Inequalities in health, inequalities in health care

Four generations of discussion about justice and cost-effectiveness analysis

Madison Powers, Ruth R Faden

Research output: Contribution to journalArticle

Abstract

The focus of questions of justice in health policy has shifted during the last 20 years, beginning with questions about rights to health care, and then, by the late 1980s, turning to issues of rationing. More recently, attention has focused on alternatives to cost-effectiveness analysis. In addition, health inequalities, and not just inequalities in access to health care, have become the subject of moral analysis. This article examines how such trends have transformed the philosophical landscape and encouraged some in bioethics to seek guidance on normative questions from outside of the contours of traditional philosophical arguments about justice.

Original languageEnglish (US)
Pages (from-to)109-127
Number of pages19
JournalKennedy Institute of Ethics Journal
Volume10
Issue number2
StatePublished - Jun 2000
Externally publishedYes

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Healthcare Disparities
Social Justice
Cost-Benefit Analysis
justice
health care
Bioethics
Health Services Accessibility
rationing
Health
bioethics
costs
Health Policy
health
health policy
Delivery of Health Care
trend
Justice
Cost-effectiveness
Healthcare

ASJC Scopus subject areas

  • Philosophy
  • Social Sciences (miscellaneous)

Cite this

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