Caring for the Poor and Vulnerable: A Virtue Analysis of Mandated Health Insurance Compared with Healthcare Sharing Ministries.

The Linacre Quarterly Pub Date : 2021-02-01 Epub Date: 2020-08-20 DOI:10.1177/0024363920949790
Ezra Sullivan
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Abstract

In the present time, what has been called the "medical-industrial insurance complex" in the United States needs reform. As health insurance in the United States remains inaccessible to millions of people, and as prices continue to rise, questions arise about the most moral ways to ensure delivery of health care especially to the most vulnerable populations. In this essay, I offer a virtue analysis of the moral implications of health insurance mandated by the US Government in contrast to an increasingly popular alternative to insurance, namely, healthcare sharing ministries. In part 1, I list some of the moral problems entangled with US Government-mandated health insurance, including injustice, disrespect for patient autonomy, limitations on patient freedom, exploitation of patients for profit, undermining of conscience rights, cooperation with evil, and scandal. In part 2, I discuss the issue of risk and then list some potential moral advantages to healthcare ministries, including respect for patient autonomy, conscience, and the religious freedom to witness to the Catholic faith in charity and solidarity.

Summary: Mandated health insurance the United States presents some moral challenges for conscientious Catholics, whereas healthcare sharing ministries appear to ameliorate some of these issues. Ultimately, the individual should have freedom to choose either insurance or healthcare sharing, given the different benefits and risks entailed by both.

照顾穷人和弱势群体:强制性医疗保险与医疗保健共享部门的美德分析。
目前,美国所谓的“医疗-工业保险联合体”需要改革。由于美国数以百万计的人仍然无法获得医疗保险,由于价格继续上涨,关于确保向特别是最弱势群体提供医疗保健的最道德方式的问题出现了。在这篇文章中,我对美国政府授权的健康保险的道德含义进行了美德分析,与日益流行的保险替代方案(即医疗保健共享部门)形成对比。在第一部分中,我列举了一些与美国政府强制医疗保险纠缠在一起的道德问题,包括不公正、不尊重患者自主权、限制患者自由、利用患者牟利、破坏良心权利、与邪恶合作以及丑闻。在第2部分中,我讨论了风险问题,然后列出了医疗保健部门的一些潜在道德优势,包括尊重患者自主权、良心和宗教自由,以见证天主教对慈善和团结的信仰。摘要:美国强制医疗保险对良心天主教徒提出了一些道德挑战,而医疗保健共享部门似乎改善了这些问题中的一些。最终,个人应该有自由选择保险或医疗保健共享,考虑到两者所带来的不同利益和风险。
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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