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Paying for services as individuals (private pay) becomes unrealistic for any but the wealthiest in society.
Prompted by his wife's plea that he "do something," John Q arrives at the hospital Emergency Department ready for action.
An equity approach relies on the judgment that the system would be fair or equitable if criteria based on individual need determined the amount of care available to each citizen (Aday, Begley, Lairson, & Slater, 1998).
Although many complex ethical issues arise from these thoughts, the core idea appeals strongly to common sense: Different people have differing medical needs.
What consumers want is health; what is available is medical care.
There is no way to avoid or completely control the risk that medical care, even when delivered flawlessly, may not result in health.