© 2010 Jones and Bartlett Publishers, LLC Justness, Health Care, and Health Disparities Chapter 3

© 2010 Jones and Bartlett Publishers, LLC Race/Ethnicity, Trust and Health Disparities: Trustworthiness, Ethics, and Action  Strengthen individuals  Strengthen communities  Improve living conditions  Promote health micro- policies  Divide work forces fairly  Promote different work among communities  Ensure accountability  Act on assumption Ensure fair locations of resources Ensure equal, high quality humanistic care Promote fair partnership with communities Develop transparent policies Promote continue outcome assessment Develop programs based on trustworthiness

© 2010 Jones and Bartlett Publishers, LLC Justness, Health Care, and Health Disparities  The Idea of Health Disparities  Justice vs. Justness  Health care as a social good  Health care can be integrally connected to what it means to be humans and Justness can be part of enhancing the capability to live more and more

© 2010 Jones and Bartlett Publishers, LLC Justness, Health Care, and Health Disparities  The Idea of Health Disparities  NCMHHD  Focus socioeconomics roots  Healthy People 2010  Marginalization depends on Income, Work, Person condition, English familiarity, Age, Rural vs. Urban  How Justness and Health Disparities can be consider: AutonomyBeneficence Justice No malfeasance J Mantra

© 2010 Jones and Bartlett Publishers, LLC Justness, Health Care, and Health Disparities  How Justness and Health Disparities Might Be Considered an Ethics Afterthought  Principals is how to approach ethics  Autonomy is own preferences  Professionalism  A physician shall support access to medical care for all people, advocate for social, economic, educational and political changes that ameliorated suffering and contribute to human well-being

© 2010 Jones and Bartlett Publishers, LLC Justness, Health Care, and Health Disparities  Professionalism and Justness  Social contrast  Individual responsibility  Universal coverage  Responsibility toward society  Bioethical problems

© 2010 Jones and Bartlett Publishers, LLC Justness, Health Care, and Health Disparities  Justness for a New View  Justness on distribution of a commodity: i.e.,  insurance, plan to cost, distribution of the money  Distribution of the goods of society  Philosophers view the goods as first in order of priority, then distribution

© 2010 Jones and Bartlett Publishers, LLC Justness, Health Care, and Health Disparities  Private property  Walzer Theory  Most cultures has the distribution as the dominate system, possession of more and more goods  Health care method is dominant, sometimes ethically unacceptable, with a lot of investment and big business

© 2010 Jones and Bartlett Publishers, LLC Justness, Health Care, and Health Disparities  Our nation faces heart disease, respiratory illness, diabetes and obesity  Low-tech solutions with little investment monetary and political, poor education, devastating effects with wrong publicity  Government has limits funds  We are the only developed country in the World without UNIVERSAL health care for citizens: we spend more and get less……