May a Government Mandate More Comprehensive Health Insurance than Citizens Want for Themselves?

In David Sobel, Peter Vallentyne & Steven Wall (eds.), Oxford Studies in Political Philosophy, Vol 4. Oxford University Press. pp. 167-191 (2018)
Download Edit this record How to cite View on PhilPapers
Abstract
I critically examine a common liberal egalitarian view about the justification for, and proper content of, mandatory health insurance. This view holds that a mandate is justified because it is the best way to ensure that those in poor health gain health insurance on equitable terms. It also holds that a government should mandate what a representative prudent individual would purchase for themselves if they were placed in fair conditions of choice. I argue that this common justification for a mandate is incomplete. A further reason for mandated insurance is that it helps secure social egalitarian public goods that would be underprovided if insurance were optional. I also argue that rather than mandating what a representative individual would choose for themselves, we should design the mandatory package by appealing to a pluralistic egalitarian view, which cares about improving people’s well-being, reducing unfair inequality, and maintaining egalitarian social relations.
PhilPapers/Archive ID
VOOQAG
Upload history
First archival date: 2017-02-02
Latest version: 2 (2017-02-02)
View other versions
Added to PP index
2016-11-02

Total views
222 ( #20,277 of 51,738 )

Recent downloads (6 months)
37 ( #15,729 of 51,738 )

How can I increase my downloads?

Downloads since first upload
This graph includes both downloads from PhilArchive and clicks on external links on PhilPapers.