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What ethical Principles apply to reform efforts in the Unites State prior to Medicare/Medicaid. TTT Arial 3 (120) : E . O s
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Ans) The proposal for a single payer national health insurance system is informed by several ethical principles:

1) Access to comprehensive health care is a human right. It is the responsibility of society, through its government, to ensure this right. 2) Coverage should not be tied to employment.
The right to choose and change one's physician is fundamental to patient autonomy.
3) The pursuit of corporate profit and personal fortune has no place in care giving. Such a pursuit generates waste and introduces perverse incentives into clinical decision making and the provision of care.
4) In a democracy, the public should set health policies and budgets. Personal medical decisions must be made by patients with their care givers, not by corporate or government bureaucracies.

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