Millions of Americans lack health insurance, and as a result, thousands suffer and die every year. Philosophers have argued that an ideal society would avoid these problems by guaranteeing reasonable universal access to health insurance-but what about concerns that a universal health insurance system would be inefficient, create excessive fiscal risk, or impose high taxes and other personal costs? In The Ethics of Universal Health Insurance , Alex Rajczi shows how defenders of universal health insurance can address the ethical issues raised by these objections and make the moral case for an American universal health insurance system that improves on the gains made in the Affordable Care Act. By addressing these objections, Rajczi reveals fascinating philosophical issues that have been previously overlooked. Understanding these issues in the health care debate has larger upshots as well. This book will help readers form a deeper and more thorough understanding of progressive and conservative views on distributive justice, and it will provide a framework for examining debates about any part of the social safety net-in America and elsewhere.