David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Studies in Christian Ethics 18 (1):89-108 (2005)
This paper maps the different levels of the problem of healthcare resource allocation — micro, macro and international — with reference to three cases. It is argued that two standard approaches to the issue of distributive justice in healthcare, the QALY (quality-adjusted life year) approach and the social-contract approach developed by Norman Daniels, are fundamentally unsatisfactory for reasons identified by Alasdair MacIntyre. Although the virtue theory articulated by MacIntyre and others has been influential in many areas of healthcare ethics, there seems to have been relatively little discussion of the difference it might make to the problems of resource allocation. The potential of such an approach is explored in the later sections of the paper. Two apparently promising ways of bringing virtue ethics to bear on resource allocation are examined and found wanting to greater or lesser extents. Firstly, Beauchamp and Childress’s account of the virtues as a supplement to their ‘Four Principles’ is found to have little or no substantive contribution to make to this issue. Secondly, the ‘liberal communitarian’ system of resource allocation proposed by Ezekiel Emanuel, while a considerable improvement on the account of Beauchamp and Childress, remains problematic in some respects. An alternative Christian account is developed by identifying significant influences that might shape the ‘political prudence’ which would enable Christian communities to form sound judgments about distributive justice in healthcare. The paper concludes with some remarks about the relationship between this tradition-constituted account and the wider public sphere of policy-making and practice
|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
No references found.
Citations of this work BETA
N. Messer (2009). Christian Engagement with Public Bioethics in Britain: The Case of Human Admixed Embryos. Christian Bioethics 15 (1):31-53.
Similar books and articles
Louise M. Terry (2004). An Integrated Approach to Resource Allocation. Health Care Analysis 12 (2):171-180.
C. Foster (2007). Simple Rationality? The Law of Healthcare Resource Allocation in England. Journal of Medical Ethics 33 (7):404-407.
R. Cookson, C. McCabe & A. Tsuchiya (2008). Public Healthcare Resource Allocation and the Rule of Rescue. Journal of Medical Ethics 34 (7):540-544.
S. Sinclair (2012). How to Avoid Unfair Discrimination Against Disabled Patients in Healthcare Resource Allocation. Journal of Medical Ethics 38 (3):158-162.
Anne Slowther & Tony Hope (2002). Resource Allocation Decisions in U.K. Healthcare: Do Ethics Committees Have a Role? [REVIEW] HEC Forum 14 (1):64-72.
Veronika Wirtz, Alan Cribb & Nick Barber (2003). Understanding the Role of “the Hidden Curriculum” in Resource Allocation—The Case of the UK NHS. Health Care Analysis 11 (4):295-300.
Santanu Gupta (2003). On the Relevance of the Median Voter to Resource Allocation Amongst Jurisdictions. Gokhale Institute of Politics and Economics.
M. J. Williams (2009). Resource Expenditure Not Resource Allocation: Response to McDougall on Cloning and Dignity. Journal of Medical Ethics 35 (5):330-334.
Helen Keasberry (1992). Equity and Solidarity: The Context of Health Care in the Netherlands. Journal of Medicine and Philosophy 17 (4):463-477.
Katrina A. Bramstedt (2002). Patient Productivity as a Value and a Variable in Geriatric Healthcare Allocation. Cambridge Quarterly of Healthcare Ethics 11 (1):94-96.
Søren Holm (1995). "Socialized Medicine", Resource Allocation and Two-Tiered Health Care – the Danish Experience. Journal of Medicine and Philosophy 20 (6):631-637.
Scott Wisor (2012). How Should INGOs Allocate Resources? Ethics and Global Politics 5 (1):27-48.
C. Daniel Batson, Elizabeth Collins & Adam A. Powell (2006). Doing Business After the Fall: The Virtue of Moral Hypocrisy. [REVIEW] Journal of Business Ethics 66 (4):321 - 335.
Ian E. Thompson, Kath M. Melia & Kenneth M. Boyd (eds.) (2006). Nursing Ethics. Churchill Livingstone Elsevier.
Margaret Keatings & Diana Dick (1989). Ethics and Politics of Resource Allocation: The Role of Nursing. [REVIEW] Journal of Business Ethics 8 (2-3):187 - 192.
Added to index2010-08-30
Total downloads2 ( #413,144 of 1,692,868 )
Recent downloads (6 months)1 ( #182,244 of 1,692,868 )
How can I increase my downloads?