The Veil of Ignorance and Solidarity in Healthcare: Finding Compassion in the Original Position

Main Article Content

Michał Zabdyr-Jamróz

Abstract

In this paper I will juxtapose the concept of the veil of ignorance – a fundamental premise of Rawlsian justice as fairness – and solidarity in the context of the organisation of a healthcare system. My hypothesis is that the veil of ignorance could be considered a rhetorical tool that supports compassion solidarity. In the concept of the veil of ignorance, I will find some crucial features of compassion solidarity within the Rawlsian concept of “reciprocity” (actually, not being reciprocity at all) – located between “impartiality” and “mutual advantage”. I conclude that, even behind this “thick” veil, some essential, yet “particular” facts on health and wealth redistribution are available to decision makers. Lastly, I discover that by means of the assumption of self-interest in the original position the veil aims to convert egoism into empathy, thus invoking the solidarity of compassion that in turn could be translated into principles of the organisation of a healthcare system.

Downloads

Download data is not yet available.

Article Details

How to Cite
Zabdyr-Jamróz, Michał. 2015. “The Veil of Ignorance and Solidarity in Healthcare: Finding Compassion in the Original Position”. Diametros, no. 43 (March):79-95. https://doi.org/10.13153/diam.43.2015.717.
Section
Special Topic - Solidarity and Justice in Health Care
Author Biography

Michał Zabdyr-Jamróz, Jagiellonian University Medical College

Michał Zabdyr-JamrózHealth Policy and Management DepartmentFaculty of Health ScienceJagiellonian University Medical Collegeul. Grzegórzecka 2031-531 KrakówPolandMichał Zabdyr-Jamróz is a teaching assistant at Health Policy and Management Department of the
Faculty of Health Science at the
Jagiellonian University Medical College. He is also a
PhD student at the Faculty of International and Political Studies at the Jagiellonian University.
Share |

References

Daniels [1985] – N. Daniels, Just Health Care, Cambridge University Press, New York 1985.
View in Google Scholar

Daniels [1990] – N. Daniels, “Equality of What: Welfare, Resources, or Capabilities?” Philosophy and Phenomenological Research (50) 1990, p. 273–296.
View in Google Scholar

Daniels [1990a] – N. Daniels, Am I My Parents’ Keeper? An Essay on Justice Between the Young and the Old, Oxford University Press, New York 1990.
View in Google Scholar

Daniels [2001] – N. Daniels, “Justice, Health, and Healthcare,” American Journal of Bioethics 1 (2) 2001, p. 2–16.
View in Google Scholar

Davis et al. [1996] – M.H. Davis, L. Conklin, A. Smith, C. Luce, “Effect of Perspective Taking on the Cognitive Representation of Persons: a Merging of Self and Other,” Journal of Personality and Social Psychology 70 (4) 1996, p. 713–726.
View in Google Scholar

Dworkin [1981] – R. Dworkin, “What is Equality? Part 2: Equality of Resources,” Philosophy & Public Affairs 10 (4) 1981, p. 283–345.
View in Google Scholar

Epstein [2000] – R. Epstein, Mortal Peril: Our Inalienable Right to Health Care? Basic Books, Cambridge, MA 2000.
View in Google Scholar

Ghandi [2004] – R. Saikia (ed.), Learning from Gandhi, TERI Press, New Delhi, IN 2004.
View in Google Scholar

Gibbard [1991] – A. Gibbard, “Constructing Justice,” Philosophy and Public Affairs (20) 1991, p. 264–279.
View in Google Scholar

Harsanyi [1953] – J.C. Harsanyi, “Cardinal Utility in Welfare Economics and in the Theory of Risk-Taking,” The Journal of Political Economy 61 (5) 1953, p. 434–435.
View in Google Scholar

Häyry [2005] – M. Häyry, “Precaution and Solidarity,” Cambridge Quarterly of Healthcare Ethics 14 (2) 2005, p. 199–206.
View in Google Scholar

Hodges and Klein [2001] – S.D. Hodges, K.J. Klein, “Regulating the Costs of Empathy: The Price of Being Human”, Journal of Socio-Economics (30) 2001, p. 437–452.
View in Google Scholar

Houtepen and Meulen [2000] – R. Houtepen, R. ter Meulen, “New Types of Solidarity in the European Welfare State,” Health Care Analysis 8 (4) 2000, p. 329–340.
View in Google Scholar

Jaeggi [2010] – R. Jaeggi, “Solidarity and Indifference,” [in:] R. ter Meulen, W. Arts, R. Muffels (eds.), Solidarity in Health and Social Care in Europe, Kluwer Academic Publishers, Dordrecht 2010, p. 287–308.
View in Google Scholar

Kant [1929] – I. Kant, Critique of Pure Reason, translated by Norman Kemp Smith, Palgrave Macmillan, London 1929.
View in Google Scholar

Korobkin [1998] – R. Korobkin, “Determining Health Care Rights from Behind a Veil of Ignorance,” University of Illinois Law Review (3) 1998, p. 801–836.
View in Google Scholar

Meulen [2015] – R. ter Meulen, “Solidarity and Justice in Health Care. A Critical Analysis of their Relationship,” Diametros (43) 2015, p. 1–20.
View in Google Scholar

Prainsack and Buyx [2011] – B. Prainsack, A. Buyx, Solidarity: Reflections on an Emerging Concept in Bioethics, Nuffield Council on Bioethics 2011.
View in Google Scholar

Rawls [1996] – J. Rawls, Political Liberalism, Columbia University Press, New York 1996.
View in Google Scholar

Rawls [1999] – J. Rawls, A Theory of Justice, Harvard University Press, Cambridge, MA 1999.
View in Google Scholar

Roemer [2002] – J.E. Roemer, “Egalitarianism Against the Veil of Ignorance,” The Journal of Philosophy 99 (4) 2002, p. 167–184.
View in Google Scholar

Rorty [1991] – R. Rorty, Objectivity, Relativism, and Truth: Philosophical Papers, Cambridge University Press, New York 1991.
View in Google Scholar

Sandel [1982] – M.J. Sandel, Liberalism and the Limits of Justice, Cambridge University Press, New York 1982.
View in Google Scholar

Sibley [1953] – W.M. Sibley, “The Rational versus the Reasonable,” Philosophical Review (26) 1953, p. 554–560.
View in Google Scholar

Singer et al. [1995] – P. Singer, J. McKie, H. Kuhse, J. Richardson, “Double Jeopardy and the Use of QALYs in Health Care Allocation,” Journal of Medical Ethics 21 (3) 1995, p. 144–150.
View in Google Scholar

Soto [2012] – C. Soto, “The Veil of Ignorance and Health Resource Allocation,” Journal of Medicine and Philosophy 37 (4) 2012, p. 387–404.
View in Google Scholar

Swope et al. [2008] – K. Swope, J. Cadigan, P. Schmitt, R. Shupp, “Social Position and Distributive Justice: Experimental Evidence,” Southern Economic Journal 74 (3) 2008, p. 811–818.
View in Google Scholar