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Inequalities in health and intergenerational equity
1Centre for Health Economics, University of York, UK.
Ethical Theory and Moral Practice : an International Forum
|March 16, 2004
Summary
The "fair innings" concept for a good life requires considering health-related quality of life, not just lifespan. Public policy aiming to reduce health inequalities may necessitate prioritizing younger individuals, challenging community solidarity.
Area of Science:
- Public Health
- Health Economics
- Bioethics
Background:
- The traditional
- fair innings
- concept suggests a life expectancy of 70 years.
- However, lifespan alone is inadequate for assessing distributive justice; health-related quality of life (HRQoL) is crucial.
Purpose of the Study:
- To analyze the implications of incorporating HRQoL into
- fair innings
- principles for public policy.
- To examine how reducing lifetime health inequalities might necessitate differential treatment based on age.
Main Methods:
- Conceptual analysis of
- fair innings
- principles in relation to HRQoL.
- Exploration of policy implications for resource allocation and intergenerational equity.
Main Results:
- Achieving equitable lifetime health may require policies that systematically favor younger populations.
- This approach challenges traditional notions of community solidarity and equal entitlement.
Conclusions:
- The
- fair innings
- principle, when accounting for HRQoL, highlights complex ethical dilemmas in public health policy.
- Resolving these requires careful consideration of resource distribution and societal values regarding fairness and solidarity.
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