The social determinants of health, care ethics and just health care

Contemporary Political Theory 13 (2):149-167 (2014)

Abstract
Political theorists generally defend the moral importance of health care by appealing to its purported importance in promoting good health and saving lives. Recent research on the social determinants of health demonstrates, however, that health care actually does relatively little to promote good health or save lives in comparison with other social and environmental factors. This article assesses the implications of the social determinants of health literature for existing theories of health care justice, and outlines a new approach that can justify publicly subsidized comprehensive health care despite its limited contribution to good health. Even if health care plays a relatively limited role in promoting good health, it remains morally important because of the care it provides to individuals. As such, it can be justified in terms of care ethics. When health care is justified primarily in terms of care rather than health, however, the goals of a just health-care system shift. The measure of a just health-care system is no longer strictly its ability to generate good health outcomes but also its ability to provide individuals with accessible, good quality daily care. This different focus has important consequences for the way we think about the institutions of a just health-care system as well as for the delivery and allocation of medical goods and services
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1057/cpt.2013.14
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

Our Archive


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 47,122
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

The Ethics of Care and Empathy. [REVIEW]M. Slote - 2009 - Analysis 69 (1):190-192.
Just Health Care.Cheyney Ryan - 1990 - Philosophical Review 99 (2):287.
Is Health Care (Still) Special?Shlomi Segall - 2007 - Journal of Political Philosophy 15 (3):342–361.
Health Care and Equality of Opportunity.Gopal Sreenivasan - 2007 - Hastings Center Report 37 (2):21-31.

View all 10 references / Add more references

Citations of this work BETA

Notes on Substantance in Orthodox Theory: A Reply to Badano.William R. Smith - 2019 - Journal of Medical Ethics 45 (4):275-276.

View all 6 citations / Add more citations

Similar books and articles

Broadening the Bioethics Agenda.Dan W. Brock - 2000 - Kennedy Institute of Ethics Journal 10 (1):21-38.
Bioethics at the Crossroad.Erich H. Loewy & Roberta Springer Loewy - 2001 - Health Care Analysis 9 (4):463-476.
From Health Care Reform to Public Health Reform.Micah L. Berman - 2011 - Journal of Law, Medicine and Ethics 39 (3):328-339.
From Needs to Health Care Needs.Erik Gustavsson - 2013 - Health Care Analysis (1):1-14.
Justice and Health Care: Selected Essays. [REVIEW]Roger Stanev - 2011 - Theoretical Medicine and Bioethics 32 (2):137-142.
Examining Creativity in Health and Care.Emma Brodzinski & Deborah Munt - 2009 - Health Care Analysis 17 (4):277-284.
Do the Bishops Have It Right On Health Care Reform?D. P. Sulmasy - 1996 - Christian Bioethics 2 (3):309-325.
Story in Health and Social Care.Hannah Bradby, Janet Hargreaves & Mary Robson - 2009 - Health Care Analysis 17 (4):331-344.

Analytics

Added to PP index
2013-11-23

Total views
39 ( #234,280 of 2,289,284 )

Recent downloads (6 months)
6 ( #187,342 of 2,289,284 )

How can I increase my downloads?

Downloads

My notes

Sign in to use this feature