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Just Caring - Health Care Rationing and Democratic Deliberation (Hardcover)
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Just Caring - Health Care Rationing and Democratic Deliberation (Hardcover)
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What does it mean to be a "just" and "caring" society when we have
only limited resources to meet unlimited health care needs? Do we
believe that all lives are of equal value? Is human life priceless?
Should a "just" and "caring" society refuse to put limits on health
care spending? In Just Caring, Leonard Fleck reflects on the
central moral and political challenges of health reform today. He
cites the millions of Americans who go without health insurance,
thousands of whom die prematurely, unable to afford the health care
needed to save their lives. Fleck considers these deaths as
contrary to our deepest social values, and makes a case for the
necessity of health care rationing decisions. The core argument of
this book is that no one has a moral right to impose rationing
decisions on others if they are unwilling to impose those same
rationing decisions on themselves in the same medical
circumstances. Fleck argues we can make health care rationing fair,
in ways that are mutually respectful, if we engage in honest
rational democratic deliberation. Such civic engagement is rare in
our society, but the alternative is endless destructive social
controversy that is neither just nor caring.
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