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Ethics in American health 1: Ethical approaches to health policy

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  • Ruger, J.P.

Abstract

I trace the evolution of ethical approaches to health policy in the United States and examine a number of critical unresolved issues pertaining to the current set of frameworks. Several themes emerge. First, fair 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 trade-offs; 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.

Suggested Citation

  • Ruger, J.P., 2008. "Ethics in American health 1: Ethical approaches to health policy," American Journal of Public Health, American Public Health Association, vol. 98(10), pages 1751-1756.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2007.121343_2
    DOI: 10.2105/AJPH.2007.121343
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    Cited by:

    1. Regina Moczadlo & Harald Strotmann & Jürgen Volkert, 2015. "Corporate Contributions to Developing Health Capabilities," Journal of Human Development and Capabilities, Taylor & Francis Journals, vol. 16(4), pages 549-566, November.
    2. M. Sirgy & Dong-Jin Lee & Grace Yu, 2011. "Consumer Sovereignty in Healthcare: Fact or Fiction?," Journal of Business Ethics, Springer, vol. 101(3), pages 459-474, July.
    3. Erik Nord & Jose Luis Pinto & Jeff Richardson & Paul Menzel & Peter Ubel, 1999. "Incorporating societal concerns for fairness in numerical valuations of health programmes," Health Economics, John Wiley & Sons, Ltd., vol. 8(1), pages 25-39, February.
    4. Joe Varghese & V. Raman Kutty, 2012. "Governability Framework for the Evaluation and Implementation of Complex Public Health Functions," Evaluation Review, , vol. 36(4), pages 303-319, August.

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