Medicine, Health Care and Philosophy 23 (2):155-163 (2020)

Sustainability has become a major goal of domestic and international development. This essay analyzes the transitions of normative ideas embedded in the notion of sustainability by reviewing the discourses in the representative reports and literature from different periods. Three sets of ideas are proposed: inter- and intra-generational equity, stability of public systems, and a sense of solidarity, which confirms the scope of community and functions as a precondition for the previous two ideas. This essay uses the case of a health system in a hypothetical country to illustrate that, besides securing financial sustainability, a genuinely sustainable public system must also meet the three normative ideas of sustainability. This essay also finds that these three ideas may create intrinsic tensions within the prevalent policy-making model—democracy. The pursuit of sustainability is not only the responsibility of a democratic government, but also a shared moral obligation of the body politic.
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1007/s11019-019-09937-z
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: 51,232
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

The Idea of Justice.Amartya Sen - 2009 - Belknap Press of Harvard University Press.
On Nationality.David Miller - 1997 - Ethics 108 (1):225-229.

View all 18 references / Add more references

Citations of this work BETA

Sustainability.Henk ten Have & Bert Gordijn - 2020 - Medicine, Health Care and Philosophy 23 (2):153-154.

Add more citations

Similar books and articles

Towards a Citizens’ Welfare State.R. Lister - 2001 - Theory, Culture and Society 18 (2-3):91-111.
Inequalities and Healthcare Reform in Chile: Equity of What?J. Burrows - 2008 - Journal of Medical Ethics 34 (9):e13-e13.
Risk Management as a Tool for Sustainability.Frank C. Krysiak - 2009 - Journal of Business Ethics 85 (S3):483 - 492.
Justice, Care, and Welfare.Daniel Engster - 2015 - Oxford University Press UK.
Relational Equality and Health.Kristin Voigt & Gry Wester - 2015 - Social Philosophy and Policy 31 (2):204-229.


Added to PP index

Total views
2 ( #1,331,917 of 2,329,875 )

Recent downloads (6 months)
2 ( #392,703 of 2,329,875 )

How can I increase my downloads?


My notes