Communities of Health Care Justice

By Charlene Galarneau

SERIES: Critical Issues in Health and Medicine

Rutgers University Press

The factions debating health care reform in the United States have gravitated toward one of two positions: that just health care is an individual responsibility or that it must be regarded as a national concern. Both arguments overlook a third possibility: that justice in health care is multilayered and requires the participation of multiple and diverse communities.

Communities of Health Care Justice makes a powerful ethical argument for treating communities as critical moral actors that play key roles in defining and upholding just health policy. Drawing together the key community dimensions of health care, and demonstrating their neglect in most prominent theories of health care justice, Charlene Galarneau postulates the ethical norms of community justice. In the process, she proposes that while the subnational communities of health care justice are defined by shared place, including those bound by culture, religion, gender, and race that together they define justice.

As she constructs her innovative theorization of health care justice, Galarneau also reveals its firm grounding in the work of real-world health policy and community advocates. Communities of Health Care Justice not only strives to imagine a new framework of just health care, but also to show how elements of this framework exist in current health policy, and to outline the systemic, conceptual, and structural changes required to put these justice norms into fuller practice.

Galarneau addresses an important issue often missing from theories of health justice and provides a unique and novel perspective. Communities of Health Care Justice is both clear and comprehensive in its scope. Audrey R. Chapman, Healey Professor of Medical Ethics and Humanities, University of Connecticut School of Medicine

This book should be required reading for every nurse and health care professional as well as anyone interested in improving health care in the US… Highly recommended. Choice

Communities of Health Care Justice is vital reading for all who see health care as something more meaningful than a bone in a partisan dog-fight. Galarneau’s deeply thoughtful book elevates communities to a place they have rarely been granted but certainly merit-- the heart of health policy discourse.'
Mark Schlesinger, Professor of Health Policy, Yale University

CHARLENE GALARNEAU is senior lecturer at Harvard Medical School, Center for Bioethics, Boston, MA. She is also associate professor emerita in the Women’s and Gender Studies Department as well as former director of the Health and Society Minor at Wellesley College in Wellesley, MA.

Acknowledgments

Introduction

1Health Care as a Community Good

2Communities Obscured: Liberal Theories of Healthcare Justice

3Communities Constrained: A Liberal Communitarian View

4Community Justice

5Community Justice in U.S. Health Policy

Conclusion

Notes

Bibliography

Index

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