In most other countries in the world, government plays a central role in covering health care needs; however, in the United States, the private sector (in the form of employer-sponsored health insurance) serves as the dominant form of medical coverage. For this assignment, discuss the following:
Describe and discuss some of the ethical concerns or problems that exist because of the dominant form of employer-sponsored health insurance.
Discuss reform actions that the U.S. government has taken to reduce the ethical concerns or problems that you discussed.
Define the ethical principle of justice, and discuss its role in the U.S. health care system.
The U.S. government has taken some steps to reduce the ethical concerns or problems that exist with employer-sponsored health insurance. For example, the Affordable Care Act (ACA) prohibits insurance companies from denying coverage to people with preexisting conditions and requires all plans to cover a set of essential health benefits. However, the ACA does not address all of the ethical concerns or problems with employer-sponsored health insurance.
The ethical principle of justice is the idea that everyone should be treated fairly and equally. In the context of health care, justice means that everyone should have access to quality, affordable health care, regardless of their income, employment status, or preexisting conditions.
The U.S. health care system does not currently achieve justice. People who are poor, unemployed, or have preexisting conditions are less likely to have access to health care than people who are wealthy, employed, and healthy. This is because health care is expensive, and many people cannot afford to pay for it out of pocket.
There are a number of things that could be done to make the U.S. health care system more just. One possibility is to create a single-payer health care system, in which the government would be the sole payer for health care. This would ensure that everyone had access to health care, regardless of their ability to pay. Another possibility is to expand Medicaid, the government health insurance program for low-income people. This would also make health insurance more affordable for more people.
Ultimately, achieving justice in the U.S. health care system will require a significant commitment from the government and the private sector. However, it is an important goal, and it is one that we should strive to achieve.