Traduction en anglais : Economy and ethics in medical care ?
The topic suggests a conflict between ethics and economy in medical care.
It is often argued that today's welfare state in affluent societies with their social insurance systems makes it easier for the doctor to translate ethical demands into reality without being hampered by economic restrictions.
Both doctors and patients took advantage of this system of medical care by mingling social guarantees for health with the doctor's income.
Hence, medical expenses expanded rapidly, additionally promoted by technical progress in medicine.
This entailed a proportionate increase in medical expenses in relation to personal income, especially wage income.
Budgets of state authorities were streamlined or deficits became larger.
This state of affairs was promoted further by mechanisms of distribution of national income in accordance with the slogan « less state, more market ».
While national income continued to grow, although at a slower rate, the number of jobless persons grew continually and thus also the social expenses, this was not due, as is usually assumed and pretended, to an economic crisis.
Society and economy are facing a crisis of distribution of national income under conditions of technical progress as a job killer, making economic production more productive and efficient. (...)
Mots-clés Pascal : Ethique, Economie santé, Soin, Service santé, Politique sanitaire, Protection sociale, Assurance maladie, Homme, Allemagne, Europe
Mots-clés Pascal anglais : Ethics, Health economy, Care, Health service, Health policy, Welfare aids, Health insurance, Human, Germany, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0136670
Code Inist : 002B30A01B. Création : 16/11/1999.