Operationalizing Respect for Persons

A Qualitative Aspect of the Right to Health Care
  • Robert L. Dickman
Part of the The Hastings Center Series in Ethics book series (HCSE)


“The right to health care” has, as a slogan, enjoyed a great deal of popularity in this country as well as internationally for over a decade. In 1970, the World Health Assembly declared without qualification that “the right to health is a fundamental human right.”1 The slogan has also served (and continues to serve) as a basic rallying point for those eager to call for or to effect reform in our health care delivery system.2 Thus, it remains as the initial jumping-off point for numerous comprehensive national health insurance proposals as well as a major tenet of activist community groups and health care providers dedicated to developing new models of delivery in this country.


Health Care Service Delivery Model Urban Poor House Officer Health Care Delivery System 
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  1. 1.
    Victor Sidel, “The Right to Health Care: An International Perspective,” Bioethics and Human Rights, edited by Elsie Bandman and Bertram Bandman (Boston: Little, Brown, 1978), p. 342.Google Scholar
  2. 2.
    Ibid. p. 341.Google Scholar
  3. 3.
    Robert M. Sade, “Medical Care as a Right: A Refutation.” New England Journal of Medicine, CCLXXXV (Dec. 2, 1971), 1288–92.CrossRefGoogle Scholar
  4. 4.
    Mark Siegler, “A Right to Health Care: Ambiguity, Professional Responsibility, and Patient Liberty,” Journal of Medicine and Philosophy, IV (1979), 148.Google Scholar
  5. 5.
    Charles Fried, “Rights and Health Care—Beyond Equity and Efficiency,” New England Journal of Medicine, CCXCIII (July 31, 1975), 241–46.CrossRefGoogle Scholar
  6. 6.
    Robert M. Veatch, “What Is a ‘Just’ Health Care Delivery?” Ethics and Health Policy, edited by Robert Veatch and Roy Branson (Cambridge, Mass.: Ballinger, 1976), pp. 127–36.Google Scholar
  7. 7.
    K. Arrow, “Uncertainty and the Welfare Economics of Medical Care,” American Economic Review, LIII (1963) 941–73.Google Scholar
  8. 8.
    Norman Daniels, “Rights to Health Care and Distributiye Justice: Programmatic Worries,” Journal of Medicine and Philosophy, IV (1979), 174–91.Google Scholar
  9. 9.
  10. 10.
  11. 11.
    I assume that those concerned with distributive questions about health are searching for some foundation upon which to either change or justify the present system.Google Scholar
  12. 12.
    Joseph A. Califano, Jr., Remarks before the Association of American Medical Colleges, New Orleans, Louisiana, Oct. 24, 1978 (Washington, D.C.: U.S. Government Printing Office, 1978).Google Scholar
  13. 13.
    K. Davis, “Medical Payments and Utilization of Medical Services by the Poor,” Inquiry, XIII (1976), 122–34.Google Scholar
  14. 14.
    John Duffy, The Healers: The Rise of the Medical Establishment (New York: McGraw Hill, 1976), p. 57.Google Scholar
  15. 15.
    Ibid. p. 31.Google Scholar
  16. 16.
    Elizabeth A. Skimmer et al., “Use of Ambulatory Health Services by the Near Poor,” American Journal of Public Health, LXVIII (December 1978), 1195–1201.CrossRefGoogle Scholar
  17. 17.
    F. A. Finnerty Jr., E. C. Mattie, and F. A. Finnerty III, “Hypertension in the Inner City: I. Analysis of Clinic Dropouts,” Circulation, LXVII (1973), 76–78.Google Scholar
  18. 18.
    Edmund D. Pellegrino, “Towards a Reconstruction of Medical Morality: The Primacy of the Act of Profession and the Fact of Illness,” Journal of Medicine and Philosophy, IV (March), 1979.Google Scholar
  19. 19.
    T. Parsons, The Social System (New York: The Free Press), 1951.Google Scholar
  20. 20.
    Pellegrino, “Towards a Reconstruction of Medical Morality.”Google Scholar
  21. 21.
    N. Daniels, “Health-Care Needs and Distributive Justice,” Philosophy and Public Affairs, X (1981), 146–79.Google Scholar
  22. 22.
    Amy Gutmann, “For and Against Equal Access to Health Care,” Milbank Memorial Fund Quarterly/Health and Society, LIX (1981) 542–60.CrossRefGoogle Scholar
  23. 23.
    The achievement of informed consent, is, like many other things, more of a problem for the poor than for others in our society. Recent data have shown, for example, that doctors provide more information to middle-class patients than they do to poor ones. Cf. David S. Brody, “The Patient’s Role in Clinical Decision-Making,” Annals of Internal Medicine, XCIII (1980) 718–22.Google Scholar
  24. 24.
    Charles Fried, “Analysis of ‘Equality’ and ‘Rights’ in Medical Care,” HastingsCenterReport, VI (February, 1976).Google Scholar
  25. 25.
  26. 26.
    Pellegrino, “Towards a Reconstruction of Medical Morality.”Google Scholar
  27. 27.
    Gutmann, “For and Against Equal Access,” pp. 542–60.Google Scholar

Copyright information

© The Hastings Center 1983

Authors and Affiliations

  • Robert L. Dickman
    • 1
  1. 1.Department of Family Medicine, Mount Sinai Medical CenterUniversity CircleClevelandUSA

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