Efficiency, Justice and Care

Since the 90's, issues of scarcity, priority setting, and rationing lie at the centre of most current debates on health care. These are pressing issues: one way or another, limits have to be set. As such, the question of what is involved in just health care becomes much more complex. This complexity can be represented as an inconsistent triad, a set of three propositions of which any two are compatible but which together form a contradiction. In the case of health care, the three rival values are: social efficiency, justice, and decent-quality care. It seems to be that we can have any two but not all three. Essentially, the central question is the following: how best to square the proverbial welfare circle. How can resources be matched to needs, or needs to resources in socially acceptable and economically feasible ways?

This book attempts to answer the question how health care can be incorporated into a comprehensive theory of justice, while realising an acceptable balance between efficiency, justice and care.

Extensive overview of prominent theories of justice and their application to resource distribution in health care Carefully analysed Thought-provoking Raising new and original questions Clear and engaging writing

Contenu
Just Health Care: Presuppositions and Objectives.- Just Health Care: Core Issues.- Scarcity, Finitude and the Normative Value of Health.- Distributive Justice and Health Care.- Justice as Fairness: John Rawls.- Nussbaum's Approach: A Non-Contractarian Account of Care.- Setting Limits: Dworkin's Proposal.- General Conclusion: Health Care and the Limits of Human Existence.- Just Health Care: Foundations and Prospects.