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Capabilities and health.

P Anand1

  • 1The Open University, Milton Keynes, MK7 6AA. p.anand@open.ac.uk

Journal of Medical Ethics
|May 3, 2005
PubMed
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Amartya Sen's capabilities approach provides a framework for understanding the right to die and healthcare rationing. It justifies the right to die through the ability to plan one's life and offers a natural basis for age-related healthcare access.

Area of Science:

  • Health Economics
  • Welfare Economics
  • Bioethics

Background:

  • The capabilities approach, developed by Amartya Sen, offers a novel perspective on welfare economics.
  • Its application to healthcare is an emerging area of research with significant implications.
  • This paper explores the capabilities approach in two distinct healthcare contexts.

Purpose of the Study:

  • To examine the implications of Sen's capabilities approach for individual decision-making regarding the right to die.
  • To analyze the utility of the capabilities approach in addressing social choice issues in healthcare, specifically rationing.
  • To compare the capabilities approach with existing arguments like the fair innings argument in healthcare allocation.

Main Methods:

  • Conceptual analysis drawing on Martha Nussbaum's list of capabilities.
Keywords:
Analytical ApproachDeath and EuthanasiaHealth Care and Public Health

Related Experiment Videos

  • Application of the capabilities framework to the ethical debate surrounding the right to die.
  • Evaluation of the capabilities approach in the context of healthcare rationing and age-related access.

    • Main Results:

    • The ability to conceive of and plan one's life is identified as a direct justification for the right to die within the capabilities framework.
    • The capabilities approach offers a more natural justification for age-related healthcare access compared to the fair innings argument.
    • The approach provides a nuanced perspective on healthcare rationing, distinct from quality adjusted life years (QALY) maximization.

    Conclusions:

    • Sen's capabilities approach provides a robust ethical foundation for individual autonomy in end-of-life decisions.
    • The framework offers a compelling alternative for justifying age-related considerations in healthcare resource allocation.
    • Further research into the capabilities approach can refine ethical decision-making in healthcare economics and policy.