Tauschgerechtigkeit im Gesundheitssystem?

1999 ◽  
Vol 43 (1) ◽  
pp. 2-22 ◽  
Author(s):  
Peter Dabrock

Abstract This article offers a critical appreciation of a theory of justice puttoward by 0. Höffe. Höffe suggests that commutative justice forms the basis for every understanding of justice, not only in market relationships but also in the legal and social state. Beginning with Räffes' application of his theory to the health system, this article argues that Höffes' theory is not empirically sufficent; nor does it suffice in the discourse of Iegitimation for law and state. Distributive justice can only be excluded as the fundamental justice for legal and state function at the cost of participation and solidarity. The paradigm change for which Höffe calls cannot, therefore, count upon the support of Christian social ethics

2019 ◽  
Vol 220 ◽  
pp. 141-149 ◽  
Author(s):  
K. Hauck ◽  
A. Morton ◽  
K. Chalkidou ◽  
Y-Ling Chi ◽  
A. Culyer ◽  
...  

Utilitas ◽  
1990 ◽  
Vol 2 (2) ◽  
pp. 245-266 ◽  
Author(s):  
P. J. Kelly

The argument of this paper is part of a general defence of the claim that Bentham's moral theory embodies a utilitarian theory of distributive justice, which is developed in his Civil Law writings. Whereas it is a commonplace of recent revisionist scholarship to argue that J. S. Mill had a developed utilitarian theory of justice, few scholars regard Bentham as having a theory of justice, let alone one that rivals in sophistication that of Mill. Indeed, Gerald J. Postema in his bookBentham and the Common Law Tradition, argues that Bentham had no substantial concern with the concept of justice, and that what analysis of the concept there is in Bentham's thought is unlike the utilitarian theory of justice to be found in chapter five of J. S. Mill'sUtilitarianismAlthough Postema's interpretation is not the only one that will be addressed in this paper, it serves as an important starting point for any rival interpretation of Bentham's ethical theory for two reasons. Firstly, it is the most comprehensive and most penetrating discussion of Bentham's utilitarian theory, drawing as it does on a wide variety of published and unpublished materials written throughout Bentham's career. Secondly, it is interesting in this particular context because the contrast that Postema draws between Bentham's and Mill's theories of justice depends upon a particular reading of Mill's theory of justice and utility which is derived from recent scholarship and which is by no means uncontroversial. As part of the defence of the claim that Bentham had a sophisticated theory of distributive justice, it will be argued in this paper that the contrast drawn between Bentham and Mill does not stand up to careful scrutiny, for insofar as Mill's theory of justice can be consistently defended it is not significantly different from the utilitarian strategy that Bentham employed for incorporating considerations of distributive justice within his theory. This is not to claim that there are not significant differences between the theories of justice of Bentham and J. S. Mill, but it is to claim that whatever technical differences exist between their theories, both writers saw the need to incorporate the concept of justice within utilitarianism. Therefore, rather than showing that Mill is an interesting thinker to the extent that he abandons his early Benthamism, by demonstrating how close Mill's theory of utility and justice is to that of Bentham, it will be possible to argue that Bentham employed a sophisticated and subtle utilitarian theory that was responsive to the sort of problems which occupied Mill a generation later.


1987 ◽  
Vol 29 (2) ◽  
pp. 19-25 ◽  
Author(s):  
James McDonald

Author(s):  
Julie L. Rose

This book defends the idea that workers are entitled to a fair share of free time. Contemporary liberal egalitarian theories of justice have implicitly assumed that how much leisure time citizens have is not an appropriate concern of a liberal theory of justice. The liberal proceduralist approach to distributive justice is to ensure that all citizens have fair access to specific goods, the particular components of one's particular conception of the good, by ensuring a fair distribution of resources, the all-purpose means that are generally required to pursue any conception of the good. The book asserts that citizens have legitimate claims to free time on the basis of the effective freedoms principle, a foundational tenet of liberal egalitarianism. This introduction discusses some relevant features of the distribution of free time in the contemporary United States and provides an overview of the chapters that follow.


Author(s):  
Cliona Loughnane

In 2011, the Government committed to the introduction of Universal Health Insurance (UHI) ‘with equal access to care for all’ by 2016 (Government of Ireland 2011: 2). This chapter explores how proposals to implement a system in which every member of the population would be expected to take out health insurance – and mooted by politicians as a way to end Ireland’s two-tier health system – exhibited particular characteristics of advanced liberal modes of governing.Specifically, drawing on Rose and Miller’s (1992) conceptualisation of the ‘aspirations’ of advanced liberal government – governing at a distance, the management of risk, engendering individuals to take responsibility through choice, and the fragmentation of the social state into multiple communities – this chapter demonstrates how while a political rhetoric may have stressed the significance of UHI as a basis for promoting solidarity and fairness, it is hard to avoid the conclusion that the policy would have represented a further shift towards the marketization of Irish healthcare.


Author(s):  
Hugh Collins

In response to modern questions about traditional justifications for the need for labour law, the chapter explains that such a justification must be a theory of justice. The chapter argues that Sen’s capability approach cannot, contrary to Langille’s claims, provide such a theory of justice for three reasons: the approach endorses relatively unregulated markets, its goal-based approach cannot justify adequate institutional foundations for labour law, and it fails to recognize distributive justice as a key aim of labour law. Nevertheless, Sen’s capability approach can throw light on the justice of particular aspects of labour law such as affirmative action and the importance of flexibility, learning, and autonomy at work.


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