Health and Social Justice

ISBN-10: 0199653135
ISBN-13: 9780199653133
Edition: 2012
List price: $24.99
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Book details

List price: $24.99
Copyright year: 2012
Publisher: Oxford University Press
Publication date: 3/29/2012
Binding: Paperback
Pages: 320
Size: 6.25" wide x 9.00" long x 0.75" tall
Weight: 1.100
Language: English

List of Figures
List of Tables
List of Abbreviations
Introduction
The Current Set of Ethical Frameworks
Approaches to Medical and Public Health Ethics
Welfare economic and utilitarian approaches
Communitarianism and liberal communitarianism
Egalitarian theories: equal opportunity and equal welfare
Libertarian and market-based approaches
Deliberative democratic procedures
Summary of problems with the current set of frameworks
An Alternative Account-The Health Capability Paradigm
Health and Human nourishing
Aristotle's theory
Human flourishing
Appropriate ends of political activity
Enabling functioning as a measure of political arrangements
Other ends for political action
Defining flourishing
The capability approach
Capability sets
Heterogeneity
Measures of well-being
Freedom: opportunity and process
Selection and valuation
Basic capabilities
An underspecified theory
Capability and health policy
Pluralism, Incompletely Theorized Agreements, and Public Policy
Social choice theory, collective rationality, and Arrow's impossibility result
Problems in social choice
Arrow's impossibility theorem
Incompletely theorized agreements
Incompletely specified agreements
Incompletely specified and generalized agreements
Incompletely theorized agreements on particular outcomes
Incompletely theorized agreements and public policy
Pluralism, ambiguity, and incompletely theorized agreements
Incompletely theorized agreements and health capability
Health capability set: central and non-central health capabilities
Justice, Capability, and Health Policy
Trans-positionality: a global view of health
Health capabilities: health functionings, health needs, and health agency
Health and disease
Equality, sufficiency, and priority
A hybrid account: measuring inequality in health policy
Attainment and shortfall equality
Efficiency and health policy
Ethics of the social determinants of health
Limitations and objections
Capability, not opportunity or utility
Other critiques and objections
Principles of the health capability paradigm
Grounding the Right to Health
Scope and content of a right to health
Duties and obligations in domestic and international policy and law: ethical commitments and public moral norms
Positive and negative rights: a constitutional right to medical self-defence
Domestic Health Policy Applications
A Health Capability Account of Equal Access
Rethinking equal access: agency, quality, and norms
Defining equal access and a right to health care
Equal opportunity and equal resources
Rethinking equal access: a health capability perspective
Justification for high-quality care
Health agency
Health norms
High-quality care and a two-tiered system
Responsibility and health: voluntary risk compared with involuntary risk
Paternalism, libertarian paternalism, and free will
A Health Capability Account of Equitable and Efficient Health Financing and Insurance
Theory of demand for health insurance
Behavioural economics and prospect theory
Medical ethics and equal access to health care
Welfare economics and the capability approach
Vulnerability and insecurity
Moral foundations of health insurance
Gains in well-being from risk pooling and health insurance
Empirical evidence on the equity of health financing models
Market failures, public goods, and the role of the public sector
Allocating Resources: A Joint Scientific and Deliberative Approach
Reasoned consensus through scientific and deliberative processes
Frameworks for combining technical and ethical rationality for collective choice
Allocations within the broader social budget
Allocating within the health policy budget: benefits package: types of goods and services guaranteed
An evidence-based approach: medical appropriateness and clinical practice guidelines
Medical futility and setting limits
Universal benefits package
Hard cases: the �bottomless pit objection' and 'reasonable accommodation'
Joint clinical and economic solutions: incorporating efficiency
Resource allocation and age: reaching the highest average life expectancy
Domestic Health Reform
Political and Moral Legitimacy: A Normative Theory of Health Policy Decision-Making
Public moral norms and domestic health reforms
Norms and values in the public's assessment of policy
Alternative frameworks: political conceptions and political processes
Case study: the Clinton Administration and failed health reform
A model of American health care reform and incomplete theorization
Agreement on universal health care coverage
Multiple high-level theories for universal coverage
Strategies for attaining universal coverage
A wedge theory of health care reform
Internalization and agreement on moral values
Conclusion
Bibliography
Index

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