David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Public Health Ethics 2 (3):261-275 (2009)
What are the respective roles and responsibilities of global, national, and local communities as well as individuals themselves to address health deprivations and avert health threats? This article offers the beginnings of a theory of global health justice, arguing for universal ethical norms (general duty) with shared global and domestic responsibility (specific duties) for health. It offers a global minimalist view I call ‘ provincial globalism ’ as a mean between nationalism and cosmopolitanism, in which a provincial consensus must accompany a global consensus on health morality. This minimalist account asserts global and national duties to promote human flourishing and, more specifically, individuals’ central health capabilities. In this view, justice requires prioritizing responsibilities through shared health governance to reduce shortfall inequalities in central health capabilities — a general duty to reduce premature mortality and escapable morbidity. It examines the difficulties presented by the philosophical principles of connectedness, causality, remediation, partiality, and capacity in the allocation of responsibility for global health. It offers a theory of responsibility allocation based on a functional, health agency centered and homeostatic balanced understanding of the analytical components required to solve global health problems and parcels out roles and responsibilities at the global, national, local, and individual levels accordingly. Allocations of responsibility rest on the effectiveness and special obligations of different actors, respecting self-determination by groups and individuals and seeking voluntary commitments . This view understands that the remedy for global health problems must be sustainable to take nations and the global health community to a new global health equilibrium that remedies current problems and prepares for new health threats to come
|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
Arnab K. Acharya (2004). Toward Establishing a Universal Basic Health Norm. Ethics and International Affairs 18 (3):65–78.
Avishai Margalit & Joseph Raz (1990). National Self-Determination. Journal of Philosophy 87 (9):439-461.
Onora O'Neill (2002). Public Health or Clinical Ethics: Thinking Beyond Borders. Ethics and International Affairs 16 (2):35–45.
Thomas W. Pogge (2005). Human Rights and Global Health: A Research Program. Metaphilosophy 36 (1‐2):182-209.
Gopal Sreenivasan (2002). International Justice and Health: A Proposal. Ethics and International Affairs 16 (2):81–90.
Citations of this work BETA
Jennifer Prah Ruger (2011). Shared Health Governance. American Journal of Bioethics 11 (7):32 - 45.
Jennifer Prah Ruger (2012). Global Health Justice and Governance. American Journal of Bioethics 12 (12):35-54.
Similar books and articles
Bridget Pratt & Bebe Loff (2013). Linking International Research to Global Health Equity: The Limited Contribution of Bioethics. Bioethics 27 (4):208-214.
Lindsay F. Wiley (2010). Mitigation/Adaptation and Health: Health Policymaking in the Global Response to Climate Change and Implications for Other Upstream Determinants. Journal of Law, Medicine & Ethics 38 (3):629-639.
Ilona Kickbusch, Wolfgang Hein & Gaudenz Silberschmidt (2010). Addressing Global Health Governance Challenges Through a New Mechanism: The Proposal for a Committee C of the World Health Assembly. Journal of Law, Medicine & Ethics 38 (3):550-563.
Jan Sutherland & Elaine Gibson (2007). Cosmopolitanism and Global Public Health. Social Philosophy Today 23:133-148.
Lawrence O. Gostin & Allyn L. Taylor (2008). Global Health Law: A Definition and Grand Challenges. Public Health Ethics 1 (1):53-63.
Norman Daniels (2008). Just Health: Meeting Health Needs Fairly. Cambridge University Press.
Ruth Bell, Sebastian Taylor & Michael Marmot (2010). Global Health Governance: Commission on Social Determinants of Health and the Imperative for Change. Journal of Law, Medicine & Ethics 38 (3):470-485.
Just Balstad Haffeld, Harald Siem & John-Arne Røttingen (2010). Examining the Global Health Arena: Strengths and Weaknesses of a Convention Approach to Global Health Challenges. Journal of Law, Medicine & Ethics 38 (3):614-628.
Allen Buchanan & Matthew DeCamp (2006). Responsibility for Global Health. Theoretical Medicine and Bioethics 27 (1):95-114.
A. E. Denburg (2010). Global Child Health Ethics: Testing the Limits of Moral Communities. Public Health Ethics 3 (3):239-258.
Added to index2009-12-21
Total downloads23 ( #116,841 of 1,700,235 )
Recent downloads (6 months)1 ( #362,609 of 1,700,235 )
How can I increase my downloads?