Social Justice The Moral Foundations of Public Health and Health Policy

ISBN-10: 0195375130
ISBN-13: 9780195375138
Edition: 2008
List price: $28.95 Buy it from $25.93
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Description: In bioethics, discussions of justice have tended to focus on questions of fairness in access to health care: is there a right to medical treatment, and how should priorities be set when medical resources are scarce. But health care is only one of  More...

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Book details

List price: $28.95
Copyright year: 2008
Publisher: Oxford University Press, Incorporated
Publication date: 9/25/2008
Binding: Paperback
Pages: 240
Size: 6.00" wide x 9.00" long x 0.75" tall
Weight: 1.056
Language: English

In bioethics, discussions of justice have tended to focus on questions of fairness in access to health care: is there a right to medical treatment, and how should priorities be set when medical resources are scarce. But health care is only one of many factors that determine the extent to which people live healthy lives, and fairness is not the only consideration in determining whether a health policy is just. In this pathbreaking book, senior bioethicists Powers and Faden confront foundational issues about health and justice. How much inequality in health can a just society tolerate. The audience for the book is scholars and students of bioethics and moral and political philosophy, as well as anyone interested in public health and health policy.

The Job of Justice
Which Inequalities Matter Most
Justice and Well-Being
Justice, Sufficiency, and Systematic Disadvantage
Foundations of Public Health
Medical Care and Insurance Markets
Setting Priorities
Justice, Democracy, and Social Values
Introduction
Essential Dimensions of Well-Being
A Moderate Essentialism
Well-Being and Nonideal Theory
The Main Alternatives
Capabilities, Functioning, and Well-Being
Relativism, Moral Imperialism, and Political Neutrality
Justice and Basic Human Rights
Justice, Sufficiency, and Systematic Disadvantage
Varieties of Egalitarianism
The Leveling-Down Objection
The Strict Egalitarian's Pluralist Defense
Is the Appeal to Equality Unavoidable
A Sufficiency of Well-Being Approach
Toward a Unified Theory of Social Determinants and Well-Being
Densely Woven, Systematic Patterns of Disadvantage
Conclusion
Social Justice and Public Health
Introduction
Moral Justification for Public Health
Public Health, the Negative Point of Justice, and Systematic Disadvantage
Public Health, the Positive Point of Justice, and Health Inequalities
Medical Care and Insurance Markets
The Moral Foundations of Markets
Sources of Market Failure
Responses to Market Failure: Some Examples from the U.S. Experience
Making Matters Worse: Employer-Based Insurance in the United States
Private Markets and Public Safety Nets
Setting Priorities
Introduction
Mimicking Markets
Cost-Effectiveness and Cost-Utility Alternatives
Systematic Disadvantage
The Relevance of Childhood, Old Age, and Human Development
Beyond Separate Spheres of Justice
Trade-Offs within Health
Conclusion
Justice, Democracy, and Social Values
Lost on the Oregon Trail
From Substantive Justice
Mimicking Majorities: Moralizing Preferences and Empiricizing Equity
Theory, After All?
DALYs, Deliberation, and Empirical Ethics
Facts and Theory
References
Author Index
Subject Index

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