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Ethical Foundations of the Clinton Administration's Proposed Health Care System
Dan W. Brock, PhD;
Norman Daniels, PhD
JAMA. 1994;271(15):1189-1196.
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IMPORTANT, widely shared ethical principles and values are involved in both the design of and the debates over the Clinton health care system reform proposal. In the first section of this article, we discuss 14 principles and values that guide policy decisions and choices about central features of the reform proposal. These principles and values are neither pulled from thin air nor selected simply to conform to the proposed system. They are deeply anchored in the moral traditions we share as a nation, reflecting our long-standing commitment to equality, justice, liberty, and community. Different moral, religious, and cultural traditions within our society may emphasize different elements of these principles and values or weigh them differently when they conflict. Nevertheless, there is a widespread consensus on their central role in defining our common community, as we show briefly in the second section of this article.1-3
These principles and values do
. . . [Full Text PDF of this Article]
Author Affiliations
From the Department of Philosophy and the Center for Biomedical Ethics, Brown University, Providence, RI (Dr Brock), and the Department of Philosophy, Tufts University, Medford, Mass (Dr Daniels).
Footnotes
The views expressed in this article are solely the responsibility of the authors. They in no respect purport to represent the positions of the Clinton administration, the White House Task Force on National Health Reform, or its advisory ethics working group of which the authors were members.
Reprint requests to Department of Philosophy, Brown University, Box 1918, Providence, RI 02912 (Dr Brock).
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