https://scholars.lib.ntu.edu.tw/handle/123456789/629733
標題: | Intergenerational contract in Ageing Democracies: sustainable Welfare Systems and the interests of future generations | 作者: | MING-JUI YEH | 關鍵字: | Health system; Intergenerational equity; Intergenerational solidarity; Long-term care system; Sustainability | 公開日期: | 九月-2022 | 出版社: | SPRINGER | 卷: | 25 | 期: | 3 | 起(迄)頁: | 531 | 來源出版物: | Medicine, Health Care, and Philosophy | 摘要: | As the assumptions of perpetual economic and population growth no longer stand, the welfare systems built on such promises are in peril. Policymakers must reallocate the responsibility for providing care between generations. Democratic theories can help establish procedures for finding solutions, particularly in ageing democratic countries. By analysing existing representative and deliberative democratic theories, this paper explores how the interests of future generations could be included in such procedures. A hypothetical social health insurance scheme with the pay-as-you-go financial arrangement is selected as an illustrative case. This paper argues that due to the intrinsic bias towards the current generation, both representative and deliberative democratic health policymaking are limited in making decisions that account for future generations. Instead, their interests could be at best represented by benevolent representatives. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/629733 | ISSN: | 1386-7423 | DOI: | 10.1007/s11019-022-10098-9 |
顯示於: | 健康政策與管理研究所 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。