누구를 위한 장기요양보험인가? (Long-Term Care Insurance Scheme: For Whom Does It Run?)

서지정보

· 발행기관 : 한국보건의료기술평가학회
· 수록지 정보 : 보건의료기술평가 / 3권 / 1호 / 1 ~ 3페이지
· 저자명 : 서국희

초록

The number of people with dementia is increasing so rapidly that no society will reasonably be able to afford the costs of caring for them. Health and social care resources have been focused more on institu- tional care in many places. However, what is the final outcome of institutional care? Once institutional- ized, life can become regulated, isolated, and limited. Often, many die alone in an isolated room of an institution. Abandonment and death can be the final outcome of institutional care; the hidden costs which people with dementia pay once institutionalized. A similar place in a society might be a prison, which may even be better in some cases. The philosophy of utilitarianism defined its fundamental axi- om as “the greatest happiness of the greatest number that is the measure of right and wrong.” Jeremy Bentham’s greatest happiness principle, or the principle of utility, has been prevailing as the great stan- dard in this world. It has been continuously insisted that for dependent people with dementia to live safely institutionalization must be provided. The same voice was heard when people were insisting on institutionalization of mentally ill people. The principles of majority rule and the protection of individu- al and minority rights would seem contradictory. Lawmakers and politicians only hear loud voices of the majority shouting to reduce caregiver burden by mandating for long-term care insurance to institu- tionalize dependent individuals with dementia, which we all well know is not necessarily the best fate. It is an example of tyranny of majority.

영어초록

The number of people with dementia is increasing so rapidly that no society will reasonably be able to afford the costs of caring for them. Health and social care resources have been focused more on institu- tional care in many places. However, what is the final outcome of institutional care? Once institutional- ized, life can become regulated, isolated, and limited. Often, many die alone in an isolated room of an institution. Abandonment and death can be the final outcome of institutional care; the hidden costs which people with dementia pay once institutionalized. A similar place in a society might be a prison, which may even be better in some cases. The philosophy of utilitarianism defined its fundamental axi- om as “the greatest happiness of the greatest number that is the measure of right and wrong.” Jeremy Bentham’s greatest happiness principle, or the principle of utility, has been prevailing as the great stan- dard in this world. It has been continuously insisted that for dependent people with dementia to live safely institutionalization must be provided. The same voice was heard when people were insisting on institutionalization of mentally ill people. The principles of majority rule and the protection of individu- al and minority rights would seem contradictory. Lawmakers and politicians only hear loud voices of the majority shouting to reduce caregiver burden by mandating for long-term care insurance to institu- tionalize dependent individuals with dementia, which we all well know is not necessarily the best fate. It is an example of tyranny of majority.

참고자료

· 없음