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Why, alone among industrial democracies, does the United States not have national health insurance? While many books have addressed this question, Dead on Arrival is the first to do so based on original archival research for the full sweep of the twentieth century. Drawing on a wide range of political, reform, business, and labor records, Colin Gordon traces a complex and interwoven story of political failure and private response. He examines, in turn, the emergence of private, work-based benefits; the uniquely American pursuit of "social insurance"; the influence of race and gender on the health care debate; and the ongoing confrontation between reformers and powerful economic and health interests. Dead on Arrival stands alone in accounting for the failure of national or universal health policy from the early twentieth century to the present. As importantly, it also suggests how various interests (doctors, hospitals, patients, workers, employers, labor unions, medical reformers, and political parties) confronted the question of health care--as a private responsibility, as a job-based benefit, as a political obligation, and as a fundamental right. Using health care as a window onto the logic of American politics and American social provision, Gordon both deepens and informs the contemporary debate. Fluidly written and deftly argued, Dead on Arrival is thus not only a compelling history of the health care quandary but a fascinating exploration of the country's political economy and political culture through "the American century," of the role of private interests and private benefits in the shaping of social policy, and, ultimately, of the ways the American welfare state empowers but also imprisons its citizens.

Medical policy --- Medical care --- Political aspects --- ziektekostenverzekering (sociale zekerheid, mutualiteit, ziekenfonds, zorgverzekeraar) --- assurance maladie (sécurité sociale, mutualité) --- geschiedenis (historische aspecten) --- gezondheidszorgbeleid (gezondheidszorghervorming, gezondheidszorgsysteem) --- gezondheidszorg --- Verenigde Staten --- histoire (aspects historiques) --- politique des soins de santé (réforme des soins de santé, système des soins de santé) --- soins de santé --- Etats Unis --- Medical policy - United States. --- Medical care - Political aspects - United States.

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Roman Catholic moral theology is the point of departure for this multifaceted exploration of the challenge of allocating scarce medical resources. This volume begins its exploration of discerning moral limits to modern high-technology medicine with a consensus statement born of the conversations among its contributors. The seventeen essays use the example of critical care, because it offers one of the few areas in medicine where there are good clinical predictive measures regarding the likelihood of survival. As a result, the health care industry can with increasing accuracy predict the probability of saving lives - and at what cost. Because critical care involves hard choices in the face of finitude, it invites profound questions about the meaning of life, the nature of a good death, and distributive justice. For those who identify the prize of human life as immortality, the question arises as to how much effort should be invested in marginally postponing death. In a secular culture that presumes that individuals live only once, and briefly, there is an often-unacknowledged moral imperative to employ any means necessary to postpone death. The conflict between the free choice of individuals and various aspirations to equality compounds the challenge of controlling medical costs while also offering high-tech care to those who want its possible benefits. It forces society to confront anew notions of ordinary versus extraordinary, and proportionate versus disproportionate, treatment in a highly technologically structured social context. This cluster of discussions is enriched by five essays from Jewish, Orthodox Christian, and Protestant perspectives. Written by premier scholars from the United States and abroad, these essays will be valuable reading for students and scholars of bioethics and Christian moral theology.

