American Journal of Bioethics 8 (10):2 – 10 (2008)
In this paper I argue that a narrow view of justice dominates the bioethics literature. I urge a broader view. As bioethicists, we often conceive of justice using a medical model. This model focuses attention at a particular point in time, namely, when someone who is already sick seeks access to scarce or expensive services. A medical model asks how we can fairly distribute those services. The broader view I endorse requires looking upstream, and asking how disease and suffering came about. In contrast to a medical model, a social model of justice considers how social determinants affect the health of a population. For example, social factors such as access to clean drinking water, education, safe workplaces, and police protection, profoundly affect risk for disease and early death. I examine one important social determinant of health, health care coverage, to show the limits of a medical model and the merits of a broader view.
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References found in this work BETA
The Allocation of Exotic Medical Lifesaving Therapy.Nicholas Rescher - 1969 - Ethics 79 (3):173-186.
Benchmarks of Fairness for Health Care Reform.Norman Daniels, Donald W. Light & Ronald L. Caplan - 1998 - Perspectives in Biology and Medicine 41 (4):605.
The Role of Standpoint in Justice Theory.Nancy S. Jecker - 2008 - Journal of Value Inquiry 42 (2):165-182.
Citations of this work BETA
Justice Between Age Groups: An Objection to the Prudential Lifespan Approach.Nancy S. Jecker - 2013 - American Journal of Bioethics 13 (8):3-15.
Rationing Just Medical Care.Lawrence J. Schneiderman - 2011 - American Journal of Bioethics 11 (7):7 - 14.
Justice as a Principle of Islamic Bioethics.Kiarash Aramesh - 2008 - American Journal of Bioethics 8 (10):26 – 27.
The Social Determinants of Health: Moving Beyond Justice.Andrew Courtwright - 2008 - American Journal of Bioethics 8 (10):16 – 17.
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