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Journal

2015 | Diametros 43 | 44-54

Article title

Just Solidarity: The Key to Fair Health Care Rationing

Selected contents from this journal

Title variants

Languages of publication

EN

Abstracts

EN
I agree with Professor ter Meulen that there is no need to make a forced choice between “justice” and “solidarity” when it comes to determining what should count as fair access to needed health care. But he also asserts that solidarity is more fundamental than justice. That claim needs critical assessment. Ter Meulen recognizes that the concept of solidarity has been criticized for being excessively vague. He addresses this criticism by introducing the more precise notion of “humanitarian solidarity.” However, I argue that these notions are still not precise enough and are in need of behavioral translation, especially in relation to the problem of fair health care rationing. More specifically, I argue that translation ought to take the form of a well-ordered process of rational democratic deliberation, which I describe and defend in this essay. Such a process is what is required to construct a working model of just solidarity as opposed to a merely abstract idealization of just solidarity.

Journal

Year

Issue

Pages

44-54

Physical description

Dates

published
2015-03

Contributors

  • Center for Ethics and Humanities in the Life Sciences Department of Philosophy Michigan State University

References

  • D. Callahan, What Kind of Life: The Limits of Medical Progress, Simon and Schuster, New York 1990.
  • L. Fleck, Just Caring: Health Care Rationing and Democratic Deliberation, Oxford University Press, New York 2009.
  • L. Fleck, “Just Caring: Health Care Rationing, Terminal Illness, and the Medically Least Well Off,” Journal of Law, Medicine, and Ethics (39) 2011, p. 156–171.
  • L. Fleck, “Just Caring: In Defense of the Role of Rational Democratic Deliberation in Health Care Rationing and Priority-Setting,” [in:] Andre den Exeter and Martin Buijsen (eds.), Rationing Health Care: Hard Choices and Unavoidable Trade-Offs, Maklu Press, Antwerp, p. 19–36.
  • R. ter Meulen, “Solidarity and Justice in Health Care: A Comparative Analysis,” Diametros (43) 2015, p. 1–20.
  • J. Rawls, A Theory of Justice, Harvard University Press, Cambridge, MA 1971.
  • J. Rawls, Political Liberalism, Columbia University Press, New York 1993.
  • R. Rettig, “Special Treatment – The Story of Medicare’s ESRD Entitlement,” New England Journal of Medicine (364) 2011, p. 1582–1584.
  • M. Sandel, Liberalism and the Limits of Justice, 2nd edition, Cambridge University Press, Cambridge 1998.
  • J. Schoenman, “The Concentration of Health Care Spending: NICHM Foundation Data Brief,” URL = http://www.nihcm.org/component/
  • content/article/326-publications-health-care-spending/679-the-concentration-of-health-care-spending [31.01.2015].
  • A. Sisko, S. Keehan, G. Cuckler, A. Madison, S. Smith, et al., “National Health Expenditure Projections, 2013–23: Faster Growth Expected with Expanded Coverage and Improving Economy,” Health Affairs (33) 2014, p. 1841–1850.
  • K. Thorpe, L. Ogden, K. Galactionova, “Chronic Conditions Account for Rise in Medicare Spending from 1987 to 2006,” Health Affairs (29) 2010, p. 718–724.

Notes

EN
Special Topic - Solidarity and Justice in Health Care

Document Type

Publication order reference

YADDA identifier

bwmeta1.element.desklight-ad6d925f-5d26-42b8-8552-e76f0b43aa86
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