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Related Experiment Video

Updated: May 14, 2026

Control of Eating Behavior Using a Novel Feedback System
04:48

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Published on: May 8, 2018

You cannot have your normal functioning cake and eat it too.

Michele Loi1

  • 1Center for Translational Genomics and Bioinformatics, San Raffaele Scientific Institute, , Milan, Italy.

Journal of Medical Ethics
|January 26, 2013
PubMed
Summary

Biomedical enhancements may undermine health care justice. Current theories based on "normal functioning" are insufficient when enhancements become common, failing to address fairness for those with health needs.

Keywords:
Allocation of Health Care ResourcesConcept of HealthDistributive JusticeEnhancementGenethics

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Area of Science:

  • Bioethics
  • Philosophy of Medicine
  • Health Care Policy

Background:

  • The concept of normal functioning is central to many theories of health care justice.
  • Widespread biomedical enhancements raise questions about the adequacy of existing justice frameworks.
  • Egalitarian principles in health care necessitate careful consideration of fairness in resource allocation and treatment.

Purpose of the Study:

  • To evaluate the adequacy of health care justice theories based on normal functioning in the context of widespread biomedical enhancements.
  • To analyze two distinct interpretations of normal functioning: species-typical and normal cooperator.
  • To identify how these interpretations fail to align with egalitarian intuitions regarding health needs.

Main Methods:

  • Philosophical analysis of health care justice theories.
  • Distinguishing and examining the
  • species-typical
  • and
  • normal cooperator
  • accounts of normal functioning.
  • Argumentation based on hypothetical scenarios of widespread enhancement.

Main Results:

  • Health care justice theories relying solely on normal functioning are inadequate when biomedical enhancements are prevalent.
  • The
  • species-typical
  • account fails to address certain egalitarian concerns related to assistance for those with health needs.
  • The
  • normal cooperator
  • account also falls short in accounting for egalitarian intuitions in an enhanced society.

Conclusions:

  • Existing frameworks for health care justice require revision to accommodate the implications of biomedical enhancements.
  • New theoretical approaches are needed to ensure fairness and equity in health care systems facing widespread enhancement.
  • The study highlights a tension between enhancement technologies and core principles of health care justice.