Although scholars have thoroughly assessed American Evangelical Protestants’ beliefs about government intervention in addressing socioeconomic stratification and racial discrimination, they have paid considerably less attention to interpretations of health care reform. Especially important is that American Evangelicalism in recent years has incorporated personal accountability in such a way that makes this group distinctive when considering social responsibility toward others. Whereas earlier Evangelicals were instrumental in furthering the social gospel, American Evangelicals today prioritize matters of personal accountability ahead of social action. The cultural toolkit available to Evangelicals includes a rationale for caring for others, but an emphasis on personal accountability shapes how they evaluate government health care interventions. This paper employs qualitative methods to understand how Evangelicals link such individualism with strategies for caring for others in the context of health care. The findings suggest that Evangelicals emphasize personal accountability, especially when evaluating government programs. However, personal accountability is accompanied by a conflicting ethical responsibility to provide care to others. The priority given to personal accountability or an ethic of care, however, varies according to the situational context or social location of white Evangelicals. These findings may be helpful in framing future health policies to draw Evangelical support.

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鼓励问责：福音派与美国医疗改革

尽管学者们已经彻底评估了美国福音派新教徒关于政府干预解决社会经济分层和种族歧视的信念，但他们对医疗改革的解释却很少关注。尤其重要的是，美国福音派近年来将个人责任纳入其中，使这个群体在考虑对他人的社会责任时与众不同。早期的福音派人士在推动社会福音方面发挥了重要作用，而今天的美国福音派人士则将个人责任问题置于社会行动之前。福音派可用的文化工具包包括关心他人的基本原理，但对个人责任的强调影响了他们评估政府医疗保健干预措施的方式。本文采用定性方法来了解福音派人士如何将这种个人主义与在医疗保健背景下照顾他人的策略联系起来。调查结果表明，福音派强调个人责任，尤其是在评估政府计划时。然而，个人责任伴随着为他人提供照顾的相互冲突的道德责任。然而，优先考虑个人责任或关怀伦理，因白人福音派的情境背景或社会地位而异。这些发现可能有助于制定未来的卫生政策以吸引福音派的支持。调查结果表明，福音派强调个人责任，尤其是在评估政府计划时。然而，个人责任伴随着为他人提供照顾的相互冲突的道德责任。然而，优先考虑个人责任或关怀伦理，因白人福音派的情境背景或社会地位而异。这些发现可能有助于制定未来的卫生政策以吸引福音派的支持。调查结果表明，福音派强调个人责任，尤其是在评估政府计划时。然而，个人责任伴随着为他人提供照顾的相互冲突的道德责任。然而，优先考虑个人责任或关怀伦理，因白人福音派的情境背景或社会地位而异。这些发现可能有助于制定未来的卫生政策以吸引福音派的支持。