Access, cost, and financing: Achieving an ethical health reform

Norman Daniels, Brendan Saloner, Adriane H. Gelpi

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Three key ethical issues should inform the broader debate about health reform: (1) Why pursue universal coverage? (2) Why is cost containment an ethical issue? (3) What is fairness in financing? After examining these issues, we conclude that the core ethical values underlying each of these goals - including expanding opportunity, sharing burdens equally, and respect for persons - limit the means that can be pursued in health reform. Although national health reform will not accomplish all of the objectives of social justice, true comprehensive reform - even under conditions of political compromise - represents an important step forward.

Original languageEnglish (US)
Pages (from-to)w909-w916
JournalHealth Affairs
Issue number5
StatePublished - Sep 2009
Externally publishedYes

ASJC Scopus subject areas

  • Health Policy


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