To the Editor: The term market justice in the Commentary by Dr Budetti1 conflates 2 distinct conceptual constructs—that of justice with that of insurance. Markets make no claims to justice. They are vehicles for allocating resources among mutually self-interested parties under conditions of scarcity. Within certain specific conditions, markets are efficient; that is, they result in a distribution of resources at equilibrium such that no one can be made better off by changing the distribution without making someone else worse off.2
Racine AD, Joyce TJ. Applying Market Justice to Health Care. JAMA. 2008;299(16):1901–1902. doi:10.1001/jama.299.16.1901
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