{"title":"The Moral Foundations of Health Sector Solidarity in Taiwan.","authors":"Yu-Chun Hsieh, Ming-Jui Yeh","doi":"10.1007/s10728-026-00601-1","DOIUrl":null,"url":null,"abstract":"<p><p>People's supportive attitudes towards the publicly funded health system are crucial for ensuring the system's sustainability through crises and maintaining its core functions of funding and providing health services for all. In the literature, this supportive attitude is considered a form of health sector solidarity. Existing explanations for health sector solidarity focus on individuals' feedback to the health system-such as satisfaction and performance evaluation-but pay scant attention to the moral judgements underlying this solidaristic attitude. This study aims to investigate the moral foundations of health sector solidarity in Taiwan. Using the Taiwan Society Political and Moral Values Survey 2025 data, the study examines the relationships between health sector solidarity and moral foundations. The findings indicate that, after controlling for respondents' socio-demographic characteristics and health system-related attitudes, solidarity is positively associated with beliefs in mutual assistance, reciprocity, the human right to health, and self-interest, and negatively associated with meritocracy. National sentiment is not significantly associated with health sector solidarity. By including the moral foundations, this study provides a more comprehensive examination of the factors influencing health sector solidarity in Taiwan and informs future health reform agendas.</p>","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.4000,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Care Analysis","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10728-026-00601-1","RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ETHICS","Score":null,"Total":0}
引用次数: 0
Abstract
People's supportive attitudes towards the publicly funded health system are crucial for ensuring the system's sustainability through crises and maintaining its core functions of funding and providing health services for all. In the literature, this supportive attitude is considered a form of health sector solidarity. Existing explanations for health sector solidarity focus on individuals' feedback to the health system-such as satisfaction and performance evaluation-but pay scant attention to the moral judgements underlying this solidaristic attitude. This study aims to investigate the moral foundations of health sector solidarity in Taiwan. Using the Taiwan Society Political and Moral Values Survey 2025 data, the study examines the relationships between health sector solidarity and moral foundations. The findings indicate that, after controlling for respondents' socio-demographic characteristics and health system-related attitudes, solidarity is positively associated with beliefs in mutual assistance, reciprocity, the human right to health, and self-interest, and negatively associated with meritocracy. National sentiment is not significantly associated with health sector solidarity. By including the moral foundations, this study provides a more comprehensive examination of the factors influencing health sector solidarity in Taiwan and informs future health reform agendas.
期刊介绍：
Health Care Analysis is a journal that promotes dialogue and debate about conceptual and normative issues related to health and health care, including health systems, healthcare provision, health law, public policy and health, professional health practice, health services organization and decision-making, and health-related education at all levels of clinical medicine, public health and global health. Health Care Analysis seeks to support the conversation between philosophy and policy, in particular illustrating the importance of conceptual and normative analysis to health policy, practice and research. As such, papers accepted for publication are likely to analyse philosophical questions related to health, health care or health policy that focus on one or more of the following: aims or ends, theories, frameworks, concepts, principles, values or ideology. All styles of theoretical analysis are welcome providing that they illuminate conceptual or normative issues and encourage debate between those interested in health, philosophy and policy. Papers must be rigorous, but should strive for accessibility – with care being taken to ensure that their arguments and implications are plain to a broad academic and international audience. In addition to purely theoretical papers, papers grounded in empirical research or case-studies are very welcome so long as they explore the conceptual or normative implications of such work. Authors are encouraged, where possible, to have regard to the social contexts of the issues they are discussing, and all authors should ensure that they indicate the ‘real world’ implications of their work. Health Care Analysis publishes contributions from philosophers, lawyers, social scientists, healthcare educators, healthcare professionals and administrators, and other health-related academics and policy analysts.
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