Social Justice: The Moral Foundations of Public Health and Health Policy

Paperback | September 15, 2008

byMadison Powers, Ruth Faden

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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 whichpeople 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. How much inequality in health can a just society tolerate. Theaudience for the book is scholars and students of bioethics and moral and political philosophy, as well as anyone interested in public health and health policy.

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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 whichpeople live healthy lives, and fairness is ...

Madison Powers is Director and Science Research Scholar, Kennedy Institute of Ethics, and Associate Professor of Philosophy, Georgetown University. Ruth Faden is Wagley Professor of Biomedical Ethics, and Director, Berman Bioethics Institute, Johns Hopkins University.

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Social Justice: The Moral Foundations of Public Health and Health Policy
Social Justice: The Moral Foundations of Public Health ...

Kobo ebook|Sep 25 2008

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Format:PaperbackDimensions:240 pages, 9.25 × 6.13 × 0.68 inPublished:September 15, 2008Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0195375130

ISBN - 13:9780195375138

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Table of Contents

Chapter 1: The Job of Justice1.1 Which Inequalities Matter Most1.2 Justice and Well-Being1.3 Justice, Sufficiency, and Systematic Disadvantage1.4 Foundations of Public Health1.5 Medical Care and Insurance Markets1.6 Setting Priorities1.7 Justice, Democracy, and Social ValuesChapter 22.1 Introduction2.2 Essential Dimensions of Well-Being2.3 A Moderate Essentialism2.4 Well-Being and Nonideal Theory2.5 The Main Alternatives2.6 Capabilities, Functioning, and Well-Being2.7 Relativism, Moral Imperialism, and Political Neutrality2.8 Justice and Basic Human RightsChapter 3: Justice, Sufficiency, and Systematic Disadvantage3.1 Varieties of Egalitarianism3.2 The Leveling-Down Objection3.3 The Strict Egalitarian's Pluralist Defense3.4 Is the Appeal to Equality Unavoidable3.5 A Sufficiency of Well-Being Approach3.6 Toward a Unified Theory of Social Determinants and Well-Being3.7 Densely Woven, Systematic Patterns of Disadvantage3.8 ConclusionChapter 4: Social Justice and Public Health4.1 Introduction4.2 Moral Justification for Public Health4.3 Public Health, the Negative Point of Justice, and Systematic Disadvantage4.4 Public Health, the Positive Point of Justice, and Health InequalitiesChapter 5: Medical Care and Insurance Markets5.1 The Moral Foundations of Markets5.2 Sources of Market Failure5.3 Responses to Market Failure: Some Examples from the U.S. Experience5.4 Making Matters Worse: Employer-Based Insurance in the United States5.5 Private Markets and Public Safety NetsChapter 6: Setting Priorities6.1 Introduction6.2 Mimicking Markets6.3 Cost-Effectiveness and Cost-Utility Alternatives6.4 Systematic Disadvantage6.5 The Relevance of Childhood, Old Age, and Human Development6.6 Beyond Separate Spheres of Justice6.7 Trade-Offs within Health6.8 ConclusionChapter 7: Justice, Democracy, and Social Values7.1 Lost on the Oregon Trail7.2 From Substantive Justice7.3 Mimicking Majorities: Moralizing Preferences and Empiricizing Equity7.4 Theory, After All?7.5 DALYs, Deliberation, and Empirical EthicsChapter 8: Facts and TheoryReferencesAuthor IndexSubject Index