Bioethics
- Created by: jhalljhalllson
- Created on: 22-05-14 11:01
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- Bioethics - Politics
- JUSTICE
- RAWLS, Justice = Fairness, focus on social structure, liberal egalitarianism
- Equal Liberty, Equal Opportunity, Primary Goods distributed in accordance with 'difference principle'
- Daniels applies to Healthcare via difference principle
- needs based distribution
- issues = no responsibility, who 'worse off'?, cant resolve tension between primary goods
- needs based distribution
- Luck Egalitarianism
- Key moral concern, compensate inequalities 'not fault'
- responsibility sensitive BUT 'fault' incredibly difficult to define
- doesnt mitigate luck = lucky smokers
- Key moral concern, compensate inequalities 'not fault'
- Equal opportunity = social structural v. brute luck view
- INEQUITIES = unjust inequalities
- Rawls account to identify injustice
- social gradient of health therefore = address social structure
- Avoids defining well-being
- Inequity NOT becuase of deviation from some 'ideal health' but because of unjust social arrangements
- Rawls account to identify injustice
- RAWLS, Justice = Fairness, focus on social structure, liberal egalitarianism
- Paternalism, proper state-citizen relationship in healthcare
- Mill 'On Liberty' = Harm Principle, guide to avoiding paternalism in policy
- Issues = account of harm, information, addication and nature of democracy problematising 'against his will'
- Libertarian Paternalism = change choice architecture, nudges = chips and salad example
- Permission claims =/ generate right claims, and some design choice needed
- Basis = choices malleable, why respect choice?
- Intuitively want to avoid = concerns over limiting state action, liberty, autonomy
- Extended anti-paternalism, against choice architecture
- right to harm consenting third parties = selling cigarettes BUT obligation not to harm =/ permission to facilitate
- Mill 'On Liberty' = Harm Principle, guide to avoiding paternalism in policy
- Limiting State Intervention
- How to Distribute
- QALYs
- Issues = no responsibility, no severity, no equality, subjectivity, age and uncertainty of future
- Population v High-Risk
- Roses fundamental axiom preventative medicine
- Issues = severity and beneficence ignored, concentration of risk?
- regression to mean, utilitarian
- Intuition = worse off greatest claim to help
- Roses fundamental axiom preventative medicine
- QALYs
- JUSTICE
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