Wanted: A New Ethics Field for Health Policy Analysis
- 1 December 2005
- journal article
- research article
- Published by Springer Science and Business Media LLC in Health Care Analysis
- Vol. 13 (4), 247-260
- https://doi.org/10.1007/s10728-005-8123-3
Abstract
Ethics guidance and ethical frameworks are becoming more explicit and prevalent in health policy proposals. However, little attention has been given to evaluating their roles and impacts in the policy arena. Before this can be investigated, fundamental questions must be asked about the nature of ethics in relation to policy, and about the nexus of the fields of applied ethical analysis and health policy analysis. This paper examines the interdisciplinary stretch between bioethics and health policy analysis. In particular, it highlights areas of scholarship where a health policy ethicsspecialization—as distinctive from bioethics—might develop to address health policy concerns. If policy and ethics both ask the same question, that question is: “What is the good, and how do we achieve (create, protect, cultivate) it?” To answer this question, the new field of “health policy ethics” requires development. First, we should develop a full set of ethical principles and complementary ethical theories germane to public policy per se. Second, we must understand better how explicit attention to ethical concerns affects policy dynamics. Third, we require new policy and ethical analytic approaches that contribute to constructive (not obstructive) policy making. Finally, we need indicators of robust, high quality ethical analysis for the purpose public policy making.Keywords
This publication has 35 references indexed in Scilit:
- The policy analysis of ‘values talk’: lessons from Canadian health reformHealth Policy, 2004
- Foundations, Frameworks, Lenses: The Role of Theories in BioethicsBioethics, 1999
- The Articulation of Values and Principles Involved in Health Care ReformJournal of Medicine and Philosophy, 1994
- Ethics And Priority Setting In OregonHealth Affairs, 1991
- Philosophers and the Public Policy Process: Inside, Outside, or Nowhere at All?Journal of Medicine and Philosophy, 1990
- A Critique of PrinciplismJournal of Medicine and Philosophy, 1990
- Why policy analysis and ethics are incompatibleJournal of Policy Analysis and Management, 1984
- A Garbage Can Model of Organizational ChoiceAdministrative Science Quarterly, 1972
- The Science of "Muddling Through"Public Administration Review, 1959