Heart disease and social inequality: Ethical issues in the aetiology, prevention and treatment of heart disease
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jonathan Jenkins Ichikawa
Jack Alan Reynolds
Learn more about PhilPapers
Bioethics 23 (2):123-130 (2009)
Heart disease is a complex condition that is a leading cause of death worldwide. It is often seen as a disease of affluence, yet is strongly associated with a gradient in socio-economic status. Its highly complex causality means that many different facets of social and economic life are implicated in its aetiology, including factors such as workplace hierarchy and agricultural policy, together with other well-known factors such as what passes for individual 'lifestyle'. The very untangling of causes for heart disease thus inevitably raises social, moral and political issues. These include the proper role of the individual and of larger social forces in its aetiology, prevention and treatment. The construction of risk factors for heart disease likewise is enmeshed with questions of distributive justice in the responsible targeting of those at risk for heart disease, a debate which has received much overt attention in the medical literature, but less attention within the ethical literature. Strategies for addressing a condition of such complex causality can be highly diverse, from pharmaceutical to social interventions, and value issues attach to the choice and presentation of such strategies. For example, prevention strategies may raise complex issues of responsibility and of judgements of what it is to 'live well'. Further ethical debate on this highly political disease would be welcome.
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
A. Albertsen (2015). Luck Egalitarianism, Social Determinants and Public Health Initiatives. Public Health Ethics 8 (1):42-49.
Paula Boddington (2010). Dietary Choices, Health, and Freedom: Hidden Fats, Hidden Choices, Hidden Constraints. American Journal of Bioethics 10 (3):43-44.
Similar books and articles
Randolph M. Nesse (2001). On the Difficulty of Defining Disease: A Darwinian Perspective. [REVIEW] Medicine, Health Care and Philosophy 4 (1):37-46.
P. Thagard (1996). The Concept of Disease: Structure and Change. Philosophical Explorations 29:445-478.
Timothy F. Murphy (1986). A Cure for Aging? Journal of Medicine and Philosophy 11 (3):237-255.
Ulla Räisänen, Marie-Jet Bekkers, Paula Boddington, Srikant Sarangi & Angus Clarke (2006). The Causation of Disease – The Practical and Ethical Consequences of Competing Explanations. Medicine, Health Care and Philosophy 9 (3):293-306.
Thomas Schramme (2007). The Significance of the Concept of Disease for Justice in Health Care. Theoretical Medicine and Bioethics 28 (2):121-135.
E. Haavi Morreim (2006). End-Stage Heart Disease, High-Risk Research, and Competence to Consent: The Case of the AbioCor Artificial Heart. Perspectives in Biology and Medicine 49 (1):19-34.
Piero Antuono & Jan Beyer (1999). The Burden of Dementia: A Medical and Research Perspective. Theoretical Medicine and Bioethics 20 (1):3-13.
Juha Räikkä (1996). The Social Concept of Disease. Theoretical Medicine and Bioethics 17 (4).
Robert Samuel Wachbroit (1998). The Question Not Asked: The Challenge of Pleiotropic Genetic Tests. Kennedy Institute of Ethics Journal 8 (2):131-144.
Anjali V. Fields & James N. Kirkpatrick (2012). Ethics of the Heart: Ethical and Policy Challenges in the Treatment of Advanced Heart Failure. Perspectives in Biology and Medicine 55 (1):71-80.
Added to index2009-01-28
Total downloads21 ( #196,341 of 1,938,818 )
Recent downloads (6 months)1 ( #458,338 of 1,938,818 )
How can I increase my downloads?