David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Developing World Bioethics 8 (2):89-103 (2008)
I defend a certain claim about rationing in the context of HIV/AIDS, namely, the 'priority thesis' that the state of a developing country with a high rate of HIV should provide highly active anti-retroviral treatment (HAART) to those who would die without it, even if doing so would require not treating most other life-threatening diseases. More specifically, I defend the priority thesis in a negative way, by refuting two influential and important arguments against it inspired by the Kantian principle of respect for persons. The 'equality argument' more or less maintains that prioritizing treatment for HIV/AIDS would objectionably treat those who suffer from it as more important than those who do not. The 'responsibility argument' says, roughly, that to ration life-saving treatment by prioritizing those with HIV would wrongly fail to hold people responsible for their actions, since most people infected with HIV could have avoided the foreseeable harm of infection. While it appears that a Kantian must think that one of these two arguments is sound, I maintain that, in fact, respect for persons grounds neither the equality nor responsibility argument against prioritizing HAART and hence at least permits doing so. If this negative defence of the priority thesis succeeds, then conceptual space is opened up for the possibility that respect for persons requires prioritizing HAART, which argument I sketch in the conclusion as something to articulate and defend in future work.
|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
John Kekes (2002). On the Supposed Obligation to Relieve Famine. Philosophy 77 (4):503-517.
Margaret Gilbert, Andrew Mason, Elizabeth S. Anderson, J. David Velleman, Matthew H. Kramer, Michele M. Moody‐Adams & Martha C. Nussbaum (1999). 10. Lucius T. Outlaw, Jr., On Race and Philosophy Lucius T. Outlaw, Jr., On Race and Philosophy (Pp. 454-456). Ethics 109 (2).
Cheyney C. Ryan (1983). Self-Defense, Pacifism, and the Possibility of Killing. Ethics 93 (3):508-524.
Citations of this work BETA
No citations found.
Similar books and articles
Heta Häyry (1992). HIV and the Alleged Right to Remain in Ignorance. Social Philosophy Today 7:165-175.
C. P. Bhunu, W. Garira & G. Magombedze (2009). Mathematical Analysis of a Two Strain Hiv/Aids Model with Antiretroviral Treatment. Acta Biotheoretica 57 (3):361-381.
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.
Godfrey B. Tangwa (2002). The HIV/AIDS Pandemic, African Traditional Values and the Search for a Vaccine in Africa. Journal of Medicine and Philosophy 27 (2):217 – 230.
Michael J. Selgelid & Christian Enemark (2008). Infectious Diseases, Security and Ethics: The Case of Hiv/Aids. Bioethics 22 (9):457-465.
Paul Ndebele, Joseph Mfutso-Bengo & Francis Masiye (2008). Hiv/Aids Reduces the Relevance of the Principle of Individual Medical Confidentiality Among the Bantu People of Southern Africa. Theoretical Medicine and Bioethics 29 (5):331-340.
Mojalefa Johannes Koenane, Ethical Perspectives on Surveillance and Preventive Strategies for HIV/AIDS in South Africa.
James B. McArthur, As the Tide Turns: The Changing HIV/AIDS Epidemic and the Criminalization of HIV Exposure.
Thaddeus Metz (2005). The Ethics of Routine HIV Testing: A Respect-Based Analysis. South African Journal on Human Rights 21 (3):370-405.
Added to index2009-01-28
Total downloads27 ( #112,280 of 1,724,879 )
Recent downloads (6 months)1 ( #349,126 of 1,724,879 )
How can I increase my downloads?