David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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American Journal of Bioethics 8 (10):2 – 10 (2008)
In this paper I argue that a narrow view of justice dominates the bioethics literature. I urge a broader view. As bioethicists, we often conceive of justice using a medical model. This model focuses attention at a particular point in time, namely, when someone who is already sick seeks access to scarce or expensive services. A medical model asks how we can fairly distribute those services. The broader view I endorse requires looking upstream, and asking how disease and suffering came about. In contrast to a medical model, a social model of justice considers how social determinants affect the health of a population. For example, social factors such as access to clean drinking water, education, safe workplaces, and police protection, profoundly affect risk for disease and early death. I examine one important social determinant of health, health care coverage, to show the limits of a medical model and the merits of a broader view.
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Citations of this work BETA
Lawrence J. Schneiderman (2011). Rationing Just Medical Care. American Journal of Bioethics 11 (7):7 - 14.
Dale Murray (2008). The Need for a Broader View of Policy in Health Care. American Journal of Bioethics 8 (10):18 – 19.
Christopher P. Morley (2008). Primary Care, Patient Autonomy, and Healthcare Justice. American Journal of Bioethics 8 (10):22 – 23.
Michael Oscar Harhay (2008). Health, Democracy and the 2008 Presidential Election. American Journal of Bioethics 8 (10):14 – 15.
Nancy S. Jecker (2013). Justice Between Age Groups: An Objection to the Prudential Lifespan Approach. American Journal of Bioethics 13 (8):3-15.
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