Can the ethical mission of health care survive among organizations competing for survival in the marketplace? This book presents both an analytic framework and a menu of pragmatic answers.
Principles-based biomedical ethics has been a dominant paradigm for the teaching and practice of biomedical ethics for over three decades. Attractive in its conceptual and linguistic simplicity, it has also been criticized for its lack of moral content and justification and its lack of attention to relationships. This book identifies the modernist and postmodernist worldviews and philosophical roots of principlism that ground the moral minimalism of its common morality premise. Building on previous work by prominent Christian bioethicists, an alternative covenantal ethical framework is presented in our contemporary context. Relationships constitute the core of medicine, and understanding the ethical meaning of those relationships is important in providing competent and empathic care. While the notion of covenant is articulated through the richness of meaning taught in the Christian Scriptures, covenantal commitment is also appreciated in Islamic, Jewish, and even pagan traditions as well. In a world of increasing medical knowledge and consequent complexity of care, such commitment can help to resist enticements toward the pursuit of self-interest. It can also improve relationships among caregivers, each of whose specific expertise must be woven into a matrix of care that constitutes optimal medical practice for each vulnerable and needy patient.
This pioneering work addresses a key issue that confronts all industrialised nations: How do we organise healthcare services in accordance with fundamental human rights, whilst competing with scientific and technological advances, powerful commercial interests and widespread public ignorance? "The Nature of Health" presents a coherent, affordable and logical way to build a healthcare system. It argues against a health system fixated on the pursuit of longevity and suggests an alternative where the ability of an individual to function in worthwhile relationships is a better, more human goal. By reviewing the etymology, sociology and anthropology of health, this controversial guide examines the meaning of health, and proves how a community-centred healthcare system improves local economy, creates social capital and is affordable, rational, personal, and just. "This is badly needed nourishment for a medical system glutted on technology, individualism, profit and the pursuit of longevity. Read and be fed." - Christopher Koller, Health Insurance Commissioner, The State of Rhode Island, USA. "Unique. Surprising. A real eye-opener. Just about everyone who doesn't have a vested financial interest in maintaining the status quo will agree that U.S. healthcare is badly broken. [This book] is making it possible for us to refocus from how to provide healthcare to how to achieve health. Their description of health as successful functioning in community, rather than as a measure of longevity is a definition that can make a reader feel healthier as they take gradually appreciate the power of the concept. On this foundation, it is not as hard as one might think to outline a healthcare system that is equitable, affordable and achievable." - Alexander Blount EdD, Professor of Family Medicine, University of Massacusetts Medical Center.
In its first edition, Setting Limits Fairly stimulated considerable work on setting priorities in health care, both here and abroad. The second edition adds new material to the book, including a new chapter on the international response to accountability for reasonableness and two new chapters on applications of the approach in developing countries and in human rights approaches to health."--BOOK JACKET.
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