The moral foundations of health services reform.

I write this criticism of H. Tristram Engelhardt's The Foundations of Bioethics' not fiom the perspective of a philosopher, but fiom that of a physician with a long-time interest in health policy issues as they relate to bioethics. I hold Engelhardt in high regard: among philosophers currently active in bioethics, he is one of the few who are deeply committed to freedom as the primary requirement of social life, and to liberty as its primary political manifestation. In this commentary, I will focus on his view of health services r e f ~ r m . ~