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Prywatne ubezpieczenia zdrowotne a zasada równości i solidarności

100%
Głos A.
Diametros
|
2017
|
issue 51
28-47
PL
Prywatne ubezpieczenia zdrowotne to dziedzina, w której ścierają się różne wizje opieki zdrowotnej. Większość europejskich systemów służby zdrowia to systemy publiczne zbudowane na fundamencie solidarności i równości. Rynek prywatnych ubezpieczeń zdrowotnych może kolidować z tymi wartościami, ograniczając zasadę powszechności ubezpieczenia na rzecz konkurencji między firmami ubezpieczeniowym, zasadę solidarności na rzecz wolności efektywności kosztowej, a zasadę równości na rzecz wolności wyboru konsumenta. Celem artykułu jest analiza warunków zbudowania sprawnego i społecznie akceptowalnego modelu partnerstwa publiczno-prywatnego w służbie zdrowia, które pozwoliłoby na zażegnania czy też złagodzenia owych kolizji.
EN
Private health insurance is a domain of mutually conflicting models of healthcare systems. Most European healthcare systems are built upon the principles of solidarity and equality, and are provided by public entities. But the private health insurance market can threaten these values, limiting solidarity, equality and universality for the sake of cost effectiveness, consumer choice and market competition. The aim of this article is to analyse these risks and present mechanisms for their mitigation, which would allow the construction of effective and socially acceptable models, or private-public partnerships, in this domain.
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Solidarity in the legal frames

89%
Głos A.
Diametros
|
2015
|
issue Diametros 44
204-222
EN
The purpose of this paper is to explore the meaning of solidarity and its proper position in the legal frames, with particular focus on health care. Solidarity is often identified with welfare arrangements and social guarantees. In this institutional version, it tends to humiliate citizens and restrict their entrepreneurship. Moreover, administrative solidarity is unable to recognize the actual needs of the most vulnerable members of society, which should be one of its primary concerns. Solidarity, in its original meaning, understood as supportive cooperation of fellow citizens, links their rights and freedoms with mutual duties and responsibilities. Hence, an alternative framework for solidarity should be provided. This framework, committed to the idea of decency, introduces the distinction between the minimum and maximum content of solidarity enforceable by legal means, which should be translated into certain health care practices.
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