Health Care as a Right of Citizenship

The Continuing Evolution of Reform

Gunnar Almgren

• Publisher: Columbia University Press
• Year: 2017
• ISBN:
  9780231543316
• Topic: Politics & International Relations
• Subtopic: Social Policy
• Index: Politics & International Relations

While the Obama administration's Patient Protection and Affordable Care Act (ACA) has expanded health care coverage for millions of Americans, it has fallen short in offering universal health care to all. In Health Care as a Right of Citizenship, Gunnar Almgren argues that the ACA's primary significance is not in its expansion of health care entitlements but in its affirming by an act of Congress the idea that comprehensive health care must be available to all as a right of citizenship. The mainstream American public now views access to affordable health care to all citizens as a crucial function of just and effective governance—and any proposed alternative to the ACA must be reconciled with that expectation. This ambitious book examines how the American health care system must be further reformed to bring it closer in line with the ideals of a modern democracy, as well as how the ACA may change in the coming years. It suggests the next, natural step in the realization of health and well being as a fundamental human right.

Based on a close analysis of the writings of sociologist TH Marshall and philosopher John Rawls, this book examines the theoretical foundations for health care as a social right of citizenship. Almgren then translates these theoretical principles into core health care policy aims. Throughout, he argues that the ACA is but an evolutionary step toward a more radical and fundamental health care reform. Almgren suggests how such a restructured health care system might operate, with specific proposals for its financing and delivery systems. He also explores the special issues and considerations that all nations must grapple with as they seek to provide a sustainable social right to health care.

Health Care as a Right of Citizenship will stimulate and challenge readers who take an interest in America's health care policy, particularly those who wish for a health care system that is both financially sustainable and capable of making healthcare accessible, adequate, and affordable to all Americans, irrespective of their societal position and individual health needs.

Table of contents

• Cover
• Title Page
• Copyright
• Dedication
• Contents
• Preface
• Acknowledgments
• 1. Statement of the Problem: American Exceptionalism in Health Care and the Emergence of the Great Unsustainable Compromise
• 2. The Emergence of the New Era of Reform
• 3. The Theoretical Foundations for Health Care as a Social Right of Citizenship
• 4. A Principled Critique of the ACA and the ACA in an Evolutionary Perspective
• 5. A Principled Approach to Radical Health-Care Finance Reform
• 6. A Principled Approach to Essential Health-Care Delivery System Reforms
• 7. Assessing Health-Care System Performance Against the Four Core Aims of Health-Care Policy
• 8. Special Issues and Considerations
• Notes
• References
• Index