Cost-effectiveness and disability discrimination

Economics and Philosophy 25 (1):27-47 (2009)
Abstract
It is widely recognized that prioritizing health care resources by their relative cost-effectiveness can result in lower priority for the treatment of disabled persons than otherwise similar non-disabled persons. I distinguish six different ways in which this discrimination against the disabled can occur. I then spell out and evaluate the following moral objections to this discrimination, most of which capture an aspect of its unethical character: it implies that disabled persons' lives are of lesser value than those of non-disabled persons; it constitutes or violates Frances Kamm's non-linkage principle; it conflicts with equality of opportunity; it conflicts with fairness, which requires ignoring (some/most) differential impacts of treatment; it wrongly gives lower priority to disabled persons for equally effective treatment; it conflicts with giving all persons an equal chance to reach their full potential; and, it is in conflict with giving priority to the worse off
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References found in this work BETA
Richard J. Arneson (2007). Desert and Equality. In Nils Holtug & Kasper Lippert-Rasmussen (eds.), Egalitarianism: New Essays on the Nature and Value of Equality. Clarendon Press. 262--293.
Norman Daniels (1985). Just Health Care. Cambridge University Press.

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Linda Barclay (2010). Disability, Respect and Justice. Journal of Applied Philosophy 27 (2):154-171.
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