Ethics & International Affairs Volume 18.3 (Winter 2004/2005): Articles: Toward Establishing a Universal Basic Health Norm [Abstract]

Dec 16, 2004

Significant inequalities in health status exist within developing countries, where the poorest face considerably higher mortality and morbidity rates than wealthier groups do. Yet most of these wealthier groups enjoy health levels that are far below those of people in the industrial countries. The most prominent normative response to this situation has been an equality-demanding norm, stipulating that we strive to make health outcomes more equal even within the developing countries. In this article, I argue that under current resource constraints, institutional arrangements seeking to ensure commonly accepted egalitarian goals would engender the decrease of health status of many who do not currently enjoy particularly high levels of health. Although an alternative view, the prioritarian view, can avoid some of the negative implications of the egalitarian view, it too is untenable given the current resource constraints. We should instead develop a threshold norm that characterizes minimally adequate health status. An institutional order is just with respect to health to the extent that participants in this order do not (avoidably) fail to reach this threshold. One implication is that redistribution of resources is limited within any developing country, and thus redistribution must take place from industrialized to poorer nations.

To read or purchase the full text of this article, click here.

You may also like

AUG 27, 2021 Journal

Ethics & International Affairs Volume 35.2 (Summer 2021)

The highlight of this issue is a roundtable organized by Adrian Gallagher on the responsibility to protect in a changing world order. The roundtable contains ...

MAY 11, 2021 Journal

Ethics & International Affairs Volume 35.1 (Spring 2021)

The highlight of this issue is a roundtable organized by Madison Powers on ethics and the future of the global food system. The roundtable contains ...

DEC 9, 2019 Journal

Ethics & International Affairs Volume 33.4 (Winter 2019)

The centerpiece of the Winter 2019 issue of "Ethics & International Affairs" is a symposium entitled "Just War and Unjust Soldiers," with a lead article by Scott ...