Accounting for ethics: Is there a market for morals in healthcare?
© 2018 selection and editorial matter, Therese Feiler, Joshua Hordern and Andrew Papanikitas; individual chapters, the contributors. Andrew Papanikitas examines healthcare ethics in a healthcare market. He suggests that any form of market presents ethical issues for healthcare professionals - these are issues that are both related and unrelated to the economic drivers of healthcare. These, he suggests, can be framed as a market in healthcare ethics. He discusses current and possible forms of a market in healthcare ethics which serves a wider healthcare sector. A market in healthcare ethics - if it is to effectively serve society - must sustain “everyday” aspects of good healthcare. He argues that, unless it is appropriately resourced, pressures to concentrate on paid activities in a healthcare market will mean that healthcare ethics is shaped by its “purchasers”. For a market in healthcare ethics to work, purchasers must recognise value in ethics activities, and providers must offer products that are meaningful to purchasers. He calls for further research into healthcare ethics as a market.