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Impartiality and disability discrimination.

Greg Bognar1

  • 1Faculty Fellow of Bioethics, New York University, USA.

Kennedy Institute of Ethics Journal
|May 24, 2011
PubMed
Summary
This summary is machine-generated.

Cost-effectiveness analysis (CEA) is widely used but may discriminate against people with disabilities. This study refines the objection and proposes a new approach to assess fairness in health economic evaluations.

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Area of Science:

  • Health economics
  • Bioethics
  • Public health policy

Background:

  • Cost-effectiveness analysis (CEA) is a standard tool for evaluating health interventions.
  • A common critique argues CEA unfairly discriminates against individuals with disabilities.
  • The precise nature and validity of this objection require careful examination.

Purpose of the Study:

  • To precisely formulate the disability discrimination objection to CEA.
  • To evaluate the standard defense against this objection.
  • To propose an alternative framework for assessing fairness in CEA.

Main Methods:

  • Philosophical analysis of ethical objections.
  • Conceptual clarification of cost-effectiveness analysis.
  • Development of an alternative ethical framework.

Main Results:

  • The standard formulation of the disability discrimination objection has implausible implications.
  • Existing defenses of CEA do not adequately address the core ethical concerns.
  • A novel approach is needed to reconcile CEA with disability equity.

Conclusions:

  • The disability discrimination objection to CEA is complex and requires nuanced consideration.
  • Rethinking the ethical foundations of health economic evaluation is necessary.
  • An alternative strategy is proposed for a more equitable approach to assessing health interventions.