health Care 3. Utilitarianism: Optimal Consequences; Prudent Insurance 4. Egalitarianism: Equal Intrinsic Value; Substantive Equality 5. Libertarianism: Liberty and Ownership; Compensatory Rights 6. Contractarianism: The Social Contract; Liberty, Opportunity, and Wealth 7. Plural Foundations: Proof and Persons; Four Health Care Rights; Rights, Clarity, and Ideals Part III: Reforms 8. Market Reforms: Pure Competition; A Hobbled Market 9. DRGs, HMOs, and Vouchers: Price Controls; Prepaid Group Practice; Cash and Voucher Plans 10. National Health Care Plans: Medicare and Medicaid; National Health Insurance; A National Health Care Service 606 $aMedical care$zUnited States 606 $aMedical care$xUtilization$zUnited States 606 $aMedical policy$zUnited States 615 0$aMedical care 615 0$aMedical care$xUtilization 615 0$aMedical policy 676 $a362.1/0973 700 $aDougherty$b Charles J.$f1949-$01583321 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910777621203321 996 $aAmerican health care$93866303 997 $aUNINA