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 |
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Format: | Journal Article |
Language: | English |
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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. |
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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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Cites_doi | 10.1017/CBO9780511804830.015 |
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Keywords | Amitai Etzioni Justice Affordable care act Michael Walzer EMTALA Immigration Care Communitarian Medical ethics |
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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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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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