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Human Affairs
|
2012
|
vol. 22
|
issue 4
613-622
EN
In recent years, policy debates in the United States have focused heavily on rising healthcare costs and what measures can be taken to ensure greater provision of healthcare to individuals of limited means. Much of the rhetoric on this subject has taken on an explicitly moral character, and one common sentiment is that healthcare is or should be viewed as a basic human right. However, the notion of a right to healthcare has not been well articulated, and critics have failed to distinguish between legal and moral rights. Additionally, there are numerous problems inherent to viewing healthcare as a basic human right-many of which are in direct conflict with distinctly American conceptualizations of rights. The present paper reviews the debate over “rights”-both legal and natural-to healthcare, and argues that problems associated with natural rights arguments render them severely compromised. Instead, market systems commonly accepted in American society may be better suited to reducing healthcare costs and increasing access to services in the United States.
XX
W obszarze ochrony zdrowia zasadniczą rolę odgrywa płatnik, pokrywający koszty usług zdrowotnych. W rezultacie mamy do czynienia nie z normalną relacją rynkową: sprzedawca–nabywca, lecz z zależnością: nabywca–płatnik. Badamy koszty wynikające ze sposobu gospodarowania środkami w systemie ochrony zdrowia i ich rozdysponowaniem przez płatnika – tzw. koszty transakcyjne. Przy dyscyplinowaniu kosztów trzeba też zwracać uwagę na koszty pośredników.
EN
In healthcare the payer, covering the cost of health services, plays the key role. As a result, we do not observe a regular relation seller–buyer, but rather dependency purchaser–payer. In the paper we analyze costs generated by the way of allocation financial resources in healthcare and their distribution by the payer- so called transactional costs. While optimizing healthcare budget costs of intermediaries need to be taken into consideration.
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