Health Care Analysis 26 (1):1-16 (2018)

Authors
Gabriele Badano
University of York
Abstract
Norman Daniels’s theory of ‘accountability for reasonableness’ is an influential conception of fairness in healthcare resource allocation. Although it is widely thought that this theory provides a consistent extension of John Rawls’s general conception of justice, this paper shows that accountability for reasonableness has important points of contact with both utilitarianism and intuitionism, the main targets of Rawls’s argument. My aim is to demonstrate that its overlap with utilitarianism and intuitionism leaves accountability for reasonableness open to damaging critiques. The important role that utilitarian-like cost-effectiveness calculations are allowed to play in resource allocation processes disregards the separateness of persons and is seriously unfair towards individuals whose interests are sacrificed for the sake of groups. Furthermore, the function played by intuitions in settling frequent value conflicts opens the door for sheer custom and vested interests to steer decision-making.
Keywords Accountability for reasonableness  Healthcare resource allocation  Public justification  John Rawls  Norman Daniels  Cost effectiveness analysis  Intuitionism  Utilitarism
Categories (categorize this paper)
ISBN(s)
DOI 10.1007/s10728-017-0343-9
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 65,694
External links

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

What We Owe to Each Other.Thomas Scanlon - 1998 - Belknap Press of Harvard University Press.
What We Owe to Each Other.Thomas Scanlon - 2002 - Mind 111 (442):323-354.
Just Health: Meeting Health Needs Fairly.Norman Daniels - 2007 - Cambridge University Press.
Political Liberalism.J. Rawls - 1995 - Tijdschrift Voor Filosofie 57 (3):596-598.

View all 25 references / Add more references

Citations of this work BETA

Democratizing Algorithmic Fairness.Pak-Hang Wong - 2020 - Philosophy and Technology 33 (2):225-244.

Add more citations

Similar books and articles

Beyond Accountability for Reasonableness.Alex Friedman - 2008 - Bioethics 22 (2):101–112.
Healthcare Regulation as a Tool for Public Accountability.Rui Nunes, Guilhermina Rego & Cristina Brandão - 2009 - Medicine, Health Care and Philosophy 12 (3):257-264.
Intuitionism.Anthony Skelton - 2013 - In James Crimmins (ed.), Bloomsbury Encyclopedia of Utilitarianism. Bloomsbury Academic.
What is Reasonableness?James W. Boettcher - 2004 - Philosophy and Social Criticism 30 (5-6):597-621.
Classical Utilitarianism.John Rawls - 1988 - In Samuel Scheffler (ed.), Consequentialism and its Critics. Oxford University Press.
Justice, Health, and Healthcare.Norman Daniels - 2001 - American Journal of Bioethics 1 (2):2 – 16.
Should Research Ethics Committees Meet in Public?M. Sheehan - 2008 - Journal of Medical Ethics 34 (8):631-635.

Analytics

Added to PP index
2017-03-23

Total views
31 ( #357,595 of 2,462,427 )

Recent downloads (6 months)
4 ( #178,988 of 2,462,427 )

How can I increase my downloads?

Downloads

My notes