9 found

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  1. Pharmacogenomic Inequalities: Strategies for Justice in Biomedical Research and Healthcare.De Grandis Giovanni - 2017 - Diametros 51:153-172.
    The paper discusses the possibility that the benefits of pharmacogenomics will not be distributed equally and will create orphan populations. I argue that since these inequalities are not substantially different from those produced by ‘traditional’ drugs and are not generated with the intention to discriminate, their production needs not be unethical. Still, the final result is going against deep-seated moral feelings and intuitions, as well as broadly accepted principles of just distribution of health outcomes and healthcare. I thus propose two (...)
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    Priority to Organ Donors: Personal Responsibility, Equal Access and the Priority Rule in Organ Procurement.Andreas Brøgger Albertsen - 2017 - Diametros 51:137-152.
    In the effort to address the persistent organ shortage it is sometimes suggested that we should incentivize people to sign up as organ donors. One way of doing so is to give priority in the allocation of organs to those who are themselves registered as donors. Israel introduced such a scheme recently and the preliminary reports indicate increased donation rates. How should we evaluate such initiatives from an ethical perspective? Luck egalitarianism, a responsibility-sensitive approach to distributive justice, provides one possible (...)
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  3.  1
    The Number’s Significance in the Rescue Case. The Debate About John Taurek’s Position.Barbara Chyrowicz - 2017 - Diametros 51:1-27.
    The controversies connected with John Taurek’s rescue case concern the meaning of number in dediding about whom help in situations of means deficiency. Taurek thinks that number does not count; we can save the one instead of many. Since either common sense or the duty of the responsible managing of help incline us to approve the decision to help those who are more numerous, Taurek’s thesis seems counterintuitive. Most of the authors discussing Taurek’s thesis defend the meaning of number in (...)
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  4. The Right to Healthcare Under European Law.André den Exter - 2017 - Diametros 51:173-195.
    Too often, the right to healthcare has been considered an illusory right that is not even a legal right, but merely an aspirational norm that cannot be adjudicated before the court. In modern human rights law, considering individual and social rights as interdependent and indivisible, such an approach is untenable. Both legal doctrine and recent case law from domestic and international courts have elaborated and confirmed the specific obligations under the right to healthcare, countering the general complaint of “shrouded vagueness”. (...)
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  5. Solidarity, Equality and the Problem of Private Health Insurence.Aleksandra Głos - 2017 - Diametros 51:28-47.
    Private health insurance is a domain in which different models of health care systems collide. Most European health care systems are built upon the principles of solidarity and equality, and are provided by public entities. But the private health insurance market can threaten these values, limiting solidarity, equality and universality for the sake of cost effectiveness, consumer choice and market competition. The aim of this article is to analyse these risks and present mechanisms for their mitigation, which allow for the (...)
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  6. Financial Dimension of Psychotherapy and Psychotherapeutic Relationship.Marchewka Katarzyna - 2017 - Diametros 51:48-64.
    This paper aims to discuss selected issues related to the effect exerted by the financial aspects of psychotherapy on psychotherapeutic relationship. In the beginning the article takes up considerations on the effect that fee received by the therapist directly from the client could have on therapeutic relationship. Then the issues of reimbursing the psychotherapeutic services are discussed: the consequences are shown which the criteria of reimbursing specific therapeutic methods have for the quality of psychotherapeutic relationships, as well as the influence (...)
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  7. The Pluralistic Theory of Organ Allocation.Piotr Grzegorz Nowak - 2017 - Diametros 51:65-89.
    Biomedical sciences cannot answer the question who should be saved from death if not everyone can be. This is an ethical issue. However we face exactly this question when deliberating on criteria for organ allocation. The main goal of this article is to formulate a pluralistic theory of just distribution of organs, which incorporates the assumptions of utilitarianism, egalitarianism and sufficientarianism. Each constituent theory adopts different worth as a criterion for organ allocation. For utilitarianism it is a health benefit for (...)
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  8. Allocative Implications of Implementation of the Private Supplementary/Parallel Health Insurance in Egoistic, Altruistic and Envious Societies – Economical Perspective.Christoph Sowada - 2017 - Diametros 51:90-112.
    Assessing the implementation of various instruments and solutions in the health care system, we cannot limit ourselves to check only their impact on the fulfillment of the criteria of justice and equity. Another important social objective is to maximize social welfare under conditions in face of scarcity of resources. The aim of the article is to analyze the impact of the implementation of private insurance on social welfare into the existing public security system depending on: the reasons for the restrictions (...)
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    The Normative Implications of the Preference Toward Identified People.Tomasz Żuradzki - 2017 - Diametros 51:113-136.
    The results of empirical research show that people prefer to help identified individuals rather than unidentified. This preference has an important influence on many private and public decisions, for example concerning vaccination or the distribution of healthcare resources. The aim of this article is to define terms “identified”, “unidentified”, “statistical”, and then to analyze three philosophical arguments concerning the normative implications of this preference: 1) contractualism ex ante; 2) fair distribution of chances and risks; 3) principles about concentrating good effects (...)
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