Inequality, Avoidability, and Healthcare

Iyyun 60:72-88 (2011)
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This review article of Shlomi Segall's Health, Luck, and Justice (Princeton University Press, 2010) addresses three issues: first, Segall’s claim that luck egalitarianism, properly construed, does not object to brute luck equality; second, Segall’s claim that brute luck is properly construed as the outcome of actions that it would have been unreasonable to expect the agent to avoid; and third, Segall’s account of healthcare and criticism of rival views. On the first two issues, a more conventional form of luck egalitarianism – that is, one which objects to brute luck even if it creates equality, and which construes brute luck as the inverse of agent responsibility – is defended. On the third issue, strengths and weaknesses in Segall’s criticism of Rawlsian, democratic egalitarian, and all-luck egalitarian approaches to healthcare, and in his own luck egalitarian approach, are identified.



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Carl Knight
University of Glasgow

Citations of this work

Egalitarian Justice and Expected Value.Carl Knight - 2013 - Ethical Theory and Moral Practice 16 (5):1061-1073.
Unjust Equalities.Andreas Albertsen & Sören Flinch Midtgaard - 2014 - Ethical Theory and Moral Practice 17 (2):335-346.
A social division of responsibility for health.Johannes Kniess - 2018 - Les Ateliers de l'Éthique / the Ethics Forum 13 (3):105-122.

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References found in this work

Just Health: Meeting Health Needs Fairly.Norman Daniels - 2007 - Cambridge University Press.
Just Health Care.Norman Daniels - 1985 - New York: Cambridge University Press.
What is equality? Part 1: Equality of welfare.Ronald Dworkin - 1981 - Philosophy and Public Affairs 10 (3):185-246.
Equality and equal opportunity for welfare.Richard J. Arneson - 1989 - Philosophical Studies 56 (1):77 - 93.

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