Ethical Dimensions of Health Policy

by Danis, Marion; Clancy, Carolyn; Churchill, Larry R.

• ISBN13: 9780195140705
• ISBN10: 0195140702
• Format: Hardcover
• Copyright: 2002-02-07
• Publisher: Oxford University Press

Summary

This book takes the conversation between bioethics and health policy to a new level. Moving beyond principles and normative frameworks, bioethicists writing in the volume consider the actual policy problems faced by health care systems, while policy-makers reflect on the moral values inherentin both the process and content of health policy. The result is a vigorous dialogue with some of the nation's leading experts at the interface of ethics and health policy. the book provides a history of the values implicit in U.S. health policy, a discussion of the federal and state roles in policymaking, an ethical examination of the social goals expressed through various policies, an analysis of the role of public opinion in the creation of health policy, and an exploration of the value of the private sector in health policy. In addition, the authors examine some of the major ethicalcontroversies in health policy, such as the challenge of balancing ethical concerns with economic realities, the need to allocate scarce health resources, the call for heightened accountability, and the impact of various policies on vulnerable populations. The book concludes with an examination ofthe ethical issues in health services research, including the threats to privacy that arise in such research. To a greater extent than any previous volume, it establishes a strong connection between the disciplines of medical ethics and health policy.

Table of Contents

Contributors	xix
Introduction	xxi
Marion Danis
Carolyn Clancy
Larry R. Churchill
PART I. IDENTIFYING THE GOALS OF HEALTH CARE
Ends and Means: The Goals of Health Care	3	(16)
Daniel Callahan
Justice, Health, and Health Policy	19	(32)
Norman Daniels
Bruce P. Kennedy
Ichiro Kawachi
PART II. CONNECTING ETHICS AND HEALTH POLICY
What Ethics Can Contribute to Health Policy	51	(14)
Larry R. Churchill
Health-Care Policy in the United States in the 20th Century	65	(12)
Eli Ginzberg
Just Deliberation About Health Care	77	(20)
Amy Gutmann
Dennis Thompson
PART III. EXAMINING THE ETHICS OF HOW POLICY IS MADE
The Reality of Public Policy Making	97	(20)
John W. Kingdon
When Public Opinion Counts: Inserting Public Opinion into Health Policy	117	(16)
Stanley B. Greenberg
Marion Danis
Medical Ethics in the Courts	133	(24)
M. Gregg Bloche
Health Policy Making: The Role of the Federal Government	157	(27)
Jo Ivey Boufford
Philip R. Lee
Health Policy and State Initiatives	184	(18)
Jonathan Oberlander
Lawrence D. Brown
Private Sector Incentives and Ethical Health Care	202	(25)
Stuart Butler
PART IV. ETHICAL CONTROVERSIES IN HEALTH POLICY
Resource Allocation
Patient v. Population: Resolving the Ethical Dilemmas Posed by Treating Patients as Members of Populations	227	(22)
Ezekiel J. Emanuel
Accountability
Accountability: Regulating Health Care As a Public Good	249	(14)
Christine K. Cassel
Elaine McParland
Perspectives on Accountability: Past, Present, and Future	263	(20)
Ruth E. Malone
Harold S. Luft
Vulnerable Populations
Health Resource Allocation for Vulnerable Populations	283	(27)
Dan W. Brock
Health Policy, Vulnerability, and Vulnerable Populations	310	(27)
Marion Danis
Donald L. Patrick
Ethical Considerations of Health Services Research
Values in Research: Picking Research Priorities Ethically	337	(18)
Bernard Lo
Ethical Considerations in Conducting Health-Care Research: Protecting Privacy	355	(24)
Lisa I. Iezzoni
Afterword	379	(4)
Lewis G. Sandy
Index	383