What makes "Catholic" managed care Catholic?
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Biomedical subjects
Publications and source records attributed to T F Schindler.
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Until recently we rarely questioned whether Catholic healthcare facilities would remain Catholic. New types of business ventures, however, have changed this. More important, the traditional elements that identified a facility as Catholic no longer seem enough to sustain the ministry. What are the distinct qualities that identify a healthcare facility as Catholic? Three elements are crucial to successfully defining any identity: distinctiveness, relatedness, and richness. To determine the meaning of Catholic identity, we must look at these elements from the perspective of the changes occurring in the Catholic Church and in healthcare in the United States. In light of this we can identify distinctive features that characterize U.S. Catholic healthcare. These components include understanding healthcare as a ministry, being guided by Church teachings, collaborating with others, participating in care for the world community and the poor, giving holistic care, promoting self-determination, and respecting and protecting human life while accepting suffering and death. Only in their totality, however, can these components set forth a vision rooted in our past that speaks to the realities of the present and calls us forward to a future where greater justice will reign.
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An acceptable policy on the drug problem specifies who will be its focus, when employees should be questioned about or tested for drugs, why the problem should be addressed at all, and what the institution should be concerned about. The more explicit policymakers are about the values that determine the answers to these questions, the better able they will be to devise a fair and equitable program. U.S. culture favors the contractual model of justice. It dictates that the power anyone can have over another must be strictly limited to the terms of the agreement they have entered into and that obligations should be similarly limited. A stress on the value of individual freedom is therefore implicit in the contractual justice perspective, and institutions and individuals who subscribe to it would be expected to resist drug testing programs as long as possible. On the other hand, a "distributive/contributive" model of justice, as advocated by the U.S. bishops in their 1986 pastoral letter on economic justice, emphasizes the mutual responsibility of institutions (or societies) and individuals for the total well-being of one another. Committed to the communal values of inclusion and participation, the distributive/contributive ideal of justice would give institutions an alternative, and perhaps more constructive, perspective on the issues involved in the problem of drug use.