David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Public Health Ethics 5 (2):104-115 (2012)
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)|
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
Andrew M. Courtwright (2009). Justice, Stigma, and the New Epidemiology of Health Disparities. Bioethics 23 (2):90-96.
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.
Jonathan Wolff (2009). Disadvantage, Risk and the Social Determinants of Health. Public Health Ethics 2 (3):214-223.
Citations of this work BETA
Andreas Albertsen (2015). Luck Egalitarianism, Social Determinants and Public Health Initiatives. Public Health Ethics 8 (1):42-49.
A. Dawson & K. Grill (2012). Health Promotion: Conceptual and Ethical Issues. Public Health Ethics 5 (2):101-103.
Alistair Wardrope (2015). Relational Autonomy and the Ethics of Health Promotion. Public Health Ethics 8 (1):50-62.
Christopher Mayes & Donald B. Thompson (2014). Is Nutritional Advocacy Morally Indigestible? A Critical Analysis of the Scientific and Ethical Implications of 'Healthy' Food Choice Discourse in Liberal Societies. Public Health Ethics 7 (2):158-169.
Similar books and articles
Daniel M. Hausman, Yukiko Asada & Thomas Hedemann (2002). Health Inequalities and Why They Matter. Health Care Analysis 10 (2):177-191.
Norman Daniels (2008). Just Health: Meeting Health Needs Fairly. Cambridge University Press.
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.
Daniel M. Hausman (2009). Benevolence, Justice, Well-Being and the Health Gradient. Public Health Ethics 2 (3):235-243.
Peter Allmark (2005). Health, Happiness and Health Promotion. Journal of Applied Philosophy 22 (1):1–15.
Stephen John (2009). Why 'Health' is Not a Central Category for Public Health Policy. Journal of Applied Philosophy 26 (2):129-143.
Madison Powers & Ruth Faden (2008). Social Justice: The Moral Foundations of Public Health and Health Policy. OUP Usa.
Scott Burris & Evan D. Anderson (2010). A Framework Convention on Global Health: Social Justice Lite, or a Light on Social Justice? Journal of Law, Medicine & Ethics 38 (3):580-593.
Madison Powers & Ruth R. Faden (2000). Inequalities in Health, Inequalities in Health Care: Four Generations of Discussion About Justice and Cost-Effectiveness Analysis. Kennedy Institute of Ethics Journal 10 (2):109-127.
S. M. Carter, C. Klinner, I. Kerridge, L. Rychetnik, V. Li & D. Fry (2012). The Ethical Commitments of Health Promotion Practitioners: An Empirical Study From New South Wales, Australia. Public Health Ethics 5 (2):128-139.
T. M. Wilkinson (2010). Community, Public Health and Resource Allocation. Public Health Ethics 3 (3):267-271.
Bege Dauda & Kris Dierickx (2012). Health, Human Right, and Health Inequalities: Alternative Concepts in Placing Health Research as Justice for Global Health. American Journal of Bioethics 12 (11):42-44.
M. E. J. Nielsen, X. Landes & M. M. Andersen (2013). Should We Equalize Status in Order to Equalize Health? Public Health Ethics 6 (1):104-113.
Steven P. Wainwright & Angus Forbes (2000). Philosophical Problems with Social Research on Health Inequalities. Health Care Analysis 8 (3):259-277.
Added to index2012-07-07
Total downloads16 ( #154,465 of 1,699,704 )
Recent downloads (6 months)5 ( #128,702 of 1,699,704 )
How can I increase my downloads?