Market difference is discussed in “Delivering Healthcare in America:

Market and social justice may invoke polarized views amongst individuals as they have largely different views, though there are similarities as well. The basis of market justice is individual responsibility of the consumer for their own health care, allowing freedoms to choose health care programs, or to not have it all. The basis of social justice is communal responsibility for health care over the nation, though certain freedoms are still expected. The difference in these freedoms however stems from who is deciding them. In social justice, society decides the most equitable freedoms for all, while market justice believes in a more individualized freedom. Another key difference is discussed in “Delivering Healthcare in America: A Systems Approach” saying that market justice sees “access to medical care as an economic reward of personal effort and achievement” while social justice believes “equal access to medical services viewed as a basic right.” (Shi & Singh, 2015) The ideologies between the two creates polarizing “courses of action.” For instance, in a social justice society, the goal of health care is to ensure coverage for all Americans. In order to do this, increases on taxes for programs such as Medicare and Medicaid occur to cover uninsured portions of the population who are either elderly, under the poverty line, or both. The driving factor for this is that individuals are equally responsible for the health of the community. Perhaps an easier way to show the differences in thinking and opinion the keys words associated with each. Market justice views health care as a “good” while social justice views it as a “resource.” (Shi & Singh, 2015) Though programs such as the Affordable Care Act pushed a more social justice ideology, attempting to expand Medicare/Medicaid nationwide with the overall goal of drastically lowering the percentage of uninsured, there still are a large number of uninsured and premiums continue to go up. Reasoning for this from a market justice standpoint would be that as a higher percentage of the population (particularly those below or around the poverty line) is covered through government funded insurances, the cost of health care goes up without having the “payees” to do so. Both market and social justice “support certain fundamental human rights,” (Derrick, 2018) though those rights differ. Social justice bases their stances on “basic needs” (which include health care)  that solved by “public solutions.” (Shi & Singh, 2015) Another characteristic of social justice is based on the assumption that “government is more efficient at allocating health resources.” (Shi & Singh, 2015) This is a predominantly political ideology that differs severely between party lines. Market justice would argue that markets themselves are “more efficient in allocating resources.” (Shi & Singh, 2015)  The differences in these thought processes are based in belief in government regulation, though ironically enough, market justice advocates (and health care has been based on market justice for decades) end up seeing regulation as it pertains to issues such as quality assurance.Social justice and market justice affect health care systems in largely different ways. In social justice, the a person’s inability to pay does not affect their ability to receive basic health care. This often increases premiums as more people are covered, though the payers do not increase at the same rate. The government regulates social justice based on the assumption that they (the government) remove biases of individuals with the overall goal to represent the population as a whole. These perceptions of health care are based on the belief that healthcare is a “fundamental right.” (Derrick, 2018) Market just is largely based on a consumer’s ability to pay, in the same way that supply and demand work in a free market. Health care premiums do not rise as quickly in this system, but a much higher percentage of the population may go uninsured. Advocates for market justice would oppose expansion of government funded insurances, as well as the government regulation of health care. Their belief system is that healthcare is a good rather than a right, as well as that individual effort is not guaranteed by the social justice platform. Regardless of the system used, neither social or market justice have created a perfect health care system. Our healthcare system, as a nation, has a long way to go.