Storey P
Med Law. 1989;7(6):649-55.
Both community mobilisation and expert intervention are required for proper health care. All members of the South African Community have a right to justice, equity and participation in their health care system. Justice demands equal facilities for all, and in South Africa cannot be achieved without fundamental political change. Equity demands freedom from financial anxiety. Arguments for the further privatisation of health care in South Africa are immoral and unconvincing. Participation demands that a patient be actively involved in deciding the nature of health care rather than merely a 'consumer'. This requires both demythologising the medical profession and vesting power in the community. Practical steps towards these ends are suggested.
适当的医疗保健需要社区动员和专家干预。南非社区的所有成员都有权在其医疗保健系统中享有正义、公平并参与其中。正义要求为所有人提供平等的设施，而在南非，没有根本性的政治变革就无法实现。公平要求消除经济焦虑。支持南非医疗保健进一步私有化的论点是不道德且缺乏说服力的。参与要求患者积极参与决定医疗保健的性质，而不仅仅是一名“消费者”。这既需要消除对医疗行业的神秘感，又需要将权力赋予社区。文中提出了实现这些目标的实际步骤。
