The New Triad: Responsibility, Solidarity and Subsidiarity

It is argued that as the deeply rooted solidarity principle as applied in addressing health care in Western Europe is attacked by the increase in health care costs & the need for containment, & the reconceptualization of health & disease in the light of health risk factor medicine, a new...

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Bibliographic Details
Published in:The Journal of medicine and philosophy 1995-12, Vol.20 (6), p.587-594
Main Author: Sass, H M
Format: Article
Language:English
Subjects:
Attitude to Health
Bioethics
Community-Institutional Relations
Delivery of Health Care - history
Europe
Health Care
Health Care Rationing
Health Education
Health expenditure
Health Policy
Health services
Health Services Accessibility
Health Services Needs and Demand
History of medicine
History, 19th Century
History, 20th Century
Humans
Insurance, Health - history
Internationality
Medical ethics
Patient Participation
Personal Autonomy
Philosophy, Medical - history
Public Policy
Resource Allocation
Social Change
Social Justice
Social Responsibility
Social Security - history
Social Values
State Medicine - history
Subsidiarity
Western Europe
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Summary:It is argued that as the deeply rooted solidarity principle as applied in addressing health care in Western Europe is attacked by the increase in health care costs & the need for containment, & the reconceptualization of health & disease in the light of health risk factor medicine, a new triad of interacting principles replacing solidarity has emerged: self-responsibility, solidarity, & subsidiarity. Solidarity has traditionally been the most adequate vehicle for the redistribution of inequalities in welfare & health, but the new health care model needs to be based on the concepts of health literacy & self-determination. In this context, solidarity becomes a secondary principle in support of the new multitude of services in health education, prediction, & prevention. 16 References. M. Greenberg
ISSN:0360-5310
1744-5019
DOI:10.1093/jmp/20.6.587