Theoretical Medicine and Bioethics 28 (2):121-135 (2007)

Authors
Thomas Schramme
Universität Hamburg
Abstract
In this paper, I want to scrutinise the value of utilising the concept of disease for a theory of distributive justice in health care. Although many people believe that the presence of a disease-related condition is a prerequisite of a justified claim on health care resources, the impact of the philosophical debate on the concept of disease is still relatively minor. This is surprising, because how we conceive of disease determines the amount of justified claims on health care resources. Therefore, the severity of scarcity depends on our interpretation of the concept of disease. I want to defend a specific combination of a theory of disease with a theory of distributive justice. A naturalist account of disease, together with sufficientarianism, is able to perform a gate-keeping function regarding entitlements to medical treatment. Although this combination cannot solve all problems of justice in health care, it may inform rationing decisions as well.
Keywords disease  justice  rationing  egalitarianism  sufficientarianism  naturalism  normativism
Categories (categorize this paper)
DOI 10.1007/s11017-007-9031-3
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 64,107
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

Health as a Theoretical Concept.Christopher Boorse - 1977 - Philosophy of Science 44 (4):542-573.
Just Health Care.Norman Daniels - 1985 - Cambridge University Press.
On the Distinction Between Disease and Illness.Christopher Boorse - 1975 - Philosophy and Public Affairs 5 (1):49-68.

View all 19 references / Add more references

Citations of this work BETA

Challenges for Principles of Need in Health Care.Niklas Juth - 2015 - Health Care Analysis 23 (1):73-87.
Health(Care) and the Temporal Subject.Ben Davies - 2018 - Les Ateliers de l'Éthique / the Ethics Forum 13 (3):38-64.

Add more citations

Similar books and articles

Children's Rights to Health Care.Dan W. Brock - 2001 - Journal of Medicine and Philosophy 26 (2):163 – 177.
Community, Public Health and Resource Allocation.T. M. Wilkinson - 2010 - Public Health Ethics 3 (3):267-271.
Do We Need a Concept of Disease?Germund Hesslow - 1993 - Theoretical Medicine and Bioethics 14 (1).
Fuzzy Health, Illness, and Disease.Kazem Sadegh-Zadeh - 2000 - Journal of Medicine and Philosophy 25 (5):605 – 638.
Simplified Models of the Relationship Between Health and Disease.Bjørn Hofmann - 2005 - Theoretical Medicine and Bioethics 26 (5):355-377.
Opportunity and Health Care: Criticisms and Suggestions.Lawrence Stern - 1983 - Journal of Medicine and Philosophy 8 (4):339-361.

Analytics

Added to PP index
2009-01-28

Total views
131 ( #82,453 of 2,454,617 )

Recent downloads (6 months)
1 ( #449,377 of 2,454,617 )

How can I increase my downloads?

Downloads

My notes