Taking health needs seriously: against a luck egalitarian approach to justice in health

Medicine, Health Care and Philosophy 16 (3):407-416 (2013)
  Copy   BIBTEX


In recent works, Shlomi Segall suggests and defends a luck egalitarian approach to justice in health. Concurring with G. A. Cohen’s mature position he defends the idea that people should be compensated for “brute luck”, i.e. the outcome of actions that it would be unreasonable to expect them to avoid. In his defense of the luck egalitarian approach he seeks to rebut the criticism raised by Norman Daniels that luck egalitarianism is in some way too narrow and in another too wide to uphold justice in health and health care distribution. He points out that a pluralistic outline of luck egalitarianism taking into account the moral requirement of meeting everyone’s basic needs can avoid this line of criticism. In this article I argue against the application of such pluralistic luck egalitarianism in matters of health distribution. First of all, Segall has not shown that luck egalitarianism handles well health distributions above a threshold of basic needs. Secondly, his way of avoiding Elizabeth Anderson’s abandonment objection is theoretically problematic. Finally, I argue that luck egalitarianism in general fails to acknowledge the moral foundation of health and health care as a basic human entitlement. Thus I conclude that luck egalitarianism fails to take health needs seriously and that it cannot therefore uphold justice in health



    Upload a copy of this work     Papers currently archived: 92,923

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library

Similar books and articles

Justice as Fairness: Luck Egalitarian, Not Rawlsian.Michael Otsuka - 2010 - The Journal of Ethics 14 (3-4):217-230.
Just health care : Is equality too much?Leonard M. Fleck - 1989 - Theoretical Medicine and Bioethics 10 (4).
Health equity and social justice.Fabienne Peter - 2001 - Journal of Applied Philosophy 18 (2):159–170.
Children's rights to health care.Dan W. Brock - 2001 - Journal of Medicine and Philosophy 26 (2):163 – 177.
You cannot have your normal functioning cake and eat it too.Michele Loi - 2013 - Journal of Medical Ethics 39 (12):748-751.
Luck Egalitarianism Interpretated and Defended.Richard J. Arneson - 2004 - Philosophical Topics 32 (1/2):1-20.
Language and luck.Helder De Schutter & Lea Ypi - 2012 - Politics, Philosophy and Economics 11 (4):357-381.


Added to PP

76 (#222,804)

6 months
10 (#308,281)

Historical graph of downloads
How can I increase my downloads?

Author's Profile

Lasse Nielsen
Palacky University

References found in this work

A Theory of Justice: Revised Edition.John Rawls - 1999 - Harvard University Press.
A Theory of Justice.John Rawls - 1971 - Oxford,: Harvard University Press. Edited by Steven M. Cahn.
Rescuing Justice and Equality.G. A. Cohen (ed.) - 2008 - Harvard University Press.
What is the point of equality.Elizabeth Anderson - 1999 - Ethics 109 (2):287-337.
Just Health: Meeting Health Needs Fairly.Norman Daniels - 2007 - Cambridge University Press.

View all 27 references / Add more references