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Self-Interest and Universal Health Care - Why Well-Insured Americans Should Support Coverage for Everyone (Hardcover, New)
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Self-Interest and Universal Health Care - Why Well-Insured Americans Should Support Coverage for Everyone (Hardcover, New)
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I'm covered - why should I foot the bill for somebody who isn't?
This question, unspoken but simmering at the center of the debate
over universal health care coverage, comes in for a thoughtful
hearing - and, perhaps, gentle corrective - in Larry Churchill's
timely book. Churchill, whose Rationing Health Care in America put
the nation's health care crisis into perspective here does the same
for our crisis of conscience over health care coverage. As Clinton
and Congress spar over the financing and organization of a national
health care system, the true debate, this book reveals, is about
moral and political values, about the meaning and ethics of health
care reform. Churchill begins by cutting through the confused
discussion about rationing health care. Concerns about rationing,
with all the moral and political questions they raise, deflect our
attention from a more important issue, which this book brings into
focus. Arguing that care is already rationed by ability to pay,
Churchill suggests that the proper question is not whether to
ration but how to do so fairly, and that answering requires a clear
sense of the aims of a health care system. In pursuit of this
necessary understanding, Churchill explores values and concepts
such as security and solidarity, self-interest and social affinity,
rights and responsibilities. Drawing on philosophical ideas of
justice and individual responsibility, rendered here with
remarkable clarity, he shows that universal care is morally as well
as economically comprehensible and that a truly inclusive health
care system should be seen as a common civic purpose rather than as
a supply of services to be consumed. Accessible, deeply felt, and
cogently argued, this book should revise the terms of the national
debate over health care reform.
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