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KMID : 1025620160190040413
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Korean Journal of Medical Ethics
2016 Volume.19 No. 4 p.413 ~ p.429
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The Privatization of Medicine and a Just Health Care System: Means and End
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Park Sang-Hyuk
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Abstract
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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 philosoph-ical-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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KEYWORD
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the privatization of medicine, health care market, just health care system, market instrumentalism, market fundamentalism
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