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Make an Ethical Difference by Mark Pastin

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Chapter TenEthics-Based Healthcare Reform

Healthcare is the source of many profound ethical issues. Part of the reason for this is intrinsic to healthcare and part is our own doing. Health care is intrinsically ethically complex because it deals with matters of identity, life, birth, suffering, and death. These are ethically complex topics in their own right, and they become even more so when you stir money into the mix.

This intrinsic ethical complexity is compounded many times over by the way we have chosen to pay for healthcare. We seem to have found a way to get the least amount of healthcare for the most money. It is often extremely difficult, if not outright impossible, for our ethics sense to guide our choices at the nexus of money and ...

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