What is Enough?
Sufficiency, Justice, and Health
1. Auflage
Erschienen am 30. September 2016
304 Seiten
978-0-19-938528-7 (ISBN)
Beschreibung
What is a just way of spending public resources for health and health care? Several significant answers to this question are under debate. Public spending could aim to promote greater equality in health, for example, or maximize the health of the population, or provide the worst off with the best possible health. Another approach is to aim for each person to have "enough" so that her health or access to health care does not fall under a critical level. This latter approach is called sufficientarian.
Sufficientarian approaches to distributive justice are intuitively appealing, but require further analysis and assessment. What exactly is sufficiency? Why do we need it? What does it imply for the just distribution of health or healthcare? This volume offers fresh perspectives on these critical questions. Philosophers, bioethicists, health policy-makers, and health economists investigate sufficiency and its application to health and health care in fifteen original contributions.
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Carina Fourie is the Benjamin Rabinowitz Assistant Professor of Medical Ethics at the University of Washington, Seattle. Previously she worked as a Postdoctoral Fellow at the Ethics Centre of the University of Zurich, and she has a PhD in Philosophy from University College London. Her central research interests include social justice and equality, and their application to health and health care policy. She has published widely in philosophy, medical ethics and health policy journals, including Res Publica, Bioethics and Health Policy, and is the co-editor of a collected volume on social equality, published by Oxford University Press.
Annette Rid is Senior Lecturer in Bioethics and Society at the Department of Global Health & Social Medicine at King's College London and an elected Fellow of the Hastings Center. Trained in medicine, philosophy and bioethics in Germany, Switzerland and the US, Annette's research interests span research ethics, clinical ethics and justice in health and health care. Annette has published widely in medical journals (e.g. Lancet, JAMA) and bioethics journals (e.g. Journal of Medical Ethics, Hastings Center Report). She has served as an advisor, among others, for the World Health Organization, the World Medical Association and the Council of International Organizations of Medical Sciences. At King's, Annette has lead the new MA in Bioethics & Society as one of its inaugural co-directors.
Inhalt
Acknowledgments
Contributors
Introduction
Carina Fourie and Annette Rid
Part 1 - Groundwork
1. The Sufficiency View: A Primer
Carina Fourie
2. Sufficiency, Health and Health Care Justice: The State of the Debate
Annette Rid
Part 2 - The Sufficiency View
3. Axiological Sufficientarianism
Iwao Hirose
4. Sufficiency, Priority, and Aggregation
Robert Huseby
5. Some Questions (and Answers) for Sufficientarians
Liam Shields
6. Essentially Enough: Elements of a Plausible Account of Sufficientarianism
David V. Axelsen and Lasse Nielsen
Part 3 - Sufficiency, health and health care justice
7. Intergenerational Justice, Sufficiency and Health
Axel Gosseries
8. Basic Human Functional Capabilities as the Currency of Sufficientarian Distribution in Healthcare
Efrat Ram-Tiktin
9. Disability, Disease, and Health Sufficiency
Sean Aas and David Wasserman
10. Sufficiency of Capabilities, Social Equality and Two-Tiered Health Care Systems
Carina Fourie
11. Determining a Basic Minimum of Accessible Health Care: A Comparative Assessment of the Well-being Sufficiency Approach
Paul T. Menzel
12. Just Caring: The Insufficiency of the Sufficiency Principle in Health Care
Leonard M. Fleck
Part 4 - Implementing Sufficiency in Health Care Policy and Economics
13. Defining Health Care Benefit Packages: How Sufficientarian is Current Practice?
Dimitra Panteli and Ewout van Ginneken
14. Sufficiency, Comprehensiveness of Healthcare Coverage and Cost-Sharing Arrangements in the Realpolitik of Health Policy
Govind Persad and Harald Schmidt
15. Applying the Capability Approach in Health Economic Evaluations: A Sufficient Solution
Paul Mark Mitchell, Tracy E. Roberts, Pelham M. Barton and Joanna Coast
Index
Bibliography
