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Confucian Trust, Market and Health Care Reform Julia Tao Health care systems in the world are beset by a common problem. The problem to frame a moral basis for health care policy that provides all citizens with basic coverage, encourages innovation, contains costs, and supports commitment to trust and responsibility which can guarantee the reliable function of the market and the ethical behaviour of health care professionals. This paper begins with the background recognition that, first, while medical advances offer the prospect of lowering morbidity and morality risks through the development of ever more effective health care interventions, they at the same time generate more costs, particularly in societies with an increasing proportion of the population advancing beyond retirement age. Second, there are evidences that an egalitarian health care system which provides all citizens with all health care ser- vices can create moral hazards by removing incentives for the prudent choice and use of health care resources. Third, market forces can contribute to the efficient dis- tribution of medical goods and services, and to spur medical innovation in a medical market, if an appropriate balance is achieved between the roles of the government, private investment, and the market. Fourth,
Published: Jan 1, 2008
Keywords: Common Good; Moral Ideal; Moral Character; Health Care Reform; Private Interest
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