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Promoting Equity in Health Care through Human Flourishing, Justice, and Solidarity
Fabrice Jotterand1,2, Ryan Spellecy1, Mary Homan3,4
1Center for Bioethics and Medical Humanities, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
This study proposes a non-rights-based ethical framework for health care resource allocation, emphasizing beneficence and justice to promote health equity and human flourishing for all.
Area of Science:
- Bioethics
- Health Economics
- Public Health Policy
Background:
- Current health care resource allocation models often rely on rights-based arguments.
- There is a need for alternative ethical frameworks to address health equity.
- Amartya Sen's capabilities approach offers a foundation for discussing needs and freedoms.
Purpose of the Study:
- To develop a non-rights-based ethical argument for health care resource allocation.
- To promote health equity through a framework grounded in beneficence and justice.
- To define health equity based on the freedom to pursue health and well-being.
Main Methods:
- Analysis of Amartya Sen's equality of capabilities approach.
- Development of a framework defining health care as a fundamental human need.
- Construction of a non-rights approach based on human flourishing, justice as a disposition, and solidarity.
Main Results:
- A non-rights-based argument for health care resource allocation is established.
- Health equity is defined as the freedom to pursue health goals and well-being.
- The framework integrates beneficence, justice, and solidarity for equitable resource distribution.
Conclusions:
- A non-rights-based approach offers a robust ethical foundation for health care resource allocation.
- Prioritizing human flourishing, justice, and solidarity can advance health equity.
- This framework supports a more just and equitable distribution of health care resources.
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