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Health lnsurance: Ethical Considerations in Setting Risk-Differential Health Insurance Rates

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Encyclopedia of Primary Prevention and Health Promotion
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Introduction

The term “prevention” has such benign connotations that, at first glance, it is hard to imagine that it could raise serious ethical concerns. But, generally speaking, disease prevention involves prescriptions about “healthy” and “unhealthy” activities – telling people what they should and should not do – and advising people about how they should lead their lives is central to the preoccupations of ethics: What is a good life? What obligations do citizens have as members of political communities? What rights do individuals have to pursue their own understanding of their best interests? What are the duties of the state for protecting the welfare of its citizens?

The policies and programs of national governments have direct and indirect, intended and unintended, effects on the health and well-being of citizens. The range of government affairs that touch on prevention is immense. Should the government require that people get vaccinated (to control the spread of infectious...

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References

  • Anderson, E. (1999). What is the point of equality? Ethics, 109, 287–337.

    Google Scholar 

  • Cogan, J. F., Glenn Hubbard, R., & Kessler, D. (2011). Healthy, wealthy and wise: Five steps to a better health care system (2nd ed.). Stanford, CA: Hoover Institution Press.

    Google Scholar 

  • Daniels, N. (1985). Just health care. New York: Cambridge University Press.

    Google Scholar 

  • Daniels, N. (1990). Insurance and the HIV epidemic: Ethical issues in underwriting. The Milbank Quarterly, 68(4), 497–525.

    PubMed  CAS  Google Scholar 

  • Daniels, N. (2001). Justice, health, and health care. The American Journal of Bioethics, 1(2), 2–16.

    PubMed  CAS  Google Scholar 

  • Daniels, N. (2008). Just health. New York: Cambridge University Press.

    Google Scholar 

  • Daniels, N., & Sabin, S. (1997). Limits to health care: Fair procedures, democratic deliberation, and the legitimacy problem for insurers. Philosophy and Public Affairs, 26, 303–350.

    PubMed  Google Scholar 

  • Dworkin, R. (2000). Sovereign virtue: The theory and practice of equality. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Dworkin, R. (2011). Justice for hedgehogs. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Feiring, E. (2008). Lifestyle, responsibility and justice. Journal of Medical Ethics, 34, 33–36.

    PubMed  CAS  Google Scholar 

  • Kekes, J. (2006). Justice: A conservative view. Social Philosophy and Policy, 23(2), 88–108.

    Google Scholar 

  • Marmot, M. (2004). The status syndrome: How social standing affects our health longevity. New York: Henry Holt & Company.

    Google Scholar 

  • Marmot, M., & Wilkinson, R. (1999). Social determinants of health. New York: Oxford University Press.

    Google Scholar 

  • McGinnis, J. M., & Foege, W. (1993). Actual causes of death in the United States. JAMA: The Journal of the American Medical Association, 270(18), 2207–2212.

    CAS  Google Scholar 

  • Mokdad, A., Marks, J., Striup, D., & Gerberding, J. (2004). Actual causes of death in the United States, 2000. JAMA: The Journal of the American Medical Association, 291(10), 1238–1245.

    Google Scholar 

  • Murray, T. H. (1992). Genetics and the moral mission of health insurance. The Hastings Center Report, 22(6), 12–17.

    PubMed  CAS  Google Scholar 

  • National Center for Health Statistics. (2011). Health, United States, 2010: In brief. Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Nozick, R. (1974). Anarchy, state and utopia. New York: Basic Books.

    Google Scholar 

  • O’Neill, O. (1997). Genetic information and insurance: Some ethical issues. Philosophical Transactions of the Royal Society B: Biological Sciences, 352(1357), 1087–1093.

    Google Scholar 

  • Pearson, S., & Lieber, S. (2009). Financial penalties for the unhealthy? Ethical guidelines for holding employees responsible for their health. Health Affairs, 28(3), 845–852.

    PubMed  Google Scholar 

  • Rawls, J. (1971). A theory of justice. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Scheffler, S. (1992). Responsibility, reactive attitudes and liberalism in philosophy and politics. Philosophy and Public Affairs, 21(4), 299–323.

    Google Scholar 

  • Schmidt, H. (2008). Bonuses as incentives and rewards for health responsibility: A good thing? Journal of Medicine and Philosophy, 33, 198–220.

    PubMed  Google Scholar 

  • Starr, P. (1984). The social transformation of American medicine. New York: Basic Books.

    Google Scholar 

  • Starr, P. (2011). Remedy and reaction: The peculiar American struggle over health care reform. New Haven, CT: Yale University Press.

    Google Scholar 

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Correspondence to David Buchanan .

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Buchanan, D., Dubois, M. (2014). Health lnsurance: Ethical Considerations in Setting Risk-Differential Health Insurance Rates. In: Gullotta, T.P., Bloom, M. (eds) Encyclopedia of Primary Prevention and Health Promotion. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-5999-6_75

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  • DOI: https://doi.org/10.1007/978-1-4614-5999-6_75

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