Marketisation, Ethics and Healthcare: Policy, Practice and Moral Formation PDF
Preview Marketisation, Ethics and Healthcare: Policy, Practice and Moral Formation
‘ Weaving together original contributions from law, ethics, theology and economics, this book provides many fresh insights into the vexed questions surrounding markets and healthcare – an integrative tour de force!’ Professor Bill Fulford, University of Oxford , UK ‘Healthcare marketisation generates superheated controversy. But here is the cool consideration and balanced debate that is needed as a response. This collection is multifaceted, analytically rich and packed with insights.’ Professor Alan Cribb, King’s College London , UK ‘Markets make good servants but bad masters. But what forms of service can they perform and what evils of mastery do they threaten? These wide-ranging essays address those questions in politically and theologically challenging ways.’ Professor Albert Weale , UCL , UK ‘A signifi cant contribution to bioethics. The topic is timely, the writing brief and clear, and the ideas insightful. It is very balanced, incorporating many perspectives (from Hayek to Marx), and many disciplines (including medicine, economics, philosophy, and theology). I highly recommend it.’ Professor Daniel Sulmasy, Georgetown University , USA Marketisation, Ethics and Healthcare H ow does the market affect and redefi ne healthcare? The marketisation of Western healthcare systems has now proceeded well into its fourth decade. But the nature and meaning of the phenomenon has become increasingly opaque amidst changing discourses, policies and institutional structures. Moreover, ethics has become focussed on dealing with individual, clinical decisions and neglectful of the political economy which shapes healthcare. This interdisciplinary volume approaches marketisation by exploring the debates underlying the contemporary situation and by introducing reconstructive and reparative discourses. The fi rst part explores contrary interpretations of ‘marketisation’ on a systemic level, with a view to organisational-ethical formation and the role of healthcare ethics. The second part presents the marketisation of healthcare at the level of policy-making, discusses the ethical ramifi cations of specifi c marketisation measures and considers the possibility of reconciling market forces with a covenantal understanding of healthcare. The fi nal part examines healthcare workers’ and ethicists’ personal moral standing in a marketised healthcare system, with a view to preserving and enriching virtue, empathy and compassion. Fostering rich refl ection on the moral implications of a marketised healthcare system, this book is suitable for health professionals and for academics and students interested in the health sciences, medical ethics and law, social and public policy, philosophy and theology. Therese Feiler is the postdoctoral researcher with the Oxford Healthcare Values Partnership in the Faculty of Theology and Religion and Research Fellow at Harris Manchester College, University of Oxford, UK. Joshua Hordern leads the Oxford Healthcare Values Partnership and is Associate Professor of Christian Ethics in the Faculty of Theology and Religion and a Fellow of Harris Manchester College, University of Oxford, UK. Andrew Papanikitas is NIHR Academic Clinical Lecturer in General Practice in the Department of Primary Care Health Sciences and Research Fellow at Harris Manchester College, University of Oxford, UK. Routledge Key Themes in Health and Society www.routledge.com/Routledge-Key-Themes-in-Health-and-Society/book- series/RKTHS Available titles include The Story of Nursing in British Mental Hospitals Echoes from the corridors Niall McCrae and Peter Nolan Living with Mental Disorder Insights from qualitative research Jacqueline Corcoran A New Ethic of ‘Older’ Subjectivity, Surgery and Self-stylization Bridget Garnham Social Theory and Nursing Edited by Martin Lipscomb Older Citizens and End-of-Life Care Social work practice strategies for adults in later life Malcolm Payne Digital Technologies and Generational Identity ICT Usage Across the Life Course Sakari Taipale, Terhi-Anna Wilksa and Chris Gilleard Partiality and Justice in Nursing Care Marita Nordhaug Forthcoming titles include Negotiating Ageing Critical Narratives for Cultural Adaptation Simon Biggs Marketisation, Ethics and Healthcare Policy, Practice and Moral Formation Edited by Therese Feiler, Joshua Hordern and Andrew Papanikitas First published 2018 by Routledge 2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN and by Routledge 711 Third Avenue, New York, NY 10017 Routledge is an imprint of the Taylor & Francis Group, an informa business © 2018 selection and editorial matter, Therese Feiler, Joshua Hordern and Andrew Papanikitas; individual chapters, the contributors The right of Therese Feiler, Joshua Hordern and Andrew Papanikitas to be identifi ed as the authors of the editorial material, and of the authors for their individual chapters, has been asserted in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988. With the exception of Chapters 4 and 7, no part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers. Chapters 4 and 7 of this book are available for free in PDF format as Open Access from the individual product page at www.routledge.com. They have been made available under a Creative Commons Attribution-Non Commercial-No Derivatives 4.0 license. Trademark notice : Product or corporate names may be trademarks or registered trademarks, and are used only for identifi cation and explanation without intent to infringe. British Library Cataloguing-in-Publication Data A catalogue record for this book is available from the British Library Library of Congress Cataloging-in-Publication Data A catalog record for this book has been requested ISBN: 978-1-138-73573-6 (hbk) ISBN: 978-1-315-18635-1 (ebk) Typeset in Times New Roman by Apex CoVantage, LLC οὐδεὶς δύναται δυσὶ κυρίοις δουλεύειν Matthew 6:24 Contents Acknowledgements xi Contributors xii Foreword xvi MUIR GRAY Introduction 1 THERESE FEILER, JOSHUA HORDERN AND ANDREW PAPANIKITAS PART I The place of the market 11 1 Why the economic calculation debate matters: the case for decentralisation in healthcare 13 PYTHAGORAS PETRATOS 2 The corruption of medical morality under advanced capitalism 32 MIRAN EPSTEIN 3 Organisational ethics: a solution to the challenges of markets in healthcare? 49 LUCY FRITH PART II The infl uence of the market 65 4 Encoding truths? Diagnosis-Related Groups and the fragility of the marketisation discourse 67 THERESE FEILER
The list of books you might like
