Promoting Equity in Health Care through Human Flourishing, Justice, and Solidarity

Author:

Jotterand Fabrice12,Spellecy Ryan1,Homan Mary34,Derse Arthur R1

Affiliation:

1. Center for Bioethics and Medical Humanities, Medical College of Wisconsin , Milwaukee, Wisconsin , USA

2. Institute for Biomedical Ethics, University of Basel , Basel , Switzerland

3. Department of Theology and Ethics, CommonSpirit Health , Chicago, Illinois , USA

4. Department of Community Health, Institute for Health & Equity, Medical College of Wisconsin , Milwaukee, Wisconsin , USA

Abstract

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.

Funder

Medical College of Wisconsin

Publisher

Oxford University Press (OUP)

Subject

Philosophy,General Medicine,Issues, ethics and legal aspects

Reference37 articles.

1. The right to a decent minimum of health care;Buchanan;Philosophy and Public Affairs,1984

2. What’s wrong with solidarity?;Capaldi,1999

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1. Below the Surface of Clinical Ethics;The Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine;2023-02-01

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