Setting Health-Care Priorities: A Reply to Tännsjö
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Abstract
This paper firstly distinguishes between principles of “global justice” that apply the same anywhere and everywhere – Tännsjö’s utilitarianism, egalitarianism, prioritarianism and such like – and principles of “local justice” that apply within the specific sphere of health-care. Sometimes the latter might just be a special case of the former – but not always. Secondly, it discusses reasons, many psychological in nature, why physicians might devote excessive resources to prolonging life pointlessly, showing once again that those reasons might themselves be morally significant.
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References
American College of Physicians’ Ethics, Professionalism and Human Rights Committee
View in Google Scholar
(ACP) (2012), “American College of Physicians Ethics Manual: Sixth Edition,” Annals of Internal Medicine 156 (2): 73–104.
View in Google Scholar
Biehl J.G. (2005), Vita: Life in a Zone of Social Abandonment, University of California Press, Berkeley.
View in Google Scholar
Diener E., Wirtz D., Sishi S. (2001), “End Effects of Rated Life Quality: The James Dean Effect,” Psychological Science 12: 124–128.
View in Google Scholar
Elster J. (1990), “Local Justice,” Archives Européenees de Sociologie 31: 117–140.
View in Google Scholar
Elster J. (1992), Local Justice: How Institutions Allocate Scarce Goods and Necessary Burdens, Russell Sage Foundation, New York.
View in Google Scholar
Goodin R.E. (2015), “The Collective Action Problem,” [in:] Fair Priority Setting and Rationing at the Bedside, M. Danis, S. Hurst, A.M. Slowther et al. (eds.), Oxford University Press, Oxford: 224–237.
View in Google Scholar
Gorovitz S. (1982), Doctors’ Dilemmas: Moral Conflict and Medical Care, Oxford University Press, New York.
View in Google Scholar
Kahneman D., Fredrickson B.L., Schreiber C.A. et al. (1993), “When More Pain Is Preferred to Less: Adding a Better End,” Psychological Science 4 (6): 401–405.
View in Google Scholar
Kaufman S. (2015), Ordinary Medicine, Duke University Press, Durham, NC.
View in Google Scholar
Lepora C., Goodin R.E. (2013), On Complicity and Compromise, Oxford University Press, Oxford.
View in Google Scholar
Lepora C., Goodin R.E., Shue H. et al. (2017), “Symposium on On Complicity and Compromise,” Journal of Medical Ethics 43 (4): 269–278.
View in Google Scholar
Médecins Sans Frontières (MSF) (2008), “Living in Emergency,” URL=https://www.youtube.com/watch?v=mM3Na9a2mzw [Accessed 30.06.2020].
View in Google Scholar
National Institute for Health and Care Excellence (NICE) (2008), “Social Value Judgments: Principles for the Development of NICE Guidance,” 2nd ed., NICE, London, URL=https://www.ncbi.nlm.nih.gov/books/NBK395865/pdf/Bookshelf_NBK395865.pdf [Accessed 30.06.2020].
View in Google Scholar
Ratner S.R., French P.A., Lepora C. et al. (2016), “Symposium on On Complicity and Compromise,” Criminal Law and Philosophy 10 (3): 559–602.
View in Google Scholar
Redelmeier D.A., Kahneman D. (1996), “Patients’ Memories of Painful Medical Treatments: Real-Time and Retrospective Evaluations of Two Minimally Invasive Procedures,” Pain 66 (1): 3–8.
View in Google Scholar
Roth J. (1963), Timetables: Structuring the Passage of Time in Hospital Treatment and Other Careers, Bobbs-Merrill, Indianapolis.
View in Google Scholar
Russell L.B. (2014), “Do We Really Value Identified Lives More Highly Than Statistical Lives?,” Medical Decision Making 34 (5): 556–559.
View in Google Scholar
Schelling T.C. (1984), “The Life You Save May Be Your Own,” [in:] T.C. Schelling, Choice and Consequence, Harvard University Press, Cambridge, MA: 113–146.
View in Google Scholar
Tännsjö T. (2019), Setting Health-Care Priorities: What Ethical Theories Tell Us, Oxford University Press, Oxford.
View in Google Scholar
Tribe L.H. (1971), “Trial by Mathematics: Precision and Ritual in the Legal Process,” Harvard Law Review 84: 1329–1393.
View in Google Scholar
Waldron J. (2012), Dignity, Rank and Rights, Oxford University Press, Oxford.
View in Google Scholar
Walzer J. (1983), Spheres of Justice, Basic Books, New York.
View in Google Scholar
Weinrib E.J. (1980), “The Case for a Duty to Rescue,” Yale Law Journal 90 (2): 247–293.
View in Google Scholar
World Health Organization (WHO) (2001), The World Health Report 2001: Mental Health: New Understanding, New Hope, WHO, Geneva.
View in Google Scholar