The British national healthcare system

 

The British national healthcare system owns many hospitals and directly employs workers. General practitioner salaries are set by the British government. The funding for healthcare services comes mostly from the government. This is significantly different from the US healthcare systems. Consider the issues with government healthcare programs in financing and administration. Address the following:

Would the US be able to transit to the British style of national healthcare? Why or why not?
In comparison to the British system and US system, what would be some of the challenges the US would face in adopting a national healthcare system? Discuss at least three challenges.

 

Sample Solution

In the UK, a national system of healthcare, paid for all by citizens through taxes, provides a universal safety net. The US has settled for a complicated mix of private insurance and government subsidized programmes, often managed by private companies. The result is not just whether one has or does not have insurance. The current crisis in America`s health care is well recognized. Numerous studies have led to the conclusion that “the burden of harm conveyed by the collective impact of all of our health care quality problems is staggering” (Chassin et al., 1998:1005). The health care system can hardly be called a system. Rather it is a dizzying array of highly decentralized sectors.

g Vittola’s normative claim on authority is outdated. This is further supported by Frowe’s claim that the leader needs to represent the people’s interests, under legitimate authority, which links on to the fourth condition: Public declaration of war. Agreed with many, there must be an official announcement on a declaration of war (Frowe (2011), Page 59-60&63).
Finally, the most controversial condition is that wars should have a reasonable chance of success. As Vittola reiterated, the aim of war is to establish peace and security; securing the public good. If this can’t be achieved, Frowe argues it would be better to surrender to the enemy. This can be justified because the costs of war would have been bigger (Frowe (2011), Page 56-7).
Consequently, jus ad bellum comprises several conditions but most importantly: just cause and proportionality. This gives people a guide whether it’s lawful to enter a war or not. However, this is only one part of the theory of the just war. Nevertheless, it can be seen above that jus ad bellum can be debated throughout, showing that there is no definitive theory of a just war, as it is normatively theorised.

Jus in bello

The second section begins deciphering jus in bello or what actions can we classify as permissible in just wars (Begby et al (2006b), Page 323).
First, it is never just to intentionally kill innocent people in wars, supported by Vittola’s first proposition. This is widely accepted as ‘all people have a right not to be killed’ and if a soldier does, they have violated that right and lost their right. This is further supported by “non-combatant immunity” (Frowe (2011), Page 151), which leads to the question of combatant qualification mentioned later in the essay. This is corroborated by the bombing of Nagasaki and Hiroshima, ending the Second World War, where millions were intently killed, just to secure the aim of war. However, sometimes civilians are accidentally killed through wars to achieve their goal of peace and security. This is supported by Vittola, who implies proportionality again to justify action: ‘care must be taken where evil doesn’t outweigh the possible benefits (Begby et al (2006b), Page 325).’ This is further supported by Frowe who explains it is lawful to unintentionally kill, whenever the combatant has full knowledge of his actions and seeks to complete his aim, but it would come at a cost. Howev

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