Social Justice: The Moral Foundations of Public Health and Health Policy
In bioethics, discussions of justice have tended to focus on questions of fairness in access to health care: is there a right to medical treatment, and how should priorities be set when medical resources are scarce. But health care is only one of many factors that determine the extent to which people live healthy lives, and fairness is not the only consideration in determining whether a health policy is just. In this pathbreaking book, senior bioethicists Powers and Faden confront foundational issues about health and justice.
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Chapter 1 The Job of Justice
Chapter 2 Justice and WellBeing
Chapter 3 Justice Sufficiency and Systematic Disadvantage
Chapter 4 Social Justice and Public Health
Chapter 5 Medical Care and Insurance Markets
Chapter 6 Setting Priorities
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achieve adverse adverse selection allocation approach argue argument chapter choices claim concern context cost-utility analysis costs coverage dimensions of well-being distributive economic effects egalitarian empirical enrollees equality essential dimensions example fare formal methods functioning groups health benefits health insurance markets health outcomes health policy human well-being important income individual injustice job of justice judgments lack level of sufficiency lives managed care market failure Martha Nussbaum matter Medicaid moral hazard moral urgency morally relevant multiple dimensions nonideal theory objection one’s overlapping social determinants particular patterns of systematic persons plausible political potential preferences principle priority setting problem programs public health QALYs quality-adjusted Rawls Rawlsian requires respect risk role self-determination social institutions social justice social structure strategies sufficiency in health sufficiency of well-being sufficient level systematic disadvantage theory of justice trade-offs unjust urgent utilitarian utility worst