The Ordinary Virtue and Moral Significance of Health Systems: the Case of Taiwan

Ming-Jui Yeh
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Abstract

The ordinary virtue of health systems is to secure some form of equitable access to health services for all in pursuit of the ideal of universal health coverage, which would sometimes be considered an integral part of the overall institutional arrangements protecting the human right to health. The history of human-established health systems has come close to an end. In this article, I use the Taiwanese health system as an illustrative case to demonstrate how the roles of a health system vary in different periods across multiple colonial histories. It was not until the 1990s, after Taiwan went through democratisation, that the health system began to display ordinary virtue. I further argue that, beyond the ordinary virtue, the Taiwanese health system has moral significance in (1) integrating divided and conflicting identities and forging a new, forward-looking one; and (2) representing Taiwanese people’s declaration against exclusionary global politics by devoting themselves to a space that protects the right to health and a way of life that cherishes the value of equitable access to health services for all.
卫生系统的普通美德与道德意义:台湾案例
卫生系统的一般优点是确保所有人都能以某种形式公平地获得卫生服务,以实现全民医保的理想,这有时会被视为保护人的健康权的总体制度安排的一个组成部分。人类建立卫生系统的历史已接近尾声。在本文中,我以台湾的医疗卫生系统为例,说明在不同时期,医疗卫生系统在多重殖民历史中的作用是如何不同的。直到 20 世纪 90 年代,台湾经历民主化之后,卫生系统才开始展现出普通的美德。我进一步指出,除了普通的美德之外,台湾卫生系统还具有以下道德意义:(1)整合分裂和冲突的身份认同,建立一个新的、前瞻性的身份认同;(2)代表台湾人民对排他性全球政治的宣言,致力于保护健康权的空间和珍视人人平等获得医疗服务价值的生活方式。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
0.90
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