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Health Care as a Right of CitizenshipThe Continuing Evolution of Reform$
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Gunnar Almgren

Print publication date: 2017

Print ISBN-13: 9780231170130

Published to Columbia Scholarship Online: January 2019

DOI: 10.7312/columbia/9780231170130.001.0001

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PRINTED FROM COLUMBIA SCHOLARSHIP ONLINE (www.columbia.universitypressscholarship.com). (c) Copyright University of Minnesota Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in CUPSO for personal use.date: 20 September 2021

Special Issues and Considerations

Special Issues and Considerations

(p.237) Chapter Eight Special Issues and Considerations
Health Care as a Right of Citizenship

Gunnar Almgren

Columbia University Press

This chapter addresses a number of thorny issues having to do with segments of the national population that in one way or the other either 1) represent exceptions to the general case of American citizens that have the possibility of realizing/retaining the functional requisites of political citizenship, or 2) might possess special claims and entitlements that transcend the social rights to the majority of citizens. This chapter takes up that task by addressing such issues as: reconciling the escalating health care needs of aging citizens with the imperatives of intergenerational equity, identifying basis for and limits to a social right to health care for the severely disabled and incapacitated, defining the substantive health care rights for undocumented workers and their dependents, and incorporating the special status and health care obligations historically extended both to veterans in recognition and compensation for military service. and finally to Native Americans as fulfillment of both treaty rights and compensation for their tragic “embodiment” of historical oppression and cultural genocide.

Keywords:   Social Contract, The New Underclass, Functional Requisites of Citizenship, Intergenerational Equity, Tyranny of the Possible, Just Savings Principle, Compensatory Entitlements, Reciprocity

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