Justice and the market for health insurance.
After reviewing some of the insurance-related obstacles to access to health care, some ethical criteria for evaluating proposals aimed at reforming the health insurance marketplace to achieve universal access are developed. The additional reforms needed to eliminate many of the deficiencies in the current health insurance marketplace are discussed. It is suggested that without such substantial reforms some of the other goals such as expanded consumer choice and overall societal health care cost savings may not be effectively promoted.
Powers
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Kennedy Institute of Ethics, Georgetown University, Washington, DC 20057.
D004465:Economic Competition; D005069:Evaluation Studies as Topic; D033161:Government Regulation; D006264:Health Benefit Plans, Employee / Q000592:standards; D006291:Health Policy; D006297:Health Services Accessibility / Q000592:standards*; D007348:Insurance, Health / Q000592:standards*; D017057:Medically Uninsured / Q000145:classification; D012935:Social Justice; D035862:Vulnerable Populations