Market Justice In Health Care

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In the market justice system, individual choices and resources determine the distribution of healthcare with government having little role. This approach is defined by individualism, self interest and voluntary behavior. Social justice is born on the principles of shared responsibility and communal well-being. Resources are allocated based on ones needs. Social justice in healthcare requires universal coverage and ensured access to care through social insurance, private insurance or some combination of these. Social justice is used in delivered public health. Market justice has long been fundamental component of US healthcare system well in to 20th century. Buyer’s i. e consumers of healthcare used individual resources like personal savings to buy healthcare from sellers in the market. It thrived very well in to 20 th century until employer based health coverage came in to picture. Market justice is mostly applied in private healthcare. Health insurance has its first roots in 1978 and did not take off until middle of 20th century. By 1950 half of US population had health insurance leaving another 75 million without insurance. By 1962 -63 the number of uninsured decreased to 53 million. Medicare and Medicaid was introduced in 1965 and during the same year voluntary employment …show more content…

But again this is “voluntary” and there were no legal mandates. As a result they were free to change coverage, discontinue or modify coverage at will. The small employers had no obligation to even provide health coverage due to lack of health mandate and fierce opposition to government regulations. As a result of all these events, increasingly more and more people became uninsured and were exposed to dreaded consequences of market justice healthcare. Consequences include catastrophic financial burdens, constraints in access to care, underutilization of resources to meet their healthcare

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