Care Health in Resource Scarce

The several years have seen a sharpening of debate in the United States regarding the problem of steadily increasing medical expenditures, as well as inflation in health care costs, a scarcity of health care resources, and a lack of access for a growing number of people in the national health care system. Some observers suggest that we in fact face two crises: the crisis of scarce resources and the crisis of inadequate language in the discourse of ethics for framing a response. Laurie Zoloth offers a bold claim: to renew our chances of achieving social justice, she argues, we must turn to the Jewish tradition. That tradition envisions an ethics of conversational encounter that is deeply social and profoundly public, as well as offering resources for recovering a language of community that addresses the issues raised by the health care allocation debate. Constructing her argument around a careful analysis of selected classic and postmodern Jewish texts and a thoughtful examination of the Oregon health care reform plan, Zoloth encourages a radical rethinking of what has become familiar ground in debates on social justice.

This book offers original contributions to the debate over the issue of equality of opportunity. Lesley Jacobs sets out a theory of equality of opportunity that presents equal opportunities as a normative device for the regulation of competition for scarce resources. He then considers the practical ways that courts, legislatures or public policy makers can address racial, class or gender injustices. Jacobs examines standardized tests, affirmative action, workfare, universal health-care, comparable worth, and the economic consequences of divorce in this context.