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