MARC Record from marc_columbia

LEADER: 03958fam a2200457 a 4500
001 3997249
005 20221027014344.0
008 940324s1994 mau b 001 0 eng
010 $a 94014568
020 $a0674800923
035 $a(OCoLC)30154445
035 $a(OCoLC)ocm30154445
035 $9AJE8861HS
035 $a(NNC)3997249
035 $a3997249
040 $aDLC$cDLC$dNNC-M
043 $an-us---
050 00 $aRA395.A3$bC495 1994
082 00 $a362.1/0973$220
100 1 $aChurchill, Larry R.,$d1945-$0http://id.loc.gov/authorities/names/n85074539
245 10 $aSelf-interest and universal health care :$bwhy well-insured Americans should support coverage for everyone /$cLarry R. Churchill.
260 $aCambridge, Mass. :$bHarvard University Press,$c1994.
300 $axi, 110 pages ;$c24 cm
336 $atext$btxt$2rdacontent
337 $aunmediated$bn$2rdamedia
504 $aIncludes bibliographical references and index.
505 0 $a1. Rationing and the Purpose of a Health Care System -- 2. Defining a Purpose: Security and Solidarity -- 3. Self-Interest and Security: A Humean Contract for Health Care -- 4. Affinity and Solidarity: Getting from I to We -- 5. Rights and Responsibilities: Health Care Goals and Moral Coherence -- A Concluding Image: Voices of Reciprocity.
520 $aI'm covered - why should I foot the bill for somebody who isn't? This question, unspoken but simmering at the center of the debate over universal health care coverage, comes in for a thoughtful hearing - and, perhaps, gentle corrective - in Larry Churchill's timely book. Churchill, whose Rationing Health Care in America put the nation's health care crisis into perspective here does the same for our crisis of conscience over health care coverage.
520 8 $aAs Clinton and Congress spar over the financing and organization of a national health care system, the true debate, this book reveals, is about moral and political values, about the meaning and ethics of health care reform.
520 8 $aChurchill begins by cutting through the confused discussion about rationing health care. Concerns about rationing, with all the moral and political questions they raise, deflect our attention from a more important issue, which this book brings into focus. Arguing that care is already rationed by ability to pay, Churchill suggests that the proper question is not whether to ration but how to do so fairly, and that answering requires a clear sense of the aims of a health care system.
520 8 $aIn pursuit of this necessary understanding, Churchill explores values and concepts such as security and solidarity, self-interest and social affinity, rights and responsibilities. Drawing on philosophical ideas of justice and individual responsibility, rendered here with remarkable clarity, he shows that universal care is morally as well as economically comprehensible and that a truly inclusive health care system should be seen as a common civic purpose rather than as a supply of services to be consumed.
520 8 $aAccessible, deeply felt, and cogently argued, this book should revise the terms of the national debate over health care reform.
650 0 $aRight to health$zUnited States.$0http://id.loc.gov/authorities/subjects/sh2010111057
650 0 $aHealth insurance$xGovernment policy$zUnited States.$0http://id.loc.gov/authorities/subjects/sh2008104709
650 0 $aHealth services accessibility$zUnited States.$0http://id.loc.gov/authorities/subjects/sh2008105522
650 0 $aHealth care reform$zUnited States.$0http://id.loc.gov/authorities/subjects/sh2008105519
650 2 $aInsurance, Health.$0https://id.nlm.nih.gov/mesh/D007348
650 2 $aHealth Services Accessibility.$0https://id.nlm.nih.gov/mesh/D006297
650 2 $aHealth Care Reform.$0https://id.nlm.nih.gov/mesh/D018166
651 2 $aUnited States.$0https://id.nlm.nih.gov/mesh/D014481
852 00 $boff,hsl$hRA395.A3$iC495 1994