By H. Tristram Engelhardt Jr. (auth.), Hans-Martin Sass, Robert U. Massey (eds.)
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Extra info for Health Care Systems: Moral Conflicts in European and American Public Policy
A French study in the same year collected data on life expectancy and mortality among males aged 35 to 60; while the average probability of death in that age range was 174 in 1000, it was as high as 470 among the unemp'loyed compared to 149 among the employed. Within the employed group it was as low as 71 to 91 among professors and professionals, 120 among farmers, 157 among office personnel, and 253 among unskilled laborers. This and other data led Schwartz  to the conclusion that even though there are plausible interrelationships between medical breakthroughs and life expectancy, NATIONAL HEALTH CARE SYSTEMS 23 there are nonmedical cultural factors which determine health, quality of life, and life expectancy essentially.
1988 by Kluwer Academic Publishers 16 HANS-MARTIN SASS policy are more manifest, the intrinsically moral tensions are also obvious when the goals are listed: best of care, equality in care, cost containment, and consumer and provider choice . None of these goals can be achieved totally; the reasonable realization of anyone goal requires a compromise among all four. What we need, therefore, is a thorough moral cost-benefit analysis for setting priorities among competing goals. A moral assessment if required prior to a political analysis of public interest in the citizen's health, and prior to the question of whether health as a public good should be provided by governmental or quasi-governmental bodies and apportioned by the forces of the market, or by a mix of public-private regulations.
In the absence of public responsibility, health care education is provided by small private groups, sects, nutrition stores, and magazines, some of which provide productoriented information. Even though I am generally very careful in using the rights language, I will use it here and stress the right to know and to become educated regarding how the body functions, how it can be maintained, protected, improved, and manipulated. This is as important for the educated and responsible citizen as knowing where we come from (education in history), what we stand for (moral education), how to calculate (mathematics education), and how to express oneself (language education).