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  1. Discrimination Based on Personal Responsibility: Luck Egalitarianism and Healthcare Priority Setting.Andreas Albertsen - 2024 - Cambridge Quarterly of Healthcare Ethics 33 (1):23-34.
    Luck egalitarianism is a responsibility-sensitive theory of distributive justice. Its application to health and healthcare is controversial. This article addresses a novel critique of luck egalitarianism, namely, that it wrongfully discriminates against those responsible for their health disadvantage when allocating scarce healthcare resources. The philosophical literature about discrimination offers two primary reasons for what makes discrimination wrong (when it is): harm and disrespect. These two approaches are employed to analyze whether luck egalitarian healthcare prioritization should be considered wrongful discrimination. Regarding (...)
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  • Risk and Responsibility in Context.Adriana Placani & Stearns Broadhead (eds.) - 2023 - New York: Routledge.
    This volume bridges contemporary philosophical conceptions of risk and responsibility and offers an extensive examination of the topic. It shows that risk and responsibility combine in ways that give rise to new philosophical questions and problems. Philosophical interest in the relationship between risk and responsibility continues to rise, due in no small part due to environmental crises, emerging technologies, legal developments, and new medical advances. Despite such interest, scholars are just now working out how to conceive of the links between (...)
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  • The Triage of “Blameworthy” Patients.Fabrizio Turoldo - 2022 - Philosophies 7 (5):99.
    One question that has sometimes cropped up in the debate on triage and the management of scarce healthcare resources concerns patients’ merits, demerits, and responsibility with regard to their own medical condition. During the current pandemic, some have wondered, when it comes to accessing healthcare, whether patients who have refused vaccination—despite the availability of vaccines and pressure to get vaccinated from the health authorities—should be given the same priority as patients who have diligently undergone vaccination in accordance with the authorities’ (...)
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  • A lay perspective on prioritization for intensive care in pandemic times: Vaccination status matters.Philipp Sprengholz, Lars Korn, Lisa Felgendreff, Sarah Eitze & Cornelia Betsch - forthcoming - Clinical Ethics:147775092210944.
    During a pandemic, demand for intensive care often exceeds availability. Experts agree that allocation should maximize benefits and must not be based on whether patients could have taken preventive measures. However, intensive care units are often overburdened by individuals with severe COVID-19 who have chosen not to be vaccinated to prevent the disease. This article reports an experiment that investigated the German public's prioritization preferences during the fourth wave of the coronavirus pandemic. In a series of scenarios, participants were asked (...)
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  • Responsibility amid the social determinants of health.Ben Schwan - 2020 - Bioethics 35 (1):6-14.
    It is natural to think that there is a tight connection between whether someone is responsible for some outcome and whether it is appropriate to hold her accountable for that outcome. And this natural thought naturally extends to health: if someone is responsible for her health, then, all else being equal, she is accountable for it. Given this, some have thought that responsibility for health has an important role to play in distributing the benefits and burdens of healthcare. But there (...)
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  • The Undeserving Sick? An Evaluation of Patients’ Responsibility for Their Health Condition.Christine Clavien & Samia Hurst - 2020 - Cambridge Quarterly of Healthcare Ethics 29 (2):175-191.
    The recent increased prevalence of diseases related to unhealthy lifestyles raises difficulties for healthcare insurance systems traditionally based on the principles of risk-management, solidarity, and selective altruism: since these diseases are, to some extent, predictable and avoidable, patients seem to bear some responsibility for their condition and may not deserve full access to social medical services. Here, we investigate with objective criteria to what extent it is warranted to hold patients responsible for their illness and to sanction them accordingly. We (...)
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  • Better in theory than in practise? Challenges when applying the luck egalitarian ethos in health care policy.Joar Björk, Gert Helgesson & Niklas Juth - 2020 - Medicine, Health Care and Philosophy 23 (4):735-742.
    Luck egalitarianism, a theory of distributive justice, holds that inequalities which arise due to individuals’ imprudent choices must not, as a matter of justice, be neutralized. This article deals with the possible application of luck egalitarianism to the area of health care. It seeks to investigate whether the ethos of luck egalitarianism can be operationalized to the point of informing health care policy without straying from its own ideals. In the transition from theory to practise, luck egalitarianism encounters several difficulties. (...)
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