Article

Tiers Without Tears: the Ethics of a Two‐Tier Health Care System

Benjamin J. Krohmal and Ezekiel J. Emanuel

in The Oxford Handbook of Bioethics

Published in print February 2009 | ISBN: 9780199562411
Published online September 2009 | | DOI: http://dx.doi.org/10.1093/oxfordhb/9780199562411.003.0008

Series: Oxford Handbooks in Philosophy

 Tiers Without Tears: the Ethics of a Two‐Tier Health Care System

More Like This

Show all results sharing these subjects:

  • Philosophy
  • Philosophy of Science
  • Moral Philosophy

GO

Show Summary Details

Preview

American health care reformers face a number of ethical issues, including familiar debates over the merits of a single-payer system and publicly provided universal health insurance. No matter how these debates are resolved, a further ethical question must be addressed. Both universal coverage and a single-payer system are compatible with permitting some patients to pay more for faster, better, or more health care choices. Should the United States continue to have a two-tier health care system in which wealth grants some patients access to medical services that others with the same needs cannot obtain? Critical evaluation of both principled objections to inequalities and practical objections to anticipated social and medical consequences of a two-tier health care system are needed.

Keywords: health care reforms; health insurance; single-payer system; wealth grants; clinical evaluation; two-tier health care system

Article.  6189 words. 

Subjects: Philosophy ; Philosophy of Science ; Moral Philosophy

Full text: subscription required

How to subscribe Recommend to my Librarian

Buy this work at Oxford University Press »

Users without a subscription are not able to see the full content. Please, subscribe or login to access all content.