{"title":"反社会的美国医疗保健制度:以社会为导向的改革案例。","authors":"Aimee Milliken, Olaf Dammann","doi":"10.1353/pbm.2025.a968850","DOIUrl":null,"url":null,"abstract":"<p><p>In the US, there has historically been strong public opposition to health-care reform involving \"socialized medicine.\" This resistance, at least in part, is influenced by a deeply entrenched individualistic ethos. It is becoming increasingly clear, however, that the current US health-care system is broken, and that existing systems around the world achieve better outcomes while costing less. This article argues that learning from these systems should be possible. The authors describe roadblocks to health-care reform in the US, including social fragmentation, resistance to global models, and the prioritization of profit over well-being; argue that a value system that prioritizes the individual over the collective precludes successful health-care reform; highlight shortcomings of the US model; and propose that reimagining health care through a socially oriented lens, emphasizing collective and reciprocal moral obligations, may offer a path forward.</p>","PeriodicalId":54627,"journal":{"name":"Perspectives in Biology and Medicine","volume":"68 3","pages":"444-452"},"PeriodicalIF":0.7000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Anti-Social US Health-Care System: A Case for Socially Oriented Reform.\",\"authors\":\"Aimee Milliken, Olaf Dammann\",\"doi\":\"10.1353/pbm.2025.a968850\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>In the US, there has historically been strong public opposition to health-care reform involving \\\"socialized medicine.\\\" This resistance, at least in part, is influenced by a deeply entrenched individualistic ethos. It is becoming increasingly clear, however, that the current US health-care system is broken, and that existing systems around the world achieve better outcomes while costing less. This article argues that learning from these systems should be possible. The authors describe roadblocks to health-care reform in the US, including social fragmentation, resistance to global models, and the prioritization of profit over well-being; argue that a value system that prioritizes the individual over the collective precludes successful health-care reform; highlight shortcomings of the US model; and propose that reimagining health care through a socially oriented lens, emphasizing collective and reciprocal moral obligations, may offer a path forward.</p>\",\"PeriodicalId\":54627,\"journal\":{\"name\":\"Perspectives in Biology and Medicine\",\"volume\":\"68 3\",\"pages\":\"444-452\"},\"PeriodicalIF\":0.7000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Perspectives in Biology and Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1353/pbm.2025.a968850\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"HISTORY & PHILOSOPHY OF SCIENCE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Perspectives in Biology and Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1353/pbm.2025.a968850","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HISTORY & PHILOSOPHY OF SCIENCE","Score":null,"Total":0}
The Anti-Social US Health-Care System: A Case for Socially Oriented Reform.
In the US, there has historically been strong public opposition to health-care reform involving "socialized medicine." This resistance, at least in part, is influenced by a deeply entrenched individualistic ethos. It is becoming increasingly clear, however, that the current US health-care system is broken, and that existing systems around the world achieve better outcomes while costing less. This article argues that learning from these systems should be possible. The authors describe roadblocks to health-care reform in the US, including social fragmentation, resistance to global models, and the prioritization of profit over well-being; argue that a value system that prioritizes the individual over the collective precludes successful health-care reform; highlight shortcomings of the US model; and propose that reimagining health care through a socially oriented lens, emphasizing collective and reciprocal moral obligations, may offer a path forward.
期刊介绍:
Perspectives in Biology and Medicine, an interdisciplinary scholarly journal whose readers include biologists, physicians, students, and scholars, publishes essays that place important biological or medical subjects in broader scientific, social, or humanistic contexts. These essays span a wide range of subjects, from biomedical topics such as neurobiology, genetics, and evolution, to topics in ethics, history, philosophy, and medical education and practice. The editors encourage an informal style that has literary merit and that preserves the warmth, excitement, and color of the biological and medical sciences.