Health and Social Justice

Paperback | April 11, 2012

byJennifer Prah Ruger

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Health and Social Justice provides a theoretical framework for health ethics, public policy and law in which Dr Ruger introduces the health capability paradigm, an innovative and unique approach which considers the capability of health as a moral imperative. This book is the culmination ofmore than a decade and a half of work to develop the health capability paradigm, with a vision of a world where all have the capability to be healthy. This vision is grounded in the Aristotelian view of human flourishing and also Amartya Sen's capability approach. In this new paradigm, not justhealth care, or even just health alone, but the capability for health itself is a moral imperative, as is ensuring the conditions that allow all individuals the means to achieve central health capabilities. Key tenets of health capability include health agency, shared health governance, where individuals, providers and institutions work together to create a social system enabling all to be healthy, and the use of theorized agreements and shared reasoning to guide social choice and shape health policyand decision-making. This book provides philosophical justification for the direct moral importance of health and the capability for health and follows a norms-based approach to health promotion. It employs a joint scientific and deliberative approach to guide health system development and reform,and the allocation of scarce health resources. The health capability paradigm integrates both proceduralist and consequentialist approaches to justice, and both moral and political legitimacy are critical.

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Health and Social Justice provides a theoretical framework for health ethics, public policy and law in which Dr Ruger introduces the health capability paradigm, an innovative and unique approach which considers the capability of health as a moral imperative. This book is the culmination ofmore than a decade and a half of work to develo...

Jennifer Prah Ruger's previous appointments include Assistant Professor at Washington University in St. Louis, Schools of Medicine and Social Work, Speech Writer to the World Bank President, James D. Wolfensohn, Health Economist in the World Bank Health, Nutrition and Population Sector and Satellite Secretariat for the World Health Org...
Format:PaperbackDimensions:320 pagesPublished:April 11, 2012Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199653135

ISBN - 13:9780199653133

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Table of Contents

IntroductionThe Current Set of Ethical Frameworks1. Approaches to Medical and Public EthicsAn Alternative Account- The Health Capability Paradigm2. Health and Human Flourishing3. Pluralism, Incompletely Theorized Agreements, and Public Policy4. Justice, Capability, and Health Policy5. Grounding the Right to HealthDomestic Health Policy Applications6. A Health Capability Account of Equal Access7. A Health Capability Account of Equitable and Efficient Health Financing and Insurance8. Allocating Resources: A Joint Scientific and Deliberative ApproachDomestic Health Reform9. Political and Moral Legitimacy: A Normative Theory of Health Policy Decision-makingConclusion

Editorial Reviews

'Ruger presents the 'health capability paradigm', an original synthesis of philosophy, political science, and economics that illuminates a way forward toward a more rational health policy-and health policy process. A book that is a must read for all serious students of health policy' --Joseph P. Newhouse, John D. MacArthur Professor of Health Policy and Management and Director of the Division of Health Policy Research and Education, Harvard University