Chapter 2. Communities Obscured: Liberal Theories of Health Care Justice

Author(s):  
George F. DeMartino ◽  
Jonathan D. Moyer

This chapter presents three cosmopolitan approaches to global health care justice: Thomas Pogge's negative duties based approach, Gillian Brock's minimal needs view, and Henry Shue's model of basic rights. While these approaches share a common focus on attempting to justify the existence of global duties to aid, held by the wealthy and owed to the global poor, each offers a distinct interpretation of why such duties exist and suggests a range of options for fulfilling them. Importantly, while the chapter argues that Shue's approach to global duties is the most effective of the three, it considers that they all offer important insight into the problem of global poverty and provide a variety of possible practical solutions to this problem.


2019 ◽  
Vol 8 ◽  
pp. 117957271984475 ◽  
Author(s):  
Susan Magasi ◽  
Christina Papadimitriou ◽  
Judy Panko Reis ◽  
Kimberly The ◽  
Jennifer Thomas ◽  
...  

People with disabilities (PWD) are a health disparities population