Just Health Care Book

	Preface	ix
	Acknowledgements	xii
1	Is health care special?	1
	Micro and macro	1
	Rights to health care	4
	General theories of justice	9
	Some public policy issues	11
	Is health care special?	17
2	Health-care needs	19
	Why a theory of health-care needs?	19
	Can we avoid talk about needs?	20
	Not all preferences are created equal	23
	Needs and species-typical functioning	26
	Disease and health	28
	Disease and opportunity	32
3	Toward a distributive theory	36
	Satisfaction and social hijacking	36
	The scope of justice	37
	Fair equality of opportunity	39
	Extending Rawls's theory to health care	42
	Some qualifications and clarifications	48
	Summary and applications	56
4	Equity of access to health care	59
	Sources of disagreement about access	59
	When is access equal?	60
	Three accounts of equitable access	63
	Decent minimums and the requirements of justice	74
5	Am I my parents' keeper?	86
	Opportunity, age-bias, and competition for resources	86
	When are acts, policies, or institutions age-biased?	89
	Does aging pose a distinct distribution problem?	94
	Prudence and aging	98
	Equal opportunity and health care for the elderly	103
	Equity, errors, and the stability of 'savings institutions'	108
	Some qualifications	111
6	Doing justice to providers	114
	Four issues	114
	What are the obligations of providers to deliver just health care?	115
	Does just health care violate provider liberty?	119
	Does just health care deny physicians just economic rewards or incentives?	124
	Does just health care threaten traditional ethical obligations of physicians to their patients?	135
	Conclusion	138
7	Doth OSHA protect too much?	140
	Fair equality of opportunity and preventive health care	140
	Prevention and OSHA regulation	142
	The OSHA 'feasibility' criterion: in search of a rationale	144
	The feasibility criterion: beyond market regulation	148
	The 'specialness' of health protection and the problem of consent	150
	More protection than I want: a libertarian lament	153
	Autonomy, paternalism, and risky life-style choices	156
	Information and competency	159
	Intrinsic and extrinsic rewards of risk-taking	162
	Coercion	165
	Voluntariness and justice	171
	Worries and conclusions	176
8	Risk and opportunity	180
	Safe workplaces and safe workers	180
	Biological monitoring in the lead standard	187
	Individual variation in sensitivity and discrimination in employment	199
	Summary and conclusions	218
9	Philosophy and public policy	221
1	Does justice require funding heart transplants?	221
2	Frameworks and contexts of compliance	223
	Works cited	231
	Index	238