Public Health Ethics 1 (2):134-145 (2008)

Authors
Michael Selgelid
Monash University
Abstract
Centre for Applied Philosophy and Public Ethics (CAPPE), Menzies Centre for Health Policy, The Australian National University, LPO Box 8260, ANU Canberra ACT 2601, Australia. Tel.: +61 (0)2 6125 4355; Mobile: +61 (0)431 124 286; Fax: +61 (0)2 6125 6579; Email: michael.selgelid{at}anu.edu.au ' + u + '@' + d + ' '//--> Abstract Thomas Pogge has proposed a supplement to the standard patent regime whereby innovating companies would be rewarded in proportion to the extent to which their innovations lead to reduction of the global burden of disease (GBD). This paper argues that an expansion of this proposal—whereby provision of already existing medicines are incentivised in a similar way—would provide a more comprehensive solution to the healthcare situation in developing countries. It then considers the practical challenges that the implementation of such a proposal (expanded or otherwise) would entail. Though these include difficulties associated with disease burden metric, I argue that the most serious difficulties are associated with the problem of causal attribution. A basic idea underlying Pogge's proposal is that the disease burden reduction attributable to particular interventions can be determined. Theoretically speaking, in cases involving multiple interacting causal factors, there may be no fact of the matter regarding the extent to which disease burden reduction should be attributed to one intervention as opposed to another; and (even if workable practical solutions to this theoretical challenge can be met) the data requirements for implementation would be daunting. CiteULike Connotea Del.icio.us What's this?
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1093/phe/phn022
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: 64,291
Through your library

References found in this work BETA

Disability-Adjusted Life Years: A Critical Review.Sudhir Anand & Kara Hanson - 2006 - In Sudhir Anand, Fabienne Peter & Amartya Sen (eds.), Public Health, Ethics, and Equity. Oxford University Press.

Add more references

Citations of this work BETA

View all 7 citations / Add more citations

Similar books and articles

Analytics

Added to PP index
2009-12-21

Total views
18 ( #590,901 of 2,456,077 )

Recent downloads (6 months)
1 ( #449,366 of 2,456,077 )

How can I increase my downloads?

Downloads

My notes