Cover image for Health, Luck, and Justice.
Health, Luck, and Justice.
Title:
Health, Luck, and Justice.
Author:
Segall, Shlomi.
ISBN:
9781400831715
Personal Author:
Physical Description:
1 online resource (253 pages)
Contents:
Cover -- Contents -- Preface -- Introduction -- 1 Justice, Luck, and Equality -- I. Rawlsian vs. Luck Egalitarian Justice -- II. Inequality vs. Equality -- III. Reasonable Avoidability vs. Responsibility -- Part I: Health Care -- 2 Responsibility-Insensitive Health Care -- I. The Fair Opportunity Account -- II. Opportunities and Life Plans -- III. The Democratic Equality Account -- 3 Ultra-Responsibility-Sensitive Health Care: "All-Luck Egalitarianism" -- I. A Test Case: Justifying Medical Treatment for Smoking-Related Diseases -- II. Some Preliminary Problems with All-Luck Egalitarianism -- III. What's Wrong with Neutralizing Luck as Such? -- IV. All-Luck Egalitarianism, Moral Luck, and Desert -- 4 Tough Luck? Why Luck Egalitarians Need Not Abandon Reckless Patients -- I. Luck Egalitarian Attempts to Deflect the Abandonment Objection -- II. Value Pluralism -- III. Three Objections to Luck Egalitarian Value Pluralism -- IV. A Potential Solution? -- 5 Responsibility-Sensitive Universal Health Care -- I. Meeting Basic Needs -- II. Health Care as a Public Good -- III. Some Counter-Objections and Clarifications -- IV. In-Kind Health Care -- Part II: Health -- 6 Why Justice in Health? -- I. Is Health Care (Still) Special? -- II. Why a Separate Theory of Justice in Health? -- 7 Luck Egalitarian Justice in Health -- I. Rawlsian vs. Luck Egalitarian Justice in Health -- II. Two Problems with Fair Equality of Opportunity for Health -- III. Health Inequalities between the Sexes Revisited -- 8 Equality or Priority in Health? -- I. The Value of Equality in Health -- II. Some Potential Objections and Qualifications -- III. Luck Prioritarian Justice in Health -- 9 Distributing Human Enhancements -- I. What Is Human Enhancement? -- II. The Treatment vs. Enhancement Distinction -- III. "Fair" Skin and Other Potential Objections.

IV. Equality or Priority in Enhancement? -- Part III: Health without Borders -- 10 Devolution of Health Care Services -- I. The Case for Devolution -- II. How Devolution Upsets Distributive Justice -- III. Ignoring Cultural Preferences in Health Care -- IV. How Devolution Weakens Social Solidarity -- V. Imposing a Uniform Pattern of Consumption -- 11 Global Justice and National Responsibility for Health -- I. Justice, Responsibility, and Double Standards -- II. "The Health of Nations" and the Global Economic Order -- III. Holding Nations Responsible for Their Health -- IV. National Responsibility and Future Generations -- V. Equality or Sufficiency in Global Health? -- VI. Intergalactic Egalitarianism -- Conclusion -- Notes -- Bibliography -- Index -- A -- B -- C -- D -- E -- F -- G -- H -- I -- K -- L -- M -- N -- O -- P -- Q -- R -- S -- T -- U -- V -- W -- Z.
Abstract:
"Luck egalitarianism"--the idea that justice requires correcting disadvantages resulting from brute luck--has gained ground in recent years and is now the main rival to John Rawls's theory of distributive justice. Health, Luck, and Justice is the first attempt to systematically apply luck egalitarianism to the just distribution of health and health care. Challenging Rawlsian approaches to health policy, Shlomi Segall develops an account of just health that is sensitive to considerations of luck and personal responsibility, arguing that people's health and the health care they receive are just only when society works to neutralize the effects of bad luck. Combining philosophical analysis with a discussion of real-life public health issues, Health, Luck, and Justice addresses key questions: What is owed to patients who are in some way responsible for their own medical conditions? Could inequalities in health and life expectancy be just even when they are solely determined by the "natural lottery" of genes and other such factors? And is it just to allow political borders to affect the quality of health care and the distribution of health? Is it right, on the one hand, to break up national health care systems in multicultural societies? And, on the other hand, should our obligation to curb disparities in health extend beyond the nation-state? By focusing on the ways health is affected by the moral arbitrariness of luck, Health, Luck, and Justice provides an important new perspective on the ethics of national and international health policy.
Local Note:
Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2017. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries.
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