“The Struggle for the Soul of Health Insurance,” Journal of Health Politics, Policy and Law, vol. 18, no. 2, Summer 1993, pp. 287–317.
The politics of American health insurance is a struggle over which vision of distributive justice should govern: the solidarity principle or the logic of actuarial fairness. Actuarial fairness is central to American private health insurance. It is both an antiredistributive ideology and a method of organizing mutual aid by fragmenting communities into ever-smaller, more homogeneous groups, leading ultimately to the destruction of mutual aid. This fragmentation is accomplished by fostering in people a sense of their differences and their responsibility for themselves, rather than their commonalities and interdependence. Continue Reading…
“Looking for Care in All the Wrong Places,” in Handbook of Long Term Care Administration and Policyeds. eds. Cynthia Massie Mara and Laura Katz Olson (Boca Raton, Florida: CRC Press/Taylor and Francis Group, 2008), pp. 35–45.
“The False Promise of Consumer Choice,” University of St. Louis Law Journal vol. 51, no. 2, Winter 2007, pp. 475-88; earlier version in Consumer Choice: Social Welfare and Health Policy, Robert F. Rich and Christopher T. Erb, Editors, Policy Studies Review Annual, No. 14; Piscataway, NJ: Transaction, 2005) pp. 209–22.
“The Implications of the Human Genome Project on Access to Health Insurance,” in The Human Genome Project and the Future of Healthcare. eds. Thomas H. Murray, Mark A. Rothstein, & Robert F. Murray Jr., (Indiana University Press: Bloomington, 1996)