Values-Based Foundation for a U.S. Single Payer Health System Model

A universal, single payer model for the American health system aligns with and should emanate from commonly held values contained within the country’s foundational religious teachings, morals, ethics and democratic heritage. The Affordable Care Act in its attempt to create expanded health access has...

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Main Authors: Walter Markowitz, Renee McLeod-Sordjan
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-04-01
Series:Frontiers in Sociology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsoc.2021.627560/full
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author Walter Markowitz
Renee McLeod-Sordjan
author_facet Walter Markowitz
Renee McLeod-Sordjan
author_sort Walter Markowitz
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description A universal, single payer model for the American health system aligns with and should emanate from commonly held values contained within the country’s foundational religious teachings, morals, ethics and democratic heritage. The Affordable Care Act in its attempt to create expanded health access has met with significant challenges. The conservative Supreme Court decreases the likelihood of a federal mandated single payer model. As uncertainty of the structure of the healthcare system increases, this paper supports its transformation to a single payer model. Healthcare should be considered a duty within the framework of a Kantian approach to ethics and a social good. Evidently ignoring this duty, the American health system perpetuates a healthcare underclass, with underserved portions of the population, with unequal access to quality care and persistent health status and outcome disparities. The COVID-19 pandemic demonstrated the effect of social determinants on optimal health outcome. A health insurance system based on the nation’s commonly held values has the potential to eliminate these disparities.
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spelling doaj.art-2117ca89db9041e2a6d2f59b02a6e4a72022-12-21T21:25:21ZengFrontiers Media S.A.Frontiers in Sociology2297-77752021-04-01610.3389/fsoc.2021.627560627560Values-Based Foundation for a U.S. Single Payer Health System ModelWalter MarkowitzRenee McLeod-SordjanA universal, single payer model for the American health system aligns with and should emanate from commonly held values contained within the country’s foundational religious teachings, morals, ethics and democratic heritage. The Affordable Care Act in its attempt to create expanded health access has met with significant challenges. The conservative Supreme Court decreases the likelihood of a federal mandated single payer model. As uncertainty of the structure of the healthcare system increases, this paper supports its transformation to a single payer model. Healthcare should be considered a duty within the framework of a Kantian approach to ethics and a social good. Evidently ignoring this duty, the American health system perpetuates a healthcare underclass, with underserved portions of the population, with unequal access to quality care and persistent health status and outcome disparities. The COVID-19 pandemic demonstrated the effect of social determinants on optimal health outcome. A health insurance system based on the nation’s commonly held values has the potential to eliminate these disparities.https://www.frontiersin.org/articles/10.3389/fsoc.2021.627560/fullsingle payer health carevalue based ethicssingle payer health care reformKantian ethicshealth care for all
spellingShingle Walter Markowitz
Renee McLeod-Sordjan
Values-Based Foundation for a U.S. Single Payer Health System Model
Frontiers in Sociology
single payer health care
value based ethics
single payer health care reform
Kantian ethics
health care for all
title Values-Based Foundation for a U.S. Single Payer Health System Model
title_full Values-Based Foundation for a U.S. Single Payer Health System Model
title_fullStr Values-Based Foundation for a U.S. Single Payer Health System Model
title_full_unstemmed Values-Based Foundation for a U.S. Single Payer Health System Model
title_short Values-Based Foundation for a U.S. Single Payer Health System Model
title_sort values based foundation for a u s single payer health system model
topic single payer health care
value based ethics
single payer health care reform
Kantian ethics
health care for all
url https://www.frontiersin.org/articles/10.3389/fsoc.2021.627560/full
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