Ethical Dimensions of Health Policy

Edited by Marion Danis, M.D., Carolyn Clancy, M.D., and Larry R. Churchill

This book takes bioethics and health policy to a new level of integration. Moving beyond principles and normative frameworks, bioethicsists writing in the volume consider the actual policy problems faced by health care systems, while policy-makers reflect on the moral values inherent in both the process and content of health policy. Together, they explore the goals and processes involved in developing health policy and examine the roles of various stakeholders as well as the thorny ethical issues that arise.

Ethical Dimensions of Health Policy

Edited by Marion Danis, M.D., Carolyn Clancy, M.D., and Larry R. Churchill

Description

This book takes the conversation between bioethics and health policy to a new level. Moving beyond principles and normative frameworks, bioethicists writing in the volume consider the actual policy problems faced by health care systems, while policy-makers reflect on the moral values inherent in both the process and content of health policy. The result is a vigorous dialogue with some of the nation's leading experts at the interface of ethics and health policy. the book provides a history of the values implicit in U.S. health policy, a discussion of the federal and state roles in policy making, an ethical examination of the social goals expressed through various policies, an analysis of the role of public opinion in the creation of health policy, and an exploration of the value of the private sector in health policy. In addition, the authors examine some of the major ethical controversies in health policy, such as the challenge of balancing ethical concerns with economic realities, the need to allocate scarce health resources, the call for heightened accountability, and the impact of various policies on vulnerable populations. The book concludes with an examination of the ethical issues in health services research, including the threats to privacy that arise in such research. To a greater extent than any previous volume, it establishes a strong connection between the disciplines of medical ethics and health policy.

Ethical Dimensions of Health Policy

Edited by Marion Danis, M.D., Carolyn Clancy, M.D., and Larry R. Churchill

Introduction: Marion Danis, Carolyn Clancy, and Larry Churchill
Part I. Identifying the Goals of Health Care
1. Ends and Means: The Goals of Health Care, Daniel Callahan, The Hastings Center
2. Justice, Health, and Health Policy, Norman Daniels, Tufts University, Bruce Kennedy, Harvard University, and Ichiro Kawachi, Harvard University
Part II. Connecting Ethics and Health Policy
3. What Ethics Can Contribute to Health Policy, John Kingdon, University of Michigan
4. Health Care Policy in the U.S. in the 20th Century, Eli Ginzberg
5. Just Deliberation Abuot Health Care, Amy Gutman, Princeton University
Part III. Examining the Ethics of How Policy is Made
6. The Reality of Public Policy Making, John Kingdon, University of Michigan
7. When Public Opinion Counts: Inserting Public Opinion into Health Policy, Stan Greenberg, Greenberg Quinlin Rosner Research, and Marion Danis
8. Health Policy Making: The Role of the Federal Government, Jo Ivey Boufford, New York University, and Phil Lee, Standford University
9. Health Policy and State Initiatives, Jonathan Oberlander, University of North Carolina at Chapel Hill, and Larry Brown, Columbia University
10. Private Sector Incentives and Ethical Healthcare, Stuart Butler, Heritage Foundation
Part IV. Ethical Controversies in Health Policy
A. Resource Allocation
11. Patient v. Population: Resolving the Ethical Dilemmas Posed by Treating Patients as Members of Populations, Ezekiel Emanuel, National Institute of Health
B. Accountability
12. Ethics and Accountability: Regulating Health Care As a Public Good, Christine Cassel, Mount Sinai Medical Center
13. Perspectives on Accountability: Past, Present, and Future, Harold Luft, University of California, San Francisco
C. Vulnerable Populations
14. Health Resources Allocation for Vulnerable Populations, Dan Brock, Brown University
15. Health Policy, Vulnerability and Vulnerable Populations, Marion Danis and Donald Patick, University of Washington
D. Ethical Considerations Health Services Research
16. Values in Research: Picking Research Priorities Ethically, Bernard Lo, University of California, SF
17. Ethical Considerations in Conduction Health Care Research: Protecting Privacy, Lisa Lezzoni, Harvard Medical School