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May a government mandate more comprehensive health insurance than citizens want for themselves?

Voorhoeve, Alex (2018) May a government mandate more comprehensive health insurance than citizens want for themselves? In: Sobel, David, Vallentyne, Peter and Wall, Steven, (eds.) Oxford Studies in Political Philosophy. Oxford University Press, Oxford, UK, pp. 167-191. ISBN 9780198813989

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Abstract

I critically examine a common liberal egalitarian view about the justification for, and proper content of, mandatory health insurance. This view holds that a mandate is justified because it is the best way to ensure that those in poor health gain health insurance on equitable terms. It also holds that a government should mandate what a representative prudent individual would purchase for themselves if they were placed in fair conditions of choice. I argue that this common justification for a mandate is incomplete. A further reason for mandated insurance is that it helps secure social egalitarian public goods that would be underprovided if insurance were optional. I also argue that rather than mandating what a representative individual would choose for themselves, we should design the mandatory package by appealing to a pluralistic egalitarian view, which cares about improving people’s well-being, reducing unfair inequality, and maintaining egalitarian social relations.

Item Type: Book Section
Official URL: https://global.oup.com
Additional Information: © 2018 The Author
Divisions: Philosophy, Logic and Scientific Method
Subjects: H Social Sciences > H Social Sciences (General)
J Political Science > JC Political theory
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Date Deposited: 06 Feb 2017 14:31
Last Modified: 20 Oct 2021 01:20
URI: http://eprints.lse.ac.uk/id/eprint/69194

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