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The Privatization of Medicine and a Just Health Care System: Means and End

Sang-Hyuk Park 1

1동아대학교

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ABSTRACT

The privatization of medicine raises a number of empirical, philosophical, and ethical issues that are best approached from an interdisciplinary perspective. In this paper, I approach the problem from philosophical-ethical viewpoint and argue as follows. Health care is an atypical commodity that can be privatized through imperfect or partial marketization. Additionally, while altruism is compatible with a certain kind of medical commercialism, a just health care system is one which accommodates equity, efficiency, and public accountability. Market instrumentalists hold that markets are the means to achieve the objective of a just health care system, whereas market fundamentalists regard markets as ends in themselves. I argue that while market instrumentalism is the superior view, when a market is implemented it should fulfil quite strict criteria.

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This paper was written with support from the National Research Foundation of Korea.
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