Public Health, Ethics and Equity

Public Health, Ethics and Equity

by Fabienne Peter
     
 

In the last fifty years, average overall health status has increased more or less in parallel with a much celebrated decline in mortality, attributed mostly to poverty reduction, sanitation, nutrition, housing, immunization, and improved medical care. It is becoming increasingly clear, however, that these achievements were not equally distributed. In most countries

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Overview

In the last fifty years, average overall health status has increased more or less in parallel with a much celebrated decline in mortality, attributed mostly to poverty reduction, sanitation, nutrition, housing, immunization, and improved medical care. It is becoming increasingly clear, however, that these achievements were not equally distributed. In most countries, while some social groups have benefited significantly, the situation of others has stagnated or may even have worsened. If health is a prerequisite to a person functioning as an agent, inequalities in health constitute inequalities in people's capability to function — a denial of equality of opportunity. So why should a concern with health equity be singled out from the pursuit of social justice more generally? Can existing theories of justice provide an adequate account of health equity? And what ethical problems arise in evaluating health inequalities? These are some of the important questions that this book addresses in building an interdisciplinary understanding of health equity. With contributions from distinguished philosophers, anthropologists, economists, and public-health specialists, it centres on five major themes: what is health equity?; health equity and social justice; responsibilities for health; ethical issues in health evaluation; and anthropological perspectives.

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Product Details

ISBN-13:
9780199276363
Publisher:
Oxford University Press, USA
Publication date:
11/01/2004
Pages:
324
Product dimensions:
9.30(w) x 6.40(h) x 1.00(d)

Table of Contents

Introduction1
1The concern for equity in health15
2Why health equity?21
3Social causes of social inequalities in health37
4Health and inequality, or, why justice is good for our health63
5Health equity and social justice93
6Personal and social responsibility for health109
7Relational conceptions of justice : responsibilities for health outcomes135
8Just health care in a pluri-national country163
9Disability-adjusted life years : a critical review183
10Ethical issues in the use of cost effectiveness analysis for the prioritisation of health care resources201
11Deciding whom to help, health-adjusted life years and disabilities225
12The value of living longer243
13Health achievement and equity : external and internal perspectives263
14Ethics and experience : an anthropological approach to health equity269
15Equity of the ineffable : cultural and political constraints on ethnomedicine as a health problem in contemporary Tibet283

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