Who is my neighbor? A communitarian analysis of access to health care for immigrants

Immigrants lacking health insurance access the health care system through the emergency departments of non-profit hospitals. Because these persons lack health insurance, continued care can pose challenges to those institutions. I analyze the values of our health care institutions, utilizing a Walzer...

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Published in:Theoretical medicine and bioethics Vol. 32; no. 5; pp. 327 - 336
Main Author: Kuczewski, Mark G.
Format: Journal Article
Language:English
Published: Dordrecht Springer Netherlands 01-10-2011
Springer Nature B.V
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Abstract Immigrants lacking health insurance access the health care system through the emergency departments of non-profit hospitals. Because these persons lack health insurance, continued care can pose challenges to those institutions. I analyze the values of our health care institutions, utilizing a Walzerian approach that describes its appropriate sphere of justice. This particular sphere is dominated by a caring response to need. I suggest that the logic of this sphere would be best preserved by providing increased access to health insurance to this population. This access would marry the rights of these members of our community to access care to our responsibility to contribute to financing of the system. I close with some considerations on what it means to be a member of the community.
AbstractList Immigrants lacking health insurance access the health care system through the emergency departments of non-profit hospitals. Because these persons lack health insurance, continued care can pose challenges to those institutions. I analyze the values of our health care institutions, utilizing a Walzerian approach that describes its appropriate sphere of justice. This particular sphere is dominated by a caring response to need. I suggest that the logic of this sphere would be best preserved by providing increased access to health insurance to this population. This access would marry the rights of these members of our community to access care to our responsibility to contribute to financing of the system. I close with some considerations on what it means to be a member of the community.
Author Kuczewski, Mark G.
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/21922350$$D View this record in MEDLINE/PubMed
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CitedBy_id crossref_primary_10_1002_hast_1098
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Cites_doi 10.1017/CBO9780511804830.015
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Theoretical Medicine and Bioethics is a copyright of Springer, (2011). All Rights Reserved.
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Issue 5
Keywords Amitai Etzioni
Justice
Affordable care act
Michael Walzer
EMTALA
Immigration
Care
Communitarian
Medical ethics
Language English
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PublicationSubtitle Philosophy of Medical Research and Practice
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References U.S. Congress. 1986. Emergency medical treatment and active labor act. In Social security act, section 1867(a). https://www.cms.gov/EMTALA/. Accessed August 2, 2011.
WalzerMichaelSpheres of justice: A defense of pluralism and equality1983New YorkBasic Books
SandelMichael JLiberalism and the limits of justice1982New YorkCambridge University Press
EtzioniAmitaiSwainCarolHispanics and Asian immigrants: America’s last hopeDebating immigration2007New YorkCambridge University Press189205
U.S. Congress. 2005. Border protection, antiterrorism, and illegal immigration control act. HR 4437. 109th Cong. http://thomas.loc.gov/cgi-bin/query/z?c109:H.R.4437. Accessed August 2, 2011.
EtzioniAmitaiCommunitarian solutions/what communitarians thinkJournal of State Government1992651911
Amitai Etzioni (9195_CR6) 2007
Michael Walzer (9195_CR2) 1983
Amitai Etzioni (9195_CR5) 1992; 65
9195_CR4
9195_CR3
Michael J Sandel (9195_CR1) 1982
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  year: 1983
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  volume-title: Debating immigration
  year: 2007
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  doi: 10.1017/CBO9780511804830.015
  contributor:
    fullname: Amitai Etzioni
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– volume-title: Liberalism and the limits of justice
  year: 1982
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    fullname: Michael J Sandel
– volume: 65
  start-page: 9
  issue: 1
  year: 1992
  ident: 9195_CR5
  publication-title: Journal of State Government
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    fullname: Amitai Etzioni
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Snippet Immigrants lacking health insurance access the health care system through the emergency departments of non-profit hospitals. Because these persons lack health...
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SubjectTerms Delivery of Health Care - economics
Delivery of Health Care - ethics
Education
Emigrants and Immigrants
Ethics
General Surgery
Health care access
Health care policy
Health insurance
Health Services Accessibility - economics
Health Services Accessibility - ethics
Health Services Accessibility - legislation & jurisprudence
Health Services Accessibility - standards
Health Services Accessibility - trends
Health Services Needs and Demand - economics
Health Services Needs and Demand - ethics
History of Medicine
Human Rights
Humans
Immigrants
Insurance, Health - economics
Insurance, Health - ethics
Patient Protection and Affordable Care Act
Patient Rights
Philosophy
Philosophy of Medicine
Social Justice
Social Responsibility
Theory of Medicine/Bioethics
United States
Title Who is my neighbor? A communitarian analysis of access to health care for immigrants
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Volume 32
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