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Disease prioritarianism: a flawed principle.

Karim Jebari1

  • 1The Institute for Futures Studies, Holländargatan 13, 101 31, Stockholm, Sweden. jebarikarim@gmail.com.

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|May 16, 2015
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Summary

This article argues against disease prioritarianism in healthcare. It proposes a problem-oriented heuristic for more effective and inclusive health system prioritization, focusing on solvable medical issues.

Keywords:
Cost-benefit analysisDiseaseMedical ethicsMedicalizationPrioritization

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Area of Science:

  • Bioethics
  • Health Policy
  • Medical Philosophy

Background:

  • Healthcare prioritization often implicitly or explicitly employs disease prioritarianism.
  • This principle prioritizes treating disease above all other concerns.
  • This approach may limit the healthcare system's scope and effectiveness.

Purpose of the Study:

  • To critique the principle of disease prioritarianism in healthcare.
  • To advocate for the adoption of a 'problem-oriented heuristic' in healthcare prioritization.
  • To explore the implications of this shift for healthcare system design and practice.

Main Methods:

  • Philosophical argumentation and conceptual analysis.
  • Critique of existing healthcare prioritization models.
  • Development and proposal of an alternative heuristic.

Main Results:

  • Disease prioritarianism is deemed inadequate for contemporary healthcare challenges.
  • The problem-oriented heuristic offers a more pragmatic and inclusive approach.
  • This heuristic allows for better management of chronic conditions and disabilities.
  • It enables addressing social problems without pathologization.
  • It facilitates discussions on de-medicalization and redefines efficiency.

Conclusions:

  • The rejection of disease prioritarianism is recommended.
  • Adopting a problem-oriented heuristic can enhance healthcare system responsiveness and inclusivity.
  • This approach supports a more nuanced understanding of health, disease, and treatment efficacy.