By H. Tristram Engelhardt Jr. (auth.), Hans-Martin Sass, Robert U. Massey (eds.)
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Additional info for Health Care Systems: Moral Conflicts in European and American Public Policy
Most competitive, care in economic as well as in medical terms, Pfaff  has demonstrated that in economic terms non-market systems and quasi-market systems can contain costs and allow competition, albeit limited. I am arguing on moral and cultural grounds favoring the principle of personal choice. (2) The choice principle as a moral value of highest priority for any person does not just call for an optimum choice among different providers or insurers of health care or medical care; it calls rather for not paternalizing the individual citizen's educated judgement as to what a "best," "adequate," "cost-efficient" treatment is.
Smoking is a detriment to good health, yet smokers do trade a portion of their health or longevity for the pleasures of smoking. If, based on the general principle of solidarity, taxpayers or insurance agencies agree to pay for the increased health care needs of a smoker, are they agreeing to do so based on a principle of distributive justice or beneficence, or to avoid paying later for health restoration, or simply to avoid individual or public harm? S. , three dollars per pack of cigarettes sold (Washington Journal, Jan.
The requirements and preconditions for making educated and experienced choices. I shall present my position in four stages by attempting to: (1) define the moral and cultural dimensions of the concepts of "health" and "health care"; (2) distinguish between "health care" and "medical intervention"; (3) review the issue of "personal-public mix" in health care; and (4) outline "priorities for governmental risk management" in health care. " In most discussions, especially political discussions, the concept of health has been reduced to something clinically definable, the nondeviation from a standard norm and/or some status achievable by medical intervention.