Article ; Online: Refund: a defense of luck egalitarian policy in healthcare.
Theoretical medicine and bioethics
2023 Volume 45, Issue 1, Page(s) 25–40
Abstract: Luck egalitarianism assigns a central role to personal responsibility in egalitarian justice. In the context of healthcare, luck egalitarianism is the view that the distribution of medical and healthcare resources-or common resources in general-should ... ...
Abstract | Luck egalitarianism assigns a central role to personal responsibility in egalitarian justice. In the context of healthcare, luck egalitarianism is the view that the distribution of medical and healthcare resources-or common resources in general-should respond to the (im)prudence of individuals. Recently, Joar Björk, Gert Helgesson, and Niklas Juth have argued that it is impractical to use luck egalitarianism as a normative framework in healthcare because it has no reasonable way of dealing with the imprudent. In response to their argument, this paper first suggests that the epistemic problems of applying luck egalitarianism to the healthcare context raised by Björk et al. can be circumvented by using the exemption system as a policy application of luck egalitarian healthcare justice. This paper then shows that an ex ante policy, a tax system with refunds, can reasonably be adopted as a luck egalitarian institutional design of healthcare policy. We argue that the proposed conception of luck egalitarianism can deal with the problem of differential option luck. Finally, we show that the threshold problem for the definition of imprudence does not refute the proposed ex ante policy. |
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MeSH term(s) | Humans ; Delivery of Health Care ; Health Policy ; Social Justice |
Language | English |
Publishing date | 2023-10-30 |
Publishing country | Netherlands |
Document type | Journal Article |
ZDB-ID | 1418481-3 |
ISSN | 1573-0980 ; 1573-1200 ; 1386-7415 |
ISSN (online) | 1573-0980 ; 1573-1200 |
ISSN | 1386-7415 |
DOI | 10.1007/s11017-023-09649-9 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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