title: Working for the common good. Catholic healthcare's opportunity to shape values-based managed care.
abstract: Managed care has come under fire lately, and states and the federal government have stepped in to regulate some plans' deficiencies. Some say regulation is not enough; managed care is morally flawed. But the evils of managed care are the result of letting it be shaped solely by market-driven forces rather than mission-driven values. In the Catholic tradition, healthcare is part of the common good. Viewed in this light, managed care becomes more than just a way to control costs. For managed care to serve the common good, we will have to collaborate with other providers that demonstrate a commitment to human life and dignity that is similar to our own. Such collaborations may force us to negotiate (without compromising) our values, but this gives us the opportunity to recognize a hierarchy of goods to be pursued and evils to be avoided. Through our involvement in managed care, we can help shape the greater culture, as well as the culture of healthcare. But we must prioritize our commitments according to values and principles grounded in the Catholic moral tradition. Without these values to guide us, Catholic healthcare will lose its identity and fade away.
authors.affiliation: Catholic Health Association, St. Louis, MO, USA.
authors.forename: D
authors.initials: D
authors.lastname: O'Brien
mesh_terms: D002410:Catholicism; D003363:Cost Control; D008329:Managed Care Programs / Q000191:economics / Q000458:organization & administration / Q000592:standards*; D017146:Models, Organizational; D009935:Organizational Affiliation; D009936:Organizational Innovation; D018802:Patient-Centered Care / Q000191:economics / Q000458:organization & administration / Q000592:standards*; D011787:Quality of Health Care; D012935:Social Justice; D012945:Social Values; D014481:United States