The ethics of NIMBYism

Article Abstract:

The ethics of the not-in-my-backyard (NIMBY) syndrome and affordable housing is complicated. On the one hand, there are opponents of housing developments who excuse their NIMBY stance as their way of protecting not their interests but the interests of other people, the environment or community constituents. They may also falsely claim that their opposition is merely a plea for justice or fairness. However, project sponsors should refrain from labelling all adversaries as NIMBY opponents because they may actually be raising valid issues. The NIMBY attitudes of their enemies should not be seen as eliminating any duty to consider citizens' concerns. Housing providers should understand the citizen's moral concerns to convince people that affordable housing is morally desirable. They should also assess their own moral position to avoid making ethical issues as justification for neglecting responsible community outreach activity.

Public housing, NIMBY syndrome

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Medicare managed care: to ration or to rationalize

Article Abstract:

Dr. Bruce Vladeck states three prerequisites to the Health Care Financing Administration's (HCFAs) projection of Medicare and managed care:expanded choice, responsiveness, and beneficiary empowerment. Vladeck excludes the need for cost control. A long-term multiple, capitated, and managed care system will rationalize the health care delivery system and enhance the quality of care. Bureaucratic hurdles, rationing care, and ratcheting down of fees need to be avoided. The implications of a capitated system and the role of HCFA in meeting the new challenge of cost control are discussed.

Analysis, Usage, Economic aspects, Social policy, Medicare, United States. Centers for Medicare and Medicaid Services, Health care rationing, Cost control

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Ethics, managed care, and outpatient psychotherapy

Article Abstract:

Psychotherapists and other mental health practitioners must adopt ethical standards that inform outpatient treatment for guiding their actions within the managed care environment. Mental health professionals must be aware of the ethical issues arising from the failure of managed care to provide either accountable or equitable mental health services. These ethical issues include respect for patients and patient autonomy, informed consent and confidentiality.

Psychiatric services, Mental health services, Managed care plans (Medical care), Psychotherapy

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