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Bounded Healthcare: An Examination of the History and Future of American Federal Healthcare Delivery Systems

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title
Bounded Healthcare: An Examination of the History and Future of American Federal Healthcare Delivery Systems
author
Oliver, Nicolas Jean-Louis Hargraves
abstract
In this thesis, I will argue that a new deservingness-based system of healthcare is a viable solution to several of the main issues of current healthcare policy in the United States. To accomplish this, I will first analyze the history of federal healthcare policy to determine why the policy changes. My analysis of this history will conclude that policy is made on an ad hoc basis in response to economic crises or failures to implement a universal healthcare system. The result of these failures is that there are still many issues facing the American healthcare system today, which I will investigate to identify the primary objectives of my proposed healthcare reform. To philosophically justify a system of deservingness-based healthcare, I will explore the philosophy of rationing and when it is permissible and under what conditions. Moreover, I will aim to demonstrate that utilitarianism bounded by liberal theory can fulfill the criteria necessary for its implementation. Finally, I will explain the mechanics of how a deservingness-based healthcare system might operate, from how deservingness can be calculated to how deservingness can impact healthcare outcomes.
subject
Deservingness
Health Policy
Healthcare Delivery
Rationing
Rule Utilitarianism
contributor
Hall, Mark (advisor)
Colgrove, Nicholas (committee member)
date
2023-09-08T08:35:23Z (accessioned)
2023-09-08T08:35:23Z (available)
2023 (issued)
degree
Bioethics (discipline)
identifier
http://hdl.handle.net/10339/102610 (uri)
language
en (iso)
publisher
Wake Forest University
type
Thesis

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