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Issues in Business Ethics

Managing Care: A Shared Responsibility

Authors: Verheijde, Joseph L.

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About this book

The effective management of appropriate health care should be able to contain medical care costs and improve accessibility while addressing rationing concerns. However, managed care in the United States has not lived up to the expectations set for it.

Managed care quickly gained popularity among employers and public policy makers as a mechanism for curbing the excessive growth of health care insurance costs. Nonetheless, since its introduction, the system of largely for-profit managed care has been the subject of much public and political debate. The change from a fee-for-service system toward a system in which the health care insurance component is combined with the delivery of a broad range of integrated health care services for populations of plan enrollees that are financed prospectively from a limited budget has been widely criticized and has even been called repugnant. Instead of placing the blame on managed care organizations, however, we need to keep in mind that such organizations operate without societal agreement on critical issues such as a workable definition of health, an authoritative standard for defining the scope of entitlements, and on the distribution of labor between public and private sector entities. The health care system in the United States is also characterized by decentralization as well as the absence of a comprehensive health care planning or budgeting system, substantive access rules, and agreed-upon minimum health care benefit package. Therefore, managed care organizations only have limited responsibilities. The nonexistence of a shared, unifying paradigm of responsibility has been called the leading cause of the inability to manage health care appropriately. The stakeholders in health care operate on a set of widely varying interpretations of the notion of responsibility. The concept of genuine responsibility, recognizing the complexity of health care and the need for stakeholder-specific interpretations of responsibility, proposes as the underlying premise of responsibility (at least in regard to health care) the social agreement that distributive choices should be made on the basis of the premise of deliberate reciprocity. When all parties share the same foundation on which the notion of responsibility is built the resulting trust and cooperation among stakeholders enables them to find morally appropriate solutions in reforming health care.

"This book that is at the same time provocative and important. It proposes to change the way we think about deploying healthcare resources. It will accomplish its goal for readers who are willing to be challenged at a basic level. Intellectually sound and a very good read too."

Mark Pastin, Ph.D., President, Council of Ethical Organizations, Health Ethics Trust

"Dr. Verheijde has crafted the best study of the ethics of managed healthcare in more than a decade."

Glenn McGee, Ph.D., the John A. Balint Professor of Medical Ethics, Editor-in-Chief, The Americann Journal of Bioethics, and Director, Alden March Bioethics Institute. 

Table of contents (7 chapters)

Table of contents (7 chapters)
  • HEALTH CARE COSTS AND SCARCITY OF HEALTH CARE RESOURCES

    Pages 1-30

    Verheijde, L. Joseph

  • THE CONCEPT OF MANAGED CARE AND ITS PRACTICAL IMPLICATIONS

    Pages 31-60

    Verheijde, L. Joseph

  • IDEOLOGY: THE SILENT PARTNER

    Pages 61-83

    Verheijde, L. Joseph

  • THE CONCEPT OF GENUINE RESPONSIBILITY

    Pages 85-118

    Verheijde, L. Joseph

  • REVISING THE TEMPLATE FOR MODELING HEALTH CARE

    Pages 119-154

    Verheijde, L. Joseph

Buy this book

eBook $169.00
price for USA in USD (gross)
  • ISBN 978-1-4020-4185-3
  • Digitally watermarked, DRM-free
  • Included format: PDF
  • ebooks can be used on all reading devices
  • Immediate eBook download after purchase
Hardcover $219.99
price for USA in USD
  • ISBN 978-1-4020-4184-6
  • Free shipping for individuals worldwide
  • Usually dispatched within 3 to 5 business days.
Softcover $219.99
price for USA in USD
  • ISBN 978-90-481-7064-7
  • Free shipping for individuals worldwide
  • Usually dispatched within 3 to 5 business days.
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Bibliographic Information

Bibliographic Information
Book Title
Managing Care: A Shared Responsibility
Authors
Series Title
Issues in Business Ethics
Series Volume
22
Copyright
2006
Publisher
Springer Netherlands
Copyright Holder
Springer Science+Business Media B.V.
eBook ISBN
978-1-4020-4185-3
DOI
10.1007/1-4020-4185-3
Hardcover ISBN
978-1-4020-4184-6
Softcover ISBN
978-90-481-7064-7
Series ISSN
0925-6733
Edition Number
1
Number of Pages
XIV, 218
Topics