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Essay / Research Paper Abstract
A 7 page paper discussing the ethics of a two-tier health system, using comparison of the Canadian and US systems and the principles of distributive justice and utilitarianism. The paper concludes that most insured Americans have no choice in their insurers; the uninsured simply have no choice. In terms of distributive justice, it is the welfare principle based on utilitarianism that appears to be the most workable. If health care is a right, then likely the two-tier system is the most ethical structure. Bibliography lists 6 sources in 13 footnotes.
Page Count:
7 pages (~225 words per page)
File: CC6_KShlthCar2tierEth.rtf
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Unformatted sample text from the term paper:
the number of uninsured citizens approaching 47 million in the United States,1 it has become obvious that "someone" must "do something." There are sound arguments for that "someone" to
be the free market system; there are many others that favor national health care as practiced in Canada. The purpose here is to discuss the ethics of the two-tiered
health care system. Canadas System Canada as a nation was been interested in fully accessible health care long before health care costs began
their rocketing upward spiral a few decades ago. Thomas C. Douglas (1904-1986) was a politician that led Saskatchewan to the distinction of having the first government-based hospital insurance in
Canada in 1947.2 Parliament passed legislation creating universal access to all types of care in 1984, completing the vision that Thomas Douglas began working for decades earlier.3 Five Principles
The purpose of the Canada Health Act was to "ensure that all residents of Canada have access to necessary hospital and physician services
on a prepaid basis."4 Five guiding principles provide a framework within which the system must be contained. Those five principles are: * Public Administration; * Comprehensiveness - "all
medically necessary services provided by hospitals and doctors must be insured;"5 * Universality - ensures uniform terms and conditions for all citizens; * Portability - the insured person retains coverage
when moving to another part of Canada or traveling outside the country; * Accessibility - Canadas insured citizens must be provided with "reasonable access" to care, "unimpeded by financial or
other barriers."6 Financing and Payment Structures Local governments and municipalities receive funds transfers from the federal government according to a count of those
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