The Journal of Ethics 24 (1):55-78 (2020)

Authors
Robert C. Hughes
University of Pennsylvania
Abstract
Considerations of autonomy and independence, properly understood, support strictly egalitarian provision of necessary medical treatment. If the financially better-off can purchase access to necessary medical treatments that the financially less well-off cannot purchase without help, then their discretionary power to give or to withhold monetary gifts indirectly gives them the power to make life-and-death or sickness-and-health decisions for others. To prevent private citizens from having this objectionable form of power, government must ensure that citizens’ finances do not affect their access to medical treatments that significantly prolong life, relieve suffering, or cure or mitigate disabilities. Government should ensure this even if doing so involves leveling down and even if it is unclear whether egalitarian provision of necessary treatment would provide better care to the poor than a less egalitarian health care system would.
Keywords health care rationing  just health care  distributive justice  property  duty to obey the law  political obligation  leveling down
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DOI 10.1007/s10892-019-09309-y
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References found in this work BETA

Just Health Care.Norman Daniels - 1985 - Cambridge University Press.
Groundwork of the Metaphysics of Morals.Immanuel Kant - 1785 - In Elizabeth Schmidt Radcliffe, Richard McCarty, Fritz Allhoff & Anand Vaidya (eds.), Late Modern Philosophy: Essential Readings with Commentary. Blackwell.
Equality and Priority.Derek Parfit - 1997 - Ratio 10 (3):202–221.
The Concept of Law.Stuart M. Brown - 1963 - Philosophical Review 72 (2):250.

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