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Author Ruger, Jennifer Prah

Title Health and social justice / Jennifer Prah Ruger

Publ Info Oxford ; New York : Oxford University Press, 2010
 RWU Main Library  RA418 .R84 2010    AVAILABLE
 URI  RA418 .R84 2010    AVAILABLE
Descript xxxvii, 276 pages : illustrations ; 24 cm
text rdacontent
unmediated rdamedia
volume rdacarrier
Note Includes bibliographical references and index
Contents 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 ; Deliberately democratic procedures ; Summary of problems with the current set of frameworks -- Health and human flourishing. Aristotle's theory ; The capability approach ; Capability and health policy -- Pluralism, incompletely theorized agreements, and public policy. Social choice theory, collective rationality, and Arrow's impossibility result ; 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 ; Equality, sufficiency, and priority ; Efficiency and health policy ; Ethics of the social determinants of health ; Limitations 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 -- Health capability account of equal access. Rethinking equal access : agency, quality, and 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 ; 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 withing 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 -- 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 ; A wedge theory of health care reform ; Internalization and agreement on moral values
Mesh Subject Health Policy
Healthcare Disparities
LC subject Social medicine
Health -- Social aspects
Medical policy
Social justice
Equality -- Health aspects
ISBN 9780199559978 (hbk. : alk. paper)