Moral Justice and Legal Justice in Managed Care: The Ascent of Contributive Justice

Abstract

...In each of the above cases [Helga Wanglie; low-osmolar contrast media], a high level of care for a few individuals is very expensive. Yet only recently has the national bioethics conversation begun to consider that these costs, and their implications for people with competing needs and claims, pose a serious moral challenge. This article will explore how this historically weak interest in statistical, unidentified other people must now emerge as a potent force in health care ethics. In the process, we must reconsider prevailing notions of justice.