Promoting Equity in Health Care through Human Flourishing, Justice, and Solidarity. J Med Philos 2023 Feb 17;48(1):98-109
Date
07/19/2022Pubmed ID
35849078DOI
10.1093/jmp/jhac015Scopus ID
2-s2.0-85148307243 (requires institutional sign-in at Scopus site)Abstract
In this article, we develop a non-rights-based argument based on beneficence (i.e., the welfare of individuals and communities) and justice as the disposition to act justly to promote equity in health care resource allocation. To this end, we structured our analysis according to the following main sections. The first section examines the work of Amartya Sen and his equality of capabilities approach and outlines a framework of health care as a fundamental human need. In the subsequent section, we provide a definition of health equity based on the moral imperative to guarantee that every individual ought to have the freedom to pursue health goals and well-being. In the later part of the article, we outline a non-right approach to health care based on three pillars: (1) human flourishing, (2) justice as a disposition not a process, and (3) solidarity.
Author List
Jotterand F, Spellecy R, Homan M, Derse ARAuthors
Arthur R. Derse MD, JD Director, Professor in the Institute for Health and Equity department at Medical College of WisconsinMary E. Homan DrPH Adjunct Assistant Professor in the Institute for Health and Equity department at Medical College of Wisconsin
Fabrice Jotterand PhD Professor in the Institute for Health and Equity department at Medical College of Wisconsin
Ryan Spellecy PhD Assistant Provost, Director, Professor in the Institute for Health and Equity department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Delivery of Health CareFreedom
Human Rights
Humans
Social Justice
Social Welfare