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In Reply: In response to the comments by Drs Racine and Joyce, I recommend Beauchamp's trenchant assessment of market justice in his article "Public Health as Social Justice,"¹ published more than 30 years ago. That this article remains pertinent today highlights the continuing effects of market justice on health and health care in our society. His rejoinder to critics of the use of the term market justice follows:

Some might object strenuously to the marriage of the two terms ‘market’ and ‘justice.’ One theory of the market holds that it is a blind hand that rewards without regard to merit or individual effort. For this point of view, see: [Friedman² and Hayek³] . . . But Irving Kristol⁴ . . . argues that this is a minority view; most accept the marriage of the market ideal and the merits of individual effort and performance. I agree with this point of view—which is to say I see . . . [Full Text of this Article]

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RELATED LETTER

Applying Market Justice to Health Care
Andrew D. Racine and Theodore J. Joyce
JAMA. 2008;299(16):1901.
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