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The Ethics of Universal Health Insurance$
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Alex Rajczi

Print publication date: 2019

Print ISBN-13: 9780190946838

Published to Oxford Scholarship Online: June 2019

DOI: 10.1093/oso/9780190946838.001.0001

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The Case for Universal Health Insurance

The Case for Universal Health Insurance

(p.233) Chapter Six The Case for Universal Health Insurance
The Ethics of Universal Health Insurance

Alex Rajczi

Oxford University Press

The previous chapters have examined three significant objections to universal health insurance—objections focused on fiscal risk, efficacy, and personal cost. This chapter synthesizes the responses to those concerns, revealing that they fit together into a single, coherent outlook on the ethics of health care. It is argued that in light of the considerations offered in previous chapters, the Affordable Care Act is problematic—deserving of support only in the face of inferior alternatives. In contrast, there are no similar problems with well-designed single-payer or regulated-market systems. The chapter concludes with some reflections on the next steps in a complete case for universal health insurance.

Keywords:   universal health insurance, Affordable Care Act, ACA, single-payer, regulated market, health care

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