David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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Theoretical Medicine and Bioethics 23 (6):455-470 (2002)
Persons of low socioeconomic status generallyexperience worse health and shorter lives thantheir better off counterparts. They alsosuffer a greater incidence of adversepsychosocial characteristics, such as lowself-esteem, self-efficacy, and self-masteryand increased cynicism and hostility. Thesepopulation data suggest another category ofharm to persons: diminished moral agency. Chronic socioeconomic deprivation can createenvironments that undermine the development ofself and capacities constitutive to moralagency – i.e., the capacity forself-determination and crafting a life of one''sown. The harm affects not only the choicesa person makes, but the chooser herself. Thismoral harm is particularly salient in modernWestern societies, especially in the UnitedStates, where success and failure is attributedto the individual, with little notice of thelarger social and political realities thatinform an individual''s circumstances and choices.
|Keywords||agency autonomy class health disparities identity justice poverty self-determination social determinants socioeconomic status|
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Henk ten Have (2015). Respect for Human Vulnerability: The Emergence of a New Principle in Bioethics. Journal of Bioethical Inquiry 12 (3):395-408.
Rachel Crockett, Timothy M. Wilkinson & Theresa M. Marteau (2008). Social Patterning of Screening Uptake and the Impact of Facilitating Informed Choices: Psychological and Ethical Analyses. [REVIEW] Health Care Analysis 16 (1):17-30.
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