American Journal of Bioethics 11 (12):32-40 (2011)
|Abstract||Enormous gaps between HIV burden and health care availability in low-income countries raise severe ethical problems. This article analyzes four HIV-priority dilemmas with interest across contexts and health systems. We explore principled distributive conflicts and use the Atkinson index to make explicit trade-offs between health maximization and equality in health. We find that societies need a relatively low aversion to inequality to favor treatment for children, even with large weights assigned to extending the lives of adults: higher inequality aversion is needed to share resources equally between high-cost and low-cost treatment; higher inequality aversion is needed to favor treatment rather than prevention, and the highest inequality aversion is needed to favor sharing treatment between urban and rural regions rather than urban provision of treatment. This type of ethical sensitivity analysis may clarify the ethics of health policy choice.|
|Keywords||No keywords specified (fix it)|
|Through your library||Configure|
Similar books and articles
Dan W. Brock (2000). Broadening the Bioethics Agenda. Kennedy Institute of Ethics Journal 10 (1).
Timothy F. Murphy (1994). Health Care Workers with Hiv and a Patient's Right to Know. Journal of Medicine and Philosophy 19 (6):553-569.
Nir Eyal & Alex Voorhoeve (2011). Inequalities in HIV Care: Chances Versus Outcomes. American Journal of Bioethics 11 (12):42-44.
Erich H. Loewy (1999). Health-Care Systems and Ethics: What Can We Learn? Health Care Analysis 7 (4):309-320.
Michael Waxman, Roland Merchant, M. Celada & Melissa Clark (2011). Perspectives on the Ethical Concerns and Justifications of the 2006 Centers for Disease Control and Prevention HIV Testing Recommendations. BMC Medical Ethics (1):24-.
B. M. Meier, K. N. Brugh & Y. Halima (2012). Conceptualizing a Human Right to Prevention in Global HIV/AIDS Policy. Public Health Ethics 5 (3):263-282.
Daniel M. Hausman, Yukiko Asada & Thomas Hedemann (2002). Health Inequalities and Why They Matter. Health Care Analysis 10 (2):177-191.
Julie M. Aultman (forthcoming). Don't Let the Bedbugs Bite: The Cimicidae Debacle and the Denial of Healthcare and Social Justice. Medicine, Health Care and Philosophy.
R. Bayer (2010). Mass Testing and Mass Treatment for Epidemic HIV: The Ethics of Medical Research is No Guide. Public Health Ethics 3 (3):301-302.
Angela Campbell, Children Living with Hiv: Reshaping Law and Policy in Québec to Preserve and Promote Their Rights.
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.
Fiona Randall (1996). Palliative Care Ethics: A Good Companion. Oxford University Press.
Robert A. Pearlman (1992). An Ethical Framework for Rationing Health Care. Journal of Medicine and Philosophy 17 (1).
Russell Armstrong (2008). Mandatory Hiv Testing in Pregnancy: Is There Ever a Time? Developing World Bioethics 8 (1):1–10.
Sorry, there are not enough data points to plot this chart.
Added to index2011-12-07
Total downloads1 ( #277,212 of 556,837 )
Recent downloads (6 months)0
How can I increase my downloads?