David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
Economics and Philosophy 25 (1):27-47 (2009)
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
|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
Norman Daniels (2008). Just Health: Meeting Health Needs Fairly. Cambridge University Press.
Allen E. Buchanan, Dan W. Brock, Norman Daniels & Daniel Wikler (2000). From Chance to Choice: Genetics and Justice. Cambridge University Press.
John Broome (1991). Weighing Goods: Equality, Uncertainty and Time. Wiley-Blackwell.
G. A. Cohen (1989). On the Currency of Egalitarian Justice. Ethics 99 (4):906-944.
Ronald Dworkin (1981). What is Equality? Part 1: Equality of Welfare. Philosophy and Public Affairs 10 (3):185-246.
Citations of this work BETA
D. Brock (2011). Cost-Effectiveness and Disability Discrimination – Addendum. Economics and Philosophy 27 (1):97-98.
Similar books and articles
Gavin Mooney (1989). The Demand for Effectiveness, Efficiency and Equity of Health Care. Theoretical Medicine and Bioethics 10 (3).
Linda Barclay (2010). Disability, Respect and Justice. Journal of Applied Philosophy 27 (2):154-171.
Lars Bernfort (2003). Decisions on Inclusion in the Swedish Basic Health Care Package—Roles of Cost-Effectiveness and Need. Health Care Analysis 11 (4):301-308.
Elizabeth Barnes (2009). Disability, Minority, and Difference. Journal of Applied Philosophy 26 (4):337-355.
Geert Demuijnck (2009). Disability and Discrimination in Access to Employment: What the People Think About Positive Discrimination and Integration. In P. Alonso, D. Cantarero, J. Nunez & M. Saez (eds.), Ensayos sobre Economia, Discapacidad y Empleo. Essays on Economics, Disability and Employment. Delta Publicaciones Universitarias
Alan H. Goldman (2000). Review of Anita Silvers, David Wasserman, and Mary Mahowald, Disability, Difference, Discrimination: Perspectives on Justice in Bioethics and Public Policy:Disability, Difference, Discrimination: Perspectives on Justice in Bioethics and Public Policy. [REVIEW] Ethics 110 (4):873-875.
Dan W. Brock, Health Care Resource Prioritization and Discrimination Against Persons with Disabilities.
Greg Bognar (2011). Impartiality and Disability Discrimination. Kennedy Institute of Ethics Journal 21 (1):1-23.
Dan W. Brock (1999). Ethical Issues in the Construction of Cost-Effectiveness Analyses for the Prioritization and Rationing of Healthcare. The Proceedings of the Twentieth World Congress of Philosophy 1:215-229.
Greg Bognar (2010). Does Cost Effectiveness Analysis Unfairly Discriminate Against People with Disabilities? Journal of Applied Philosophy 27 (4):394-408.
Added to index2009-05-03
Total downloads179 ( #20,466 of 1,911,681 )
Recent downloads (6 months)10 ( #61,248 of 1,911,681 )
How can I increase my downloads?