Health and Social Justice

Health and Social Justice

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by Jennifer Prah Ruger
     
 

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ISBN-10: 019955997X

ISBN-13: 9780199559978

Pub. Date: 02/28/2010

Publisher: Oxford University Press

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

Overview

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 ethics, 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.

Product Details

ISBN-13:
9780199559978
Publisher:
Oxford University Press
Publication date:
02/28/2010
Pages:
224
Product dimensions:
6.50(w) x 9.30(h) x 1.10(d)

Table of Contents

The Current Set of Ethical Frameworks
1. Approaches to Medical and Public Ethics
An Alternative Account- The Health Capability Paradigm
2. Health and Human Flourishing
3. Pluralism, Incompletely Theorized Agreements, and Public Policy
4. Justice, Capability, and Health Policy
5. Grounding the Right to Health
Domestic Health Policy Applications
6. A Health Capability Account of Equal Access
7. A Health Capability Account of Equitable and Efficient Health Financing and Insurance
8. Allocating Resources: A Joint Scientific and Deliberative Approach
Domestic Health Reform
9. Political and Moral Legitimacy: A Normative Theory of Health Policy Decision-making
Conclusion

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Health and Social Justice 5 out of 5 based on 0 ratings. 1 reviews.
Anonymous More than 1 year ago