Health Care as a Community Good: Many Dimensions, Many Communities, Many Views of Justice

Galarneau, Charlene

doi:10.2307/3528711

Cited by 12 publications

(7 citation statements)

References 16 publications

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“…Although lacking health insurance assuredly predisposes to poorer health outcomes, and is therefore a "social determinant of health," many possible social policies related to 2. See Childress and Fletcher 1975;Levine 1977;Jennings 1990;Menzel 1990;Emanuel 1991;2000;Callahan 1996;Beauchamp 1996;Worthley 1997;Powers and Faden 2000;Goold 2001;Danis et al 2002;2007;Galarneau 2002. employment, the environment, transportation and public safety could provide greater impact on health, and health equity, than ensuring universal health insurance. Given her emphasis on "upstream" social conditions, why choose the one that expands access to healthcare?…”

Section: Ajob 11mentioning

confidence: 97%

Where Can We Find Justice?

Goold

Solomon

2008

The American Journal of Bioethics

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Section: Ajob 11mentioning

confidence: 97%

Where Can We Find Justice?

Goold

Solomon

2008

The American Journal of Bioethics

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“…Hardly. Health care is a social good involving social relations at multiple levels, including the family, communities, states, and the nation (Galarneau 2002), and each level offers health care benefits and g e n e r a t e s c o m m e n s u r a b l e Bd i f f e r e n t i a t e d responsibilities^ (Cochran 1996, 517-521). It is our fundamental interdependence in sharing the benefits and burdens of U.S. health care that motivates the ACA's individual responsibility requirement.…”

Section: Competing Principles? Justice and Religious Libertymentioning

confidence: 99%

Health Care Sharing Ministries and Their Exemption From the Individual Mandate of the Affordable Care Act

Galarneau

2015

Bioethical Inquiry

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The U.S. 2010 Patient Protection and Affordable Care Act (ACA) exempts members of health care sharing ministries (HCSMs) from the individual mandate to have minimum essential insurance coverage. Little is generally known about these religious organizations and even less critical attention has been brought to bear on them and their ACA exemption. Both deserve close scrutiny due to the exemption's less than clear legislative justification, their potential influence on the ACA's policy and ethical success, and their salience to current religious liberty debates surrounding the expansion of religious exemptions from ACA responsibilities for both individuals and corporations. Analyzing documents of the United States' three largest health care sharing ministries and related material, I examine these organizations and their ACA exemption with particular consideration of their ethical dimensions. Here a thick description of the nature and workings of health care sharing ministries precedes a similar account of the ACA exemption. From these empirical analyses, five ethical and policy concerns emerge: (1) the charity versus insurance status of these ministries; (2) the conflation of two ACA religious exemptions; (3) the tension between the values of religious liberty and of justice; (4) the potential undermining of ACA policy goals; and (5) the questionable compliance of health care sharing ministries with ACA exemption requirements. An accurate and informed understanding of HCSMs is required for policymakers and others to justify the ACA exemption of health care sharing ministry members. A sufficient justification would address at least the five ethical and policy concerns raised here.

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“…It also establishes a "Creating Healthier Communities" flexible grant program for health departments to implement, evaluate, and disseminate evidence-based community prevention initiatives to reduce chronic disease and health disparities. Placing community health at the center of the public health enterprise, 10 Creating Healthier Communities will fund innovative programs to prevent injury and disease and promote healthy lifestyles.…”

Section: Prevention and Wellnessmentioning

confidence: 99%