Ethics in American Health 1: Ethical Approaches to Health Policy
Authors: Jennifer Prah Ruger, Yale University School of Medicine
Publication date: 2008
“…..I trace the evolution of ethical approaches to health policy in the United States and examines a number of critical unresolved issues pertaining to the current set of frameworks. Several themes emerge.
- First, fair resource-allocation procedures claim more attention than substantive and procedural principles.
- Second, in the case of public deliberation, more focus has been placed on factors such as procedural mechanisms than on understanding how individuals and groups value different aspects of health and agree on health-related decisions.
- Third, the nation needs workable frameworks to guide collective choices about valuable social ends and their tradeoffs; purely procedural strategies are limited in illuminating overarching health policy and ethics questions. There is a need to integrate consequential and procedural approaches to health ethics and policy….”