Medical ethics. --- Christian ethics --- Catholic authors. --- 241.63*2 --- Medical ethics --- -gezondheidszorgbeleid (gezondheidszorghervorming, gezondheidszorgsysteem) --- gezondheidseconomie (gezondheidszorgeconomie) --- toegang tot de gezondheidszorg --- spoedgevallen (triage) --- ethiek (ethische aspecten) --- moraaltheologie --- theologische ethiek --- katholicisme --- jodendom (judaïsme) --- orthodox christendom --- protestantisme --- Ethical theology --- Moral theology --- Theology, Ethical --- Theology, Moral --- Christian life --- Christian philosophy --- Religious ethics --- Biomedical ethics --- Clinical ethics --- Ethics, Medical --- Health care ethics --- Medical care --- Medicine --- Bioethics --- Professional ethics --- Nursing ethics --- Social medicine --- Theologische ethiek: medische ethiek: dokter; verpleegster; ziekenhuis --- Catholic authors --- politique des soins de santé (réforme des soins de santé, système des soins de santé) --- économie de la santé (économie des soins de santé) --- accès aux soins de santé --- urgences (triage) --- ethique (aspects ethiques) --- théologie morale --- éthique théologique --- catholicisme --- judaïsme --- christianisme orthodoxe --- Moral and ethical aspects --- 241.63*2 Theologische ethiek: medische ethiek: dokter; verpleegster; ziekenhuis --- gezondheidszorgbeleid (gezondheidszorghervorming, gezondheidszorgsysteem) --- Christian ethics - Catholic authors.

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De nombreux domaines de la vie sont concernés par la santé. Cet ouvrage donne la parole aux spécialistes de diverses disciplines : historiens, sociologues, économistes de la santé, psychologues, médecins, infirmiers, ... Il s'adresse à tous, du particulier, soucieux de mieux comprendre une question centrale de nos existences, aux professionnels désireux de nourrir leur réflexion sur un domaine en perpétuel changement. Il entend ainsi être un outil de référence pour tous.

Public Health --- Social Medicine --- Public health --- Social medicine --- Medicine --- Santé publique --- Médecine sociale --- Médecine --- Santé --- Health --- Health Policy --- Economics, Medical --- Aspect social --- Social aspects --- gezondheid (gezondheidsconcept) --- handicap --- veroudering (verouderingsproces) --- zorg (zorgverstrekking, zorgverlening) --- arts-patiëntrelatie --- preventie --- gezondheidszorgbeleid (gezondheidszorghervorming, gezondheidszorgsysteem) --- santé (concept de santé) --- invalidité (handicap) --- vieillissement --- soins (prestation de soins) --- relation médecin-patient --- prévention --- politique des soins de santé (réforme des soins de santé, système des soins de santé) --- Santé publique --- Médecine sociale --- Médecine --- Health Workforce --- Santé - Aspect social --- Health - Social aspects

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Une première partie présente les acteurs du système de santé français d'un point de vue institutionnel: tutelle, entreprises et personnels de santé, organismes de protection sociale. Une deuxième partie décrit les règles de fonctionnement et les résultats en termes de consommation et de financement. Avec des données chiffrées de 1995.

gezondheidszorg --- gezondheidszorgbeleid (gezondheidszorghervorming, gezondheidszorgsysteem) --- Frankrijk --- soins de santé --- politique des soins de santé (réforme des soins de santé, système des soins de santé) --- France --- Sante, Services de --- Securité sociale --- Assurance-maladie --- Medical care reform --- Sécurité sociale --- Sante publique --- Delivery of Health Care --- Medical policy --- organization & administration --- Insurance, Health --- Public health --- Health services administration --- Medical care --- Santé publique --- Services de santé --- Soins médicaux --- Administration --- Sante, Services de - France --- Sécurité sociale - France --- Assurance-maladie - France --- Sante publique - France

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A collection of essays that cover a range of topics of relevance to health care professionals. The book is intended to fill a gap between introductory texts on medical ethics and in-depth specialized books. It shows the importance of combining philosophical and ethical discussion.

Medical care --- Philosophy. --- Health care and health services. --- Philosophy of medicine. --- gezondheid (gezondheidsconcept) --- gezondheidszorgbeleid (gezondheidszorghervorming, gezondheidszorgsysteem) --- zorg (zorgverstrekking, zorgverlening) --- #GBIB:CBMER --- Delivery of health care --- Delivery of medical care --- Health care --- Health care delivery --- Health services --- Healthcare --- Medical and health care industry --- Medical services --- Personal health services --- Philosophy --- santé (concept de santé) --- politique des soins de santé (réforme des soins de santé, système des soins de santé) --- soins (prestation de soins) --- Public health