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Promoting Equity in Health Care through Human Flourishing, Justice, and Solidarity. J Med Philos 2023 Feb 17;48(1):98-109

Date

07/19/2022

Pubmed ID

35849078

DOI

10.1093/jmp/jhac015

Scopus ID

2-s2.0-85148307243 (requires institutional sign-in at Scopus site)   3 Citations

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 AR

Authors

Arthur R. Derse MD, JD Director, Professor in the Institute for Health and Equity department at Medical College of Wisconsin
Mary 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 Care
Freedom
Human Rights
Humans
Social Justice
Social Welfare