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Articulating a Social Ethic for Health Care
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To the Editor.Dr Reinhardt's1 recent attack on my book Mortal Peril2 presents this challenge: "to the extent a nation's health system can make it possible, should the child of a poor American family have the same chance of avoiding preventable illness or of being cured from a given illness as does a child of a rich American family?" The correct answer is no.
The health of youngsters is intimately tied to their parental care and attention; nutrition, location, and even the family car determine in part who will become injured or ill. Reinhardt tolerates these inequalities because they lie outside the health care system. But a consistent egalitarian should redress all sources of inequality, including child care, education, and crime prevention. Yet, Reinhardt neither justifies his priorities nor explains how to fund a full-scale initiative without destroying the social wealth it needs for support. Self-interest is not a universal . . . [Full Text of this Article]
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