States of Health: The Ethics and Consequences of Policy Variation in a Federal System
John G. Francis · Leslie P. Francis
Aug 2024 · Highbridge Audio · Narrated by Linda Jones
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15 hr 45 min
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About this audiobook
Is it morally or politically acceptable to have wide differences in the quality of health care when one crosses a state line? Federalism in the United States has been defended as a political structure that enables people to coexist in a single polity despite deep disagreements about some of the most fundamental aspects of human life. Federalism can create space for difference and latitude for innovation, and its flexibility in levels of policy enactment can allow for fruitful state-level experimentation, especially in the areas of health and health care, which has long been celebrated.
However, when federalism results in significant differences in health care availability within a single country, it can generate ethical challenges for health care providers and their patients. These challenges often engender questions of what should be considered an enduring right: Which freedoms should transcend borders?
States of Health identifies the practical relevance of federalism to people facing ethical decisions about health and health care, and it considers the theoretical justifications for permissible differences among states. It asks whether authority over important aspects of health is misaligned in the United States today, with some matters problematically left to the states while others are taken over by the federal government.
However, when federalism results in significant differences in health care availability within a single country, it can generate ethical challenges for health care providers and their patients. These challenges often engender questions of what should be considered an enduring right: Which freedoms should transcend borders?
States of Health identifies the practical relevance of federalism to people facing ethical decisions about health and health care, and it considers the theoretical justifications for permissible differences among states. It asks whether authority over important aspects of health is misaligned in the United States today, with some matters problematically left to the states while others are taken over by the federal government.
About the author
Leslie P. Francis is distinguished Alfred C. Emery professor of law, distinguished professor of philosophy, and director of the Center for Law & Biomedical Sciences at the University of Utah.
John G. Francis is professor emeritus of political science at the University of Utah. He publishes in the areas of comparative public policy and electoral politics, regulation, federalism, industrial policy, British electoral choice, and expanding voting access.
Linda Jones is an award-winning narrator and NYC actor with a penchant for dark edges and curious truths. She has narrated for Penguin Random House, Recorded Books, Audible Studios, and Dreamscape, as well as a variety of independent authors and publishers. She holds a BFA from Ithaca College.
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