Health and social justice:
"Societies make decisions and take actions that profoundly impact the distribution of health. Why and how should collective choices be made, and policies implemented, to address health inequalities under conditions of resource scarcity? How should societies conceptualize and measure health disp...
Gespeichert in:
| 1. Verfasser: | |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Oxford [u.a.]
Oxford Univ. Press
2010
|
| Ausgabe: | 1. publ. |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Zusammenfassung: | "Societies make decisions and take actions that profoundly impact the distribution of health. Why and how should collective choices be made, and policies implemented, to address health inequalities under conditions of resource scarcity? How should societies conceptualize and measure health disparities, and determine whether they've been adequately addressed? Who is responsible for various aspects of this important social problem? In Health and Social Justice, Jennifer Prah Ruger elucidates principles to guide these decisions, the evidence that should inform them, and the policies necessary to build equitable and efficient health systems world-wide. This book weaves together original insights and disparate constructs to produce a foundational new theory, the health capability paradigm." "Ruger's theory takes the ongoing debates about the theoretical underpinnings of national health disparities and systems in striking new directions. It shows the limitations of existing approaches (utilitarian, libertarian, Rawlsian, communitarian), and effectively balances a consequentialist focus on health outcomes and costs with a proceduralist respect for individuals' health agency. Through what Ruger calls shared health governance, it emphasizes responsibility and choice. It allows broader assessment of injustices, including attributes and conditions affecting individuals' "human flourishing," as well as societal structures within which resource distribution occurs. Addressing complex issues at the intersection of philosophy, economics, and politics in health, this fresh perspective bridges the divide between the collective and the individual, between personal freedom and social welfare, equality and efficiency, and science and economics."--BOOK JACKET. |
| Beschreibung: | Literaturverz. S. 237 - 270 |
| Beschreibung: | XXXVII, 276 S. graph. Darst. 24cm |
| ISBN: | 019955997X 9780199559978 |
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Datensatz im Suchindex
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| adam_text | Titel: Health and social justice
Autor: Ruger, Jennifer Prah
Jahr: 2010
Table of Contents
List ofFigures xxxiv
List of Tables xxxv
List of Abbreviations xxxvi
Introduction 1
Part I: The Current Set of Ethical Frameworks
1. Approaches to Medical and Public Health F,thics 19
1.1. Weifare economic and utilitarian approaches 19
1.2. Communitarianism and liberal communitarianism 25
1.3. Egalitarian theories: equal opportunity and equal welfare 26
1.4. Libertarian and market-based approaches 30
1.5. Deliberative democratic procedures 33
1.6. Summary of problems with the current set of frameworks 36
Part II: An Alternative Account?The Health Capability Paradigm
2. Health and Human Flourishing 45
2.1. Aristotle s theory 45
2.1.1. Human flourishing 45
2.1.2. Appropriate ends of political activity 46
2.1.3. Enabling functioning as a measure of political
arrangements 47
2.1.4. Other ends for political action 47
2.1.5. Defining flourishing 47
Contents
2.2. The capability approach 50
2.2.1. Capability sets 51
2.2.2. Heterogeneity 53
2.2.3. Measures of well-being 54
2.2.4. Freedom: opportunity and process 54
2.2.5. Selection and valuation 55
2.2.6. Basic capabilities 57
2.2.7. An underspecified theory 58
2.3. Capability and health policy 58
3. Pluralism, Incompletely Theorized Agreements,
and Public Policy 65
3.1. Social choice theory, collective rationality, and
Arrow s impossibility result 66
3.1.1. Problems in social choice 66
3.1.2. Arrow s impossibility theorem 67
3.2. Incompletely theorized agreements 69
3.3. Incompletely specified agreements 71
3.4. Incompletely specified and generalized agreements 73
3.5. Incompletely theorized agreements on
particular outcomes 73
3.6. Incompletely theorized agreements and public policy 73
3.7. Pluralism, ambiguity, and incompletely
