China: Bioethics, Trust, and the Challenge of the Market

1. Front Matter

   Pages I-XI

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2. Introduction: Trust, the Market, and Bioethics

   1. Front Matter

      Pages 1-1

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   2. The Bioethics of Trust

      • Julia Tao

      Pages 3-5

   3. Chinese Health Care Policy: An Introduction to the Moral Challenges

      • H. Tristram Engelhardt Jr, Aaron E. Hinkley

      Pages 7-23

3. Health Care Policy in China

   1. Front Matter

      Pages 25-25

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   2. Towards a Confucian Approach to Health Care Allocation in China: A Dynamic Geography

      • Yongfu Cao, Yunling Wang, Linjuan Zheng, Li Yanwen

      Pages 27-38

   3. Trust is the Core of the Doctor–Patient Relationship: From the Perspective of Traditional Chinese Medical Ethics

      • Benfu Li, Linying Hu

      Pages 39-44

   4. Medical Resources, the Market, and the Development of Private-Run Hospitals in China

      • Xiaoyang Chen, Tongwei Yang, Xiuqin Shen

      Pages 45-54

   5. China, Beware: What American Health Care Has to Learn from Singapore

      • H. Tristram Engelhardt Jr.

      Pages 55-71

4. Trust, Profit, Scarcity, and Integrity: Confucian Thought and Traditional Morality

   1. Front Matter

      Pages 73-73

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   2. Confucian Trust, Market and Health Care Reform

      • Julia Tao

      Pages 75-87

   3. The Pursuit of an Efficient, Sustainable Health Care System in China

      • Ana Iltis

      Pages 89-116

   4. A Reconstructionist Confucian Approach to Chinese Health Care

      • Ruiping Fan

      Pages 117-133

5. The Market and Health Care

   1. Front Matter

      Pages 135-135

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   2. Health Care Services, Markets, and the Confucian Moral Tradition: Establishing a Humanistic Health Care Market

      • Zhizheng Du

      Pages 137-150

   3. Markets, Trust, and the Nurturing of a Culture of Responsibility: Implications for Health Care Policy in China

      • Frederic J. Fransen

      Pages 151-168

   4. Fostering Professional Virtue in the Market: Reflections on the Challenges Facing Chinese Health Care Reform

      • Jeremy Garrett

      Pages 169-177

6. Looking to the Future of China: Can Confucius Guide the Health Care Market?

   1. Front Matter

      Pages 179-179

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   2. On the Reform of Health Care Reform

      • Ren-Zong Qiu

      Pages 181-192

   3. Is Singapore’s Healthcare System Morally Problematic?

      • Justin Ho

      Pages 193-210

to the Moral Challenges H. Tristram Engelhardt, Jr. and Aaron E. Hinkley 1 Taking Finitude Seriously in a Chinese Cultural Context Across the world, health care policy is a moral and political challenge. Few want to die young or to suffer, yet not all the money in the world can deliver physical immortality or a life free of suffering. In addition, health care needs differ. As a result, unless a state coercively forbids those with the desire and means to buy better basic health care to do so, access to medicine will be unequal. No co- try can afford to provide all with the best of care. In countries such as China, there are in addition stark regional differences in the quality and availability of health care, posing additional challenges to public policy-making. Further, in China as elsewhere, the desire to lower morbidity and mortality risks has led to ever more resources being invested in health care. When such investment is supported primarily by funds derived from taxation, an increasing burden is placed on a country’s economy. This is particularly the case as in China with its one-child policy, where the proportion of the elderly population consuming health care is rising. Thesepolicychallengesarecompoundedbymoraldiversity. Defacto,humansdo not share one morality. Instead, they rank cardinal human goods and right-making conditions in different orders, often not sharing an af?rmation of the same goods or views of the right.

• Ethics
• Medical Ethics
• bioethics
• health
• issue
• morality
• philosophy

• City University of Hong Kong, China

  Julia Tao

Policies and ethics