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Summary
This paper argues that healthcare access is a matter of justice, not just beneficence. It proposes a moderate egalitarian approach to healthcare justice, emphasizing practical, non-ideal policy solutions.
Area of Science:
- Bioethics
- Political Philosophy
- Health Policy
Background:
- Critiques libertarian views on healthcare justice (Engelhardt).
- Argues beneficence inadequately captures moral claims for healthcare access.
- Highlights limitations of existing justice theories for healthcare.
Purpose of the Study:
- To reframe healthcare access as a matter of justice, not beneficence.
- To propose a moderate egalitarian framework for healthcare justice.
- To advocate for a specific theory of healthcare justice and non-ideal policy approaches.
Main Methods:
- Philosophical argumentation and critique.
- Analysis of existing theories (Rawls, Daniels, Engelhardt).
- Development of a moderate egalitarian conception of justice for healthcare.
Main Results:
- Healthcare access claims are matters of justice, not merely beneficence.
- A moderate egalitarian approach (vs. strong egalitarianism) is more suitable.
- A dedicated theory of healthcare justice is necessary due to empirical complexities.
- Daniels' work is a valuable start but requires expansion.
- Non-ideal theoretical frameworks are crucial for practical policy.
Conclusions:
- Healthcare access is a core justice issue requiring specific theoretical and policy attention.
- Moderate egalitarianism offers a robust framework for healthcare justice.
- Future work should focus on non-ideal theories and practical policy development in healthcare justice.