Social Solidarity in Health Care, American-Style

Erin C Fuse Brown; Matthew B Lawrence; Elizabeth Y McCuskey; Lindsay F Wiley

doi:10.1177/1073110520958864

Social Solidarity in Health Care, American-Style

J Law Med Ethics. 2020 Sep;48(3):411-428. doi: 10.1177/1073110520958864.

Authors

Erin C Fuse Brown¹, Matthew B Lawrence¹, Elizabeth Y McCuskey¹, Lindsay F Wiley¹

Affiliation

¹ Erin C. Fuse Brown, J.D., M.P.H., is an Associate Professor of Law and Director of the Center for Law, Health & Society at Georgia State University College of Law. Elizabeth Y. McCuskey, J.D., is a Professor of Law, University of Massachusetts School of Law. Matthew B. Lawrence, J.D., is an Associate Professor of Law, Emory University School of Law. Lindsay F. Wiley, J.D., M.P.H., Professor of Law and Director of the Health Law and Policy Program at American University Washington College of Law.

PMID: 33021180
DOI: 10.1177/1073110520958864

Abstract

The ACA shifted U.S. health policy from centering on principles of actuarial fairness toward social solidarity. Yet four legal fixtures of the health care system have prevented the achievement of social solidarity: federalism, fiscal pluralism, privatization, and individualism. Future reforms must confront these fixtures to realize social solidarity in health care, American-style.

MeSH terms

Cooperative Behavior*
Health Care Reform / economics*
Health Care Reform / organization & administration*
Health Policy*
Patient Protection and Affordable Care Act / economics*
Patient Protection and Affordable Care Act / organization & administration*
United States
Universal Health Insurance