Dylematy moralne i konflikty powinności w polskim systemie opieki zdrowotnej a problem ryzyka zdrowotnego

Abstract

Paper presents problems related to health care reform in Poland in the context of health policy and satisfying health needs of the society. Public health care is permanently bothering with distribution and allocation of insufficient resources. The need for rationing access to health care services causes several moral dilemmas and implies conflicts of duty. Limited medical resources are allocated according to vague and generally socially unaccepted criteria. The paper discusses: goals of health care system, moral problems associated with health care reform, rules of rationing of health care benefits and risk resulting from dysfunctional construction of health care system. Patients express their dissatisfaction and believe that health care system is not responsive enough. There is a need for public debate and social acceptance of health risk, which is related to health policy and functioning of health care system.