Ethical Guidebook

A discussion of the difference between our personal values and our public ethics, how mature citizens can support both, and why our love for public ethics must trump our love for personal and group values when they conflict in the public space. Ethics offers a guidebook for evaluating public issues and finding multilateral solutions to endless cycles of values centric conflicts and unilateral violence.

Monday, November 23, 2009

Heath care is an ethical question

Health care is very much a question about ethics as well as values. Values are about who benefits, or 'which team wins'. Ethics are about who decides, or 'what are the rules and referees'. If heath decisions and choices are more multilateral and answer more to voters over time, they are more ethical and will be more fair and sustainable long-term. If heath decisions and choices are unilaterally made based on the self-interested values of shareholders, lobbyists and insurance bureaucrats, or a given age or interest group, they are less ethical and will be less fair and sustainable long-term. So the question is not so much in details such as whether costs will rise or choices will be restricted for a given group, the question is what levers of control do we want in place for fairness to all groups sharing a sustainable economy and democracy? That's the real choice in this health care debate.

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