Moral Basis for Universal Healthcare Reform: A Utilitarian Approach

Universal healthcare has become a regular feature of most developed nations around the world. This characteristic, however, does not extend to the United States, where some 28.2 million Americans remain uninsured or underinsured. In the past few years, the US has been on the precipice of major healthcare overhaul which has brought the debate on government-sponsored coverage to the forefront of political discourse. This thesis explores what it may mean to establish affordable access to healthcare as a right for all Americans. In doing so, it utilizes rule-utilitarian principles to define and assess the moral obligation of the United States' federal and state governments to provide sufficient coverage to all qualifying individuals within the country. This paper focuses on evaluating the current healthcare system in the United States while concentrating particularly on how its fragmented approach limits its success and longevity. It then offers a cross-comparison with the universal healthcare systems of Canada, France, and Japan, nations that outperform the United States in most healthcare measures such as life expectancy, infant and under-5 mortality, medical costs per capita, and disease prevalence. The free-market criticisms of government-provided coverage and its alternative private-insurance-based approach to healthcare in the US are also deliberated. In light of these considerations, this thesis concludes with a commentary on what healthcare reform could look like for the nation as well as examines how a utilitarian appeal to rights likely makes the best case for adopting universal government-sponsored healthcare coverage in the United States.