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古典分配正义与欧洲医疗体系:在危机时代重新思考欧洲医疗保健的基础。

Classical distributive justice and the European healthcare system: rethinking the foundations of European health care in an age of crises.

作者信息

Bauzon Stéphane

机构信息

State University of Rome 'Tor Vergata' & Pontifical University 'Angelicum' of Rome, Rome, Italy

出版信息

J Med Philos. 2015 Apr;40(2):190-200. doi: 10.1093/jmp/jhu078. Epub 2015 Jan 30.

Abstract

The state subvention and distribution of health care not only jeopardize the financial sustainability of the state, but also restrict without a conclusive rational basis the freedom of patients to decide how much health care and of what quality is worth what price. The dominant biopolitics of European health care supports a healthcare monopoly in the hands of the state and the medical profession, which health care should be (re)opened to the patient's authority to deal directly for better basic health care. In a world where it is impossible for all to receive equal access to the best of basic health care, one must critically examine the plausible scope of the authority of the state to limit access to better basic health care. Classical distributive justice affords a basis for re-examining the current European ideology of equality, human dignity, and solidarity that supports healthcare systems with unsustainable egalitarian concerns.

摘要

国家对医疗保健的补贴和分配不仅危及国家的财政可持续性,还在没有确凿合理依据的情况下限制了患者决定多少医疗保健以及何种质量的医疗保健值何种价格的自由。欧洲医疗保健领域占主导地位的生物政治支持国家和医疗行业手中的医疗保健垄断,而医疗保健应(重新)向患者的权威开放,以便患者能直接获取更好的基本医疗保健。在一个不可能让所有人都平等获得最好基本医疗保健的世界里,人们必须批判性地审视国家限制获取更好基本医疗保健的权威的合理范围。古典分配正义为重新审视当前支持存在不可持续平等主义关切的医疗保健系统的欧洲平等、人类尊严和团结意识形态提供了一个基础。

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