health

Market Justice

Social Justice

Views healthcare as a economic good

Views health care as a social resource

Assumes free market conditions for health care delivery

Requires active government involvement in health care delivery

Assumes that markets are more efficient at allocating health resources equitably

Assumes the government is more efficient at allocating health resources equitably

Production and distribution of health care services determined on market based demand

Medical resource allocation determined by government central planning

Medical care distribution based on people’s ability to pay

Ability to pay inconsequential for receiving medical care

Access to medical care seen as an economic reward for personal effort and achievement

Equal access to medical services viewed as a basic right

Market Justice

Social Justice

Individual responsibility for health

Collective responsibility for health

Benefits based on individual purchasing power

Everyone is entitled to a basic package of benefits

Limited obligation to the collective good

Strong obligation to the collective good

Emphasis on individual well being

Community well-being supersedes that of the individual

Private solutions to social problems

Public solutions to social problems

Rationing based on ability to pay

Planned rationing of health care