Beneficence, Justice, and Health Care

This paper argues that societal duties of health promotion are under-written (at least in large part) by a principle of beneficence. Further, this principle generates duties of justice that correlate with rights, not merely “imperfect” duties of charity or generosity. To support this argument, I dra...

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Bibliographic Details
Main Author: Kelleher, J. Paul (Author)
Format: Electronic Article
Language:English
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Published: Johns Hopkins Univ. Press 2014
In: Kennedy Institute of Ethics journal
Year: 2014, Volume: 24, Issue: 1, Pages: 27-49
Online Access: Presumably Free Access
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Summary:This paper argues that societal duties of health promotion are under-written (at least in large part) by a principle of beneficence. Further, this principle generates duties of justice that correlate with rights, not merely “imperfect” duties of charity or generosity. To support this argument, I draw on a useful distinction from bioethics and on a somewhat neglected approach to social obligation from political philosophy. The distinction is that between general and specific beneficence; and the approach from political philosophy has at times been called equality of concern. After clarifying the distinction and setting out the basis of the equality of concern view, I argue that the result is a justice-based principle of “specific” beneficence that should be reflected in a society’s health policy. I then draw on this account to criticize, refine, and extend some prominent health care policy proposals from the bioethics literature.
ISSN:1086-3249
Reference:Errata "Errata (2014)"
Contains:Enthalten in: Kennedy Institute of Ethics, Kennedy Institute of Ethics journal
Persistent identifiers:DOI: 10.1353/ken.2014.0004