Market-Based Reforms in Health Care are Both Practical and Morally Sound

Author:

Taylor James Stacey

Abstract

Markets have long had a whiff of sulphur about them. Plato condemned innkeepers, whose pursuit of profit he believed led them to take advantage of their customers, Aristotle believed that the pursuit of profit was indicative of moral debasement, and Cicero held that retailers are typically dishonest as this was the only path to gain. And even those who are more favorably disposed towards markets in general are frequently inclined to be suspicious of markets in medical goods and services. For example, Margaret Thatcher (to take someone far removed — in many respects! — from Plato, Aristotle, and Cicero) supported the legal prohibition of markets in kidneys despite being arguably the most pro-market Prime Minister the United Kingdom saw in the 20th century.

Publisher

Cambridge University Press (CUP)

Subject

Health Policy,General Medicine,Issues, ethics and legal aspects

Reference32 articles.

1. 16. Cited by Sade, supra note 14, at 485.

2. 5. Margaret Thatcher's views are cited by Ronald Munson, Raising the Dead: Organ Transplantation and Society (Oxford: Oxford University Press, 2002): At 112.

3. 27. Although from Section I it is clear that a purely State-based approach to providing health care would be less effective than either a market-based system or a mixed system with both State and market involvement, it is not clear where the chips would fall in this discussion when the latter two approaches are compared. It might be, for example, that a mixed system in which the persons who would not otherwise have access to health care receive this from the State with this being funded by minimally intrusive system of taxation would be better from the point of view of one who values autonomy than a purely market-based system. Or, again, it might not. This decision could only be made after both empirical research has been done on the effects of each approach on persons' health, and serious conceptual work has been done on the how these effects translate into effects on person's autonomy. Moreover, one would also have to decide whether or not it would be legitimate to trade of some persons' autonomy to secure an enhancement in that of others – and even whether this question is conceptually coherent.

4. Foundational Ethics of the Health Care System: The Moral and Practical Superiority of Free Market Reforms

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