theorized agreements 74
3.8. Incompletely theorized agreements
and health capability 75
3.9. Health capability set: central and
non-central health capabilities 76
4. Justice, Capability, and Health Policy 79
4.1. Trans-positionality: a global view of health 79
4.1.1. Health capabilities: health functionings,
health needs, and health agency 81
4.1.2. Health and disease 83
4.2. Equality, sufficiency, and priority 88
4.2.1. A hybrid account: measuring inequality
in health policy 88
4.2.2. Attainment and shortfall equality 89
Contents
4.3. Efficiency and health policy 95
4.4. Ethics of the social determinants of health 98
4.5. Limitations and objections 103
4.5.1. Capability, not opportunity or Utility 103
4.5.2. Other critiques and objections 109
4.6. Principles of the health capability paradigm 111
5. Grounding the Right to Health 118
5.1. Scope and content of a right to health 122
5.2. Duties and obligations in domestic and
international policy and law: ethical commitments
and public moral norms 123
5.3. Positive and negative rights: a constitutional right to
medical self-defence 124
Part III: Domestic Health Policy Applications
6. A Health Capability Account of Equal Access 133
6.1. Rethinking equal access: agency, quality, and norms 133
6.1.1. Defining equal access and a right to health care 134
6.1.2. Equal opportunity and equal resources 136
6.1.3. Rethinking equal access: a health capability
perspective 140
6.1.4. Justification for high-quality care 143
6.1.5. Health agency I46
6.1.6. Health norms 148
6.2. High-quality care and a two-tiered System 150
6.3. Responsibility and health: voluntary risk compared
with involuntary risk 153
6.4. Paternalism, libertarian paternalism, and free will 155
A Health Capability Account of Equitable and
7
Efficient Health Financing and Insurance 159
7.1. Theory of demand for health insurance 161
7.2. Behavioural economics and prospect theory 161
7.3. Medical ethics and equal access to health care 162
7.4. Weifare economics and the capability approach 162
7.5. Vulnerability and insecurity 163
Contents
7.6. Moral foundations of health insurance 163
7.7. Gains in well-being from risk pooling
and health insurance 166
7.8. Empirical evidence on the equity of
health financing modeis 167
7.9. Market failures, public goods, and the role
of the public sector 168
8. Allocating Resources: A Joint Scientific and Deliberative
Approach 172
8.1. Reasoned consensus through scientific and
deliberative processes 172
8.2. Frameworks for combining technical and ethical
rationality for collective choice 175
8.3. Allocations within the broader social budget 175
8.4. Allocating within the health policy budget: benefits
package: types of goods and Services guaranteed 177
8.5. An evidence-based approach: medical
appropriateness and clinical practice guidelines 178
8.6. Medical futility and setting limits 183
8.7. Universal benefits package 184
8.8. Hard cases: the bottomless pit objection and
reasonable accommodation 187
8.9. Joint clinical and economic Solutions:
incorporating efficiency 192
8.10. Resource allocation and age: reaching the highest
average life expectancy 199
Part IV: Domestic Health Reform
9. Political and Moral Legitimacy: A Normative Theory of
Health Policy Decision-Making 205
9.1. Public moral norms and domestic health reforms 207
9.2. Norms and values in the public s assessment of policy 210
9.3. Alternative frameworks: political conceptions
and political processes 212
9.4. Case study: the Clinton Administration and
failed health reform 216
Contents
9.5. A model of American health care reform and
incomplete theorization 219
9.5.1. Agreement on universal health care coverage 219
9.5.2. Multiple high-level theories for universal coverage 220
9.5.3. Strategies for attaining universal coverage 222
9.6. A wedge theory of health care reform 225
9.7. Internalization and agreement on moral values 230
Conclusion 235
Bibliography 237
Index 271
XXXIII
|
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| discipline | Soziologie Wirtschaftswissenschaften Medizin |
| edition | 1. publ. |
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| isbn | 019955997X 9780199559978 |
| language | English |
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| spelling | Ruger, Jennifer Prah 1966- Verfasser (DE-588)141544945 aut Health and social justice Jennifer Prah Ruger 1. publ. Oxford [u.a.] Oxford Univ. Press 2010 XXXVII, 276 S. graph. Darst. 24cm txt rdacontent n rdamedia nc rdacarrier Literaturverz. S. 237 - 270 "Societies make decisions and take actions that profoundly impact the distribution of health. Why and how should collective choices be made, and policies implemented, to address health inequalities under conditions of resource scarcity? How should societies conceptualize and measure health disparities, and determine whether they've been adequately addressed? Who is responsible for various aspects of this important social problem? In Health and Social Justice, Jennifer Prah Ruger elucidates principles to guide these decisions, the evidence that should inform them, and the policies necessary to build equitable and efficient health systems world-wide. This book weaves together original insights and disparate constructs to produce a foundational new theory, the health capability paradigm." "Ruger's theory takes the ongoing debates about the theoretical underpinnings of national health disparities and systems in striking new directions. It shows the limitations of existing approaches (utilitarian, libertarian, Rawlsian, communitarian), and effectively balances a consequentialist focus on health outcomes and costs with a proceduralist respect for individuals' health agency. Through what Ruger calls shared health governance, it emphasizes responsibility and choice. It allows broader assessment of injustices, including attributes and conditions affecting individuals' "human flourishing," as well as societal structures within which resource distribution occurs. Addressing complex issues at the intersection of philosophy, economics, and politics in health, this fresh perspective bridges the divide between the collective and the individual, between personal freedom and social welfare, equality and efficiency, and science and economics."--BOOK JACKET. Gesellschaft Equality Health aspects Health Policy Health Social aspects Healthcare Disparities Medical policy Social justice Social medicine Soziale Gerechtigkeit (DE-588)4236433-4 gnd rswk-swf Sozialer Konsens (DE-588)4181940-8 gnd rswk-swf Gesundheitspolitik (DE-588)4113743-7 gnd rswk-swf Krankheitskosten (DE-588)4247917-4 gnd rswk-swf Medizinische Versorgung (DE-588)4038270-9 gnd rswk-swf Medizinische Versorgung (DE-588)4038270-9 s Soziale Gerechtigkeit (DE-588)4236433-4 s Gesundheitspolitik (DE-588)4113743-7 s DE-604 Krankheitskosten (DE-588)4247917-4 s Sozialer Konsens (DE-588)4181940-8 s b DE-604 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=018869475&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Ruger, Jennifer Prah 1966- Health and social justice Gesellschaft Equality Health aspects Health Policy Health Social aspects Healthcare Disparities Medical policy Social justice Social medicine Soziale Gerechtigkeit (DE-588)4236433-4 gnd Sozialer Konsens (DE-588)4181940-8 gnd Gesundheitspolitik (DE-588)4113743-7 gnd Krankheitskosten (DE-588)4247917-4 gnd Medizinische Versorgung (DE-588)4038270-9 gnd |
| subject_GND | (DE-588)4236433-4 (DE-588)4181940-8 (DE-588)4113743-7 (DE-588)4247917-4 (DE-588)4038270-9 |
| title | Health and social justice |
| title_auth | Health and social justice |
| title_exact_search | Health and social justice |
| title_full | Health and social justice Jennifer Prah Ruger |
| title_fullStr | Health and social justice Jennifer Prah Ruger |
| title_full_unstemmed | Health and social justice Jennifer Prah Ruger |
| title_short | Health and social justice |
| title_sort | health and social justice |
| topic | Gesellschaft Equality Health aspects Health Policy Health Social aspects Healthcare Disparities Medical policy Social justice Social medicine Soziale Gerechtigkeit (DE-588)4236433-4 gnd Sozialer Konsens (DE-588)4181940-8 gnd Gesundheitspolitik (DE-588)4113743-7 gnd Krankheitskosten (DE-588)4247917-4 gnd Medizinische Versorgung (DE-588)4038270-9 gnd |
| topic_facet | Gesellschaft Equality Health aspects Health Policy Health Social aspects Healthcare Disparities Medical policy Social justice Social medicine Soziale Gerechtigkeit Sozialer Konsens Gesundheitspolitik Krankheitskosten Medizinische Versorgung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=018869475&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT rugerjenniferprah healthandsocialjustice |