Murray T H
Center for Biomedical Ethics, School of Medicine, Case Western Reserve University.
Hastings Cent Rep. 1992 Nov-Dec;22(6):12-7.
Deciding whether genetic differences among individuals are morally relevant to health insurance requires us to ask, What kind of good is health care? and, What principles should govern its distribution? There are good reasons to doubt that "actuarial fairness" is an adequate description of genuine fairness in health insurance.
判断个体间的基因差异在道德层面上是否与医疗保险相关,这要求我们思考:医疗保健是何种性质的善?以及,何种原则应支配其分配?有充分理由怀疑,“精算公平”是否足以描述医疗保险中的真正公平。