In defense of a ‘thick’ formal equality principle in healthcare resource distribution

Given resource constraints in healthcare, demands justice and equity require the constant development of material principles for resource distribution. In many cases, such material principles are formulated as mid-level principles, well-adapted to handle healthcare distribution but suffering from as...

Full description

Saved in:  
Bibliographic Details
Main Author: Sandman, Lars (Author)
Format: Electronic Article
Language:English
Check availability: HBZ Gateway
Journals Online & Print:
Drawer...
Fernleihe:Fernleihe für die Fachinformationsdienste
Published: Linköping Univ. Electronic Press 2023
In: De Ethica
Year: 2023, Volume: 7, Issue: 4, Pages: 50-67
Further subjects:B formal equality
B Justice
B Fair play
B Healthcare
B priority setting
Online Access: Volltext (kostenfrei)
Volltext (kostenfrei)

MARC

LEADER 00000naa a22000002 4500
001 1880110067
003 DE-627
005 20240206155333.0
007 cr uuu---uuuuu
008 240206s2023 xx |||||o 00| ||eng c
024 7 |a 10.3384/de-ethica.2001-8819.237450  |2 doi 
035 |a (DE-627)1880110067 
035 |a (DE-599)KXP1880110067 
040 |a DE-627  |b ger  |c DE-627  |e rda 
041 |a eng 
084 |a 1  |2 ssgn 
100 1 |a Sandman, Lars  |e VerfasserIn  |4 aut 
245 1 0 |a In defense of a ‘thick’ formal equality principle in healthcare resource distribution 
264 1 |c 2023 
336 |a Text  |b txt  |2 rdacontent 
337 |a Computermedien  |b c  |2 rdamedia 
338 |a Online-Ressource  |b cr  |2 rdacarrier 
520 |a Given resource constraints in healthcare, demands justice and equity require the constant development of material principles for resource distribution. In many cases, such material principles are formulated as mid-level principles, well-adapted to handle healthcare distribution but suffering from aspects outside the healthcare context that affect their application. In healthcare, factors outside the healthcare system will sometimes affect patients’ equal opportunity to receive treatment and achieve health. Examples of such factors might include an individual’s economic means, the cost of drugs, geography, etc. This article explores whether the formal equality principle could help us address such problems. It is argued that the traditional (thin) formal equality principle can aid in priority setting, both as a heuristic tool to aid in consistency and also in handling under-determined cases. However, it appears to be too ‘thin’ to handle problems caused by factors outside the healthcare context. In the article, I explore a more robust version of the formal equality principle and argue that such a principle can be used to address such cases. However, even a more comprehensive formal equality principle will need to consider whether some other actors have a moral responsibility to address the problem or whether the issue could be solved more effectively by others. Furthermore, such a principle needs to consider whether the opportunity cost of achieving ‘thick’ formal equality is acceptable, given the material principles of distribution. 
601 |a Distribution 
650 4 |a Fairness 
650 4 |a formal equality 
650 4 |a Healthcare 
650 4 |a Justice 
650 4 |a priority setting 
773 0 8 |i Enthalten in  |t De Ethica  |d Linköping : Linköping Univ. Electronic Press, 2014  |g 7(2023), 4, Seite 50-67  |h Online-Ressource  |w (DE-627)797383123  |w (DE-600)2785670-7  |w (DE-576)414831071  |x 2001-8819  |7 nnns 
773 1 8 |g volume:7  |g year:2023  |g number:4  |g pages:50-67 
856 |u https://de-ethica.com/article/download/4345/4036  |x unpaywall  |z Vermutlich kostenfreier Zugang  |h publisher [open (via page says license)] 
856 4 0 |u https://de-ethica.com/article/view/4345  |x Verlag  |z kostenfrei  |3 Volltext 
856 4 0 |u https://doi.org/10.3384/de-ethica.2001-8819.237450  |x Resolving-System  |z kostenfrei  |3 Volltext 
951 |a AR 
ELC |a 1 
LOK |0 000 xxxxxcx a22 zn 4500 
LOK |0 001 4477954255 
LOK |0 003 DE-627 
LOK |0 004 1880110067 
LOK |0 005 20240206155304 
LOK |0 008 240206||||||||||||||||ger||||||| 
LOK |0 040   |a DE-Tue135  |c DE-627  |d DE-Tue135 
LOK |0 092   |o n 
LOK |0 852   |a DE-Tue135 
LOK |0 852 1  |9 00 
LOK |0 935   |a ixzs  |a ixzo 
OAS |a 1 
ORI |a SA-MARC-ixtheoa001.raw 
STA 0 0 |a Fair play 
STB 0 0 |a Équité,Fairplay,impartialité,Fairplay,impartialité 
STC 0 0 |a Justicia,Fairness,Fairness 
STD 0 0 |a Correttezza 
STE 0 0 |a 公平,公正 
STF 0 0 |a 公平,公正 
STG 0 0 |a Justiça,Fairness,Fairness 
STH 0 0 |a Справедливость 
STI 0 0 |a Δικαιοσύνη,Fair play,Ευ αγωνίζεσθαι,Ίση μεταχείριση 
SYE 0 0 |a Fair play