Ethics in American Health 2: An Ethical Framework for Health System Reform
Authors/Editors:Jennifer Prah Ruger, Yale University School of Medicine
Publisher/Journal:Am J Public Health, Oct 2008; 98:1756-1763
Language: English
Number of pages:6
Overview
“…..I argue that an ethical vision resting on explicitly articulated values and norms is critical to ensuring comprehensive health reform. Reform requires a consensus on the public good transcending self-interest and narrow agendas and underpinning collective action for universal coverage. In what I call shared health governance, individuals, providers, and institutions all have essential roles in achieving health goals and work together to create a positive environment for health. This ethical paradigm provides
- reasoned consensus through a joint scientific and deliberative approach to judge the value of a health care intervention;
- a method for achieving consensus that differs from aggregate tools such as a strict majority vote;
- combined technical and ethical rationality for collective choice;
- a joint clinical and economic approach combining efficiency with equity, but with economic solutions following and complementing clinical progress; and
- protection for disabled individuals from discrimination.