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Healthcare has an impact on everyone, and healthcare funding decisions shape how and what healthcare is provided. In this book, Stephen Duckett outlines a Christian, biblically grounded, ethical basis for how decisions about healthcare funding and priority-setting ought to be made. Taking a cue from the parable of the Good Samaritan (Luke 10:25-37), Duckett articulates three ethical principles drawn from the story: compassion as a motivator; inclusivity, or social justice as to benefits; and responsible stewardship of the resources required to achieve the goals of treatment and prevention. These are principles, he argues, that should underpin a Christian ethic of healthcare funding. Duckett's book is a must for healthcare professionals and theologians struggling with moral questions about rationing in healthcare. It is also relevant to economists interested in the strengths and weaknesses of the application of their discipline to health policy.
Over time, the seven models discussed in the first chapter have undergone modifications and hybridization processes. Each single national system can therefore be described as a patchwork that comprises different subsystems and organizational logics. The purpose of the second chapter is therefore to think about the organizational variants and criteria through which hybrid systems are designed. The fundamental concept of segmentation of healthcare systems is introduced, according to which each national system can be broken down into subsystems, to which different models are applied. To better understand the different forms of segmentation, some examples will be given. The healthcare financing systems adopted in the Netherlands, France, Germany and the United States are briefly outlined. The final section compares the twenty-seven countries covered in this analysis. For each individual national system, not only the prevailing financing model is indicated but also the“ancillary” models used.
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