Table Of Content‘ Weaving together original contributions from law, ethics, theology and economics,
this book provides many fresh insights into the vexed questions surrounding
markets and healthcare – an integrative tour de force!’
Professor Bill Fulford, University of Oxford , UK
‘Healthcare marketisation generates superheated controversy. But here is the cool
consideration and balanced debate that is needed as a response. This collection is
multifaceted, analytically rich and packed with insights.’
Professor Alan Cribb, King’s College London , UK
‘Markets make good servants but bad masters. But what forms of service can they
perform and what evils of mastery do they threaten? These wide-ranging essays
address those questions in politically and theologically challenging ways.’
Professor Albert Weale , UCL , UK
‘A signifi cant contribution to bioethics. The topic is timely, the writing brief and
clear, and the ideas insightful. It is very balanced, incorporating many perspectives
(from Hayek to Marx), and many disciplines (including medicine, economics,
philosophy, and theology). I highly recommend it.’
Professor Daniel Sulmasy, Georgetown University , USA
Marketisation, Ethics and Healthcare
H ow does the market affect and redefi ne healthcare? The marketisation of Western
healthcare systems has now proceeded well into its fourth decade. But the nature
and meaning of the phenomenon has become increasingly opaque amidst changing
discourses, policies and institutional structures. Moreover, ethics has become
focussed on dealing with individual, clinical decisions and neglectful of the
political economy which shapes healthcare.
This interdisciplinary volume approaches marketisation by exploring the
debates underlying the contemporary situation and by introducing reconstructive
and reparative discourses. The fi rst part explores contrary interpretations of
‘marketisation’ on a systemic level, with a view to organisational-ethical formation
and the role of healthcare ethics. The second part presents the marketisation of
healthcare at the level of policy-making, discusses the ethical ramifi cations of
specifi c marketisation measures and considers the possibility of reconciling market
forces with a covenantal understanding of healthcare. The fi nal part examines
healthcare workers’ and ethicists’ personal moral standing in a marketised healthcare
system, with a view to preserving and enriching virtue, empathy and compassion.
Fostering rich refl ection on the moral implications of a marketised healthcare
system, this book is suitable for health professionals and for academics and
students interested in the health sciences, medical ethics and law, social and public
policy, philosophy and theology.
Therese Feiler is the postdoctoral researcher with the Oxford Healthcare Values
Partnership in the Faculty of Theology and Religion and Research Fellow at Harris
Manchester College, University of Oxford, UK.
Joshua Hordern leads the Oxford Healthcare Values Partnership and is Associate
Professor of Christian Ethics in the Faculty of Theology and Religion and a Fellow
of Harris Manchester College, University of Oxford, UK.
Andrew Papanikitas is NIHR Academic Clinical Lecturer in General Practice in
the Department of Primary Care Health Sciences and Research Fellow at Harris
Manchester College, University of Oxford, UK.
Routledge Key Themes in Health and Society
www.routledge.com/Routledge-Key-Themes-in-Health-and-Society/book-
series/RKTHS
Available titles include
The Story of Nursing in British Mental Hospitals
Echoes from the corridors
Niall McCrae and Peter Nolan
Living with Mental Disorder
Insights from qualitative research
Jacqueline Corcoran
A New Ethic of ‘Older’
Subjectivity, Surgery and Self-stylization
Bridget Garnham
Social Theory and Nursing
Edited by Martin Lipscomb
Older Citizens and End-of-Life Care
Social work practice strategies for adults in later life
Malcolm Payne
Digital Technologies and Generational Identity
ICT Usage Across the Life Course
Sakari Taipale, Terhi-Anna Wilksa and Chris Gilleard
Partiality and Justice in Nursing Care
Marita Nordhaug
Forthcoming titles include
Negotiating Ageing
Critical Narratives for Cultural Adaptation
Simon Biggs
Marketisation, Ethics
and Healthcare
Policy, Practice and Moral Formation
Edited by Therese Feiler,
Joshua Hordern and
Andrew Papanikitas
First published 2018
by Routledge
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and by Routledge
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Routledge is an imprint of the Taylor & Francis Group, an informa business
© 2018 selection and editorial matter, Therese Feiler, Joshua Hordern and
Andrew Papanikitas; individual chapters, the contributors
The right of Therese Feiler, Joshua Hordern and Andrew Papanikitas to be
identifi ed as the authors of the editorial material, and of the authors for their
individual chapters, has been asserted in accordance with sections 77 and 78
of the Copyright, Designs and Patents Act 1988.
With the exception of Chapters 4 and 7, no part of this book may be reprinted
or reproduced or utilised in any form or by any electronic, mechanical, or
other means, now known or hereafter invented, including photocopying
and recording, or in any information storage or retrieval system, without
permission in writing from the publishers.
Chapters 4 and 7 of this book are available for free in PDF format as Open
Access from the individual product page at www.routledge.com. They
have been made available under a Creative Commons Attribution-Non
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Trademark notice : Product or corporate names may be trademarks or
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without intent to infringe.
British Library Cataloguing-in-Publication Data
A catalogue record for this book is available from the British Library
Library of Congress Cataloging-in-Publication Data
A catalog record for this book has been requested
ISBN: 978-1-138-73573-6 (hbk)
ISBN: 978-1-315-18635-1 (ebk)
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οὐδεὶς δύναται δυσὶ κυρίοις δουλεύειν
Matthew 6:24
Contents
Acknowledgements xi
Contributors xii
Foreword xvi
MUIR GRAY
Introduction 1
THERESE FEILER, JOSHUA HORDERN AND ANDREW PAPANIKITAS
PART I
The place of the market 11
1 Why the economic calculation debate matters: the case
for decentralisation in healthcare 13
PYTHAGORAS PETRATOS
2 The corruption of medical morality under advanced
capitalism 32
MIRAN EPSTEIN
3 Organisational ethics: a solution to the challenges of
markets in healthcare? 49
LUCY FRITH
PART II
The infl uence of the market 65
4 Encoding truths? Diagnosis-Related Groups and the
fragility of the marketisation discourse 67
THERESE FEILER
