Social Justice, Health Inequalities and Methodological Individualism in US Health Promotion

Public Health Ethics 5 (2):104-115 (2012)
Abstract
This article asserts that traditionally dominant models of health promotion in the US are fairly characterized by methodological individualism. This schema produces a focus on the individual as the node of intervention. Such emphasis results in a number of scientific and ethical problems. I identify three principal ethical deficiencies: first, the health promotions used are generally ineffective, which violates canons of distributive justice because scarce health resources are expended on interventions that are unlikely to produce health benefits. Second, the health promotions used tend to expand health inequalities between the affluent and the least well-off. Third, the health promotions used are likely to intensify stigma against the least well-off, a deficiency that itself may exacerbate the ‘densely-woven patterns of disadvantage’ that characterize life on the tail of the social gradient. Because Powers and Faden’s health sufficiency model of social justice argues that the amelioration of such clusters of disadvantage should be the primary ethical goal of public health policy, methodologically individualist models of health promotion are ethically deficient and should not stand as primary approaches for health promotion in a just social order
Keywords No keywords specified (fix it)
Categories (categorize this paper)
Options
 Save to my reading list
Follow the author(s)
My bibliography
Export citation
Find it on Scholar
Edit this record
Mark as duplicate
Revision history Request removal from index
 
Download options
PhilPapers Archive


Upload a copy of this paper     Check publisher's policy on self-archival     Papers currently archived: 11,404
External links
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
Daniel S. Goldberg (2010). Job and the Stigmatization of Chronic Pain. Perspectives in Biology and Medicine 53 (3):425-438.
K. Voigt (2010). Smoking and Social Justice. Public Health Ethics 3 (2):91-106.
Citations of this work BETA
Similar books and articles
Fabienne Peter (2001). Health Equity and Social Justice. Journal of Applied Philosophy 18 (2):159–170.
Dan W. Brock (2000). Broadening the Bioethics Agenda. Kennedy Institute of Ethics Journal 10 (1):21-38.
Peter Allmark (2005). Health, Happiness and Health Promotion. Journal of Applied Philosophy 22 (1):1–15.
Analytics

Monthly downloads

Added to index

2012-07-07

Total downloads

11 ( #138,888 of 1,102,977 )

Recent downloads (6 months)

4 ( #84,832 of 1,102,977 )

How can I increase my downloads?

My notes
Sign in to use this feature


Discussion
Start a new thread
Order:
There  are no threads in this forum
Nothing in this forum yet.