22 records matched your query
03479cam a22004934a 4500 001 313A4D6E6C0511DEA13FF332A8D7520A 003 SILO 005 20100120073657 008 080911s2009 enk b 001 0 eng 010 $a 2008040396 020 $a 0195128044 (hardback : alk. paper) 020 $a 9780195128048 (hardback : alk. paper) 035 $a (OCoLC)253188318 040 $a DNLM/DLC $c DLC $d SILO $d BAKER $d NLM $d YDXCP $d C#P $d BWX $d CDX $d IG# $d TSU $d XBM $d IWO $d SILO 042 $a pcc 043 $a n-us--- 050 00 $a RA410.53 $b .F62 2009 082 00 $a 362.1/0425 $2 22 100 1 $a Fleck, Leonard M. 245 1 $a Just caring : $b health care rationing and democratic deliberation / $c Leonard M. Fleck. 260 $a New York : $b Oxford University Press, $c 2009. 300 $a xviii, 460 p. ; $c 25 cm. 520 $a "In Just Caring, Leonard Fleck reflects on the central moral and political challenges of health reform today. He cites the millions of Americans who go without health insurance, thousands of whom die prematurely, unable to afford the health care needed to save their lives. Fleck considers these deaths as contrary to our deepest social values, and makes a case for the necessity of health care rationing decisions. The core argument of this book is that no one has a moral right to impose rationing decisions on others if they are unwilling to impose those same rationing decisions on themselves in the same medical circumstances. Fleck argues we can make health care rationing fair, in ways that are mutually respectful, if we engage in honest rational democratic deliberation. Such civic engagement is rare in our society, but the alternative is endless destructive social controversy that is neither just nor caring."--Publisher's description 505 0 $a Just caring : an introduction -- The ethical challenges of health care rationing -- Pricing human life : getting beyond tragic choices -- Elements of health care justice -- Rational democratic deliberation : scope and structure -- Setting limits for effective costly therapies -- Last-chance therapies -- Rationing, catastrophic illness, and disabled patients -- Is age-based rationing ever 'just enough'? -- Do future possible children have a just claim for a sufficiently heathy genome? -- Organ transplantation : when is enough enough? -- The liberalism problem -- The ethical challenges of priority setting in public health -- Financing health care fairly. 504 $a Includes bibliographical references (p. 427-446) and index. 650 0 $a Health care rationing $x Moral and ethical aspects $z United States. 650 0 $a Public health $x Moral and ethical aspects $z United States. 650 0 $a Health services accessibility $z United States. 650 0 $a Right to health care $z United States. 650 0 $a Health care reform $z United States. 650 0 $a Social justice $z United States. 650 12 $a Health Care Rationing $z United States. 650 22 $a Democracy $z United States. 650 22 $a Health Care Reform $z United States. 650 22 $a Health Priorities $z United States. 650 22 $a Healthcare Disparities $z United States. 650 22 $a Insurance, Health $z United States. 941 $a 4 952 $l USUX851 $d 20171003034455.0 952 $l OIAX792 $d 20110111010704.0 952 $l OMAX631 $d 20090708133753.0 952 $l UQAX771 $d 20090806113132.0 956 $a http://locator.silo.lib.ia.us/search.cgi?index_0=id&term_0=313A4D6E6C0511DEA13FF332A8D7520A 994 $a 02 $b IWOInitiate Another SILO Locator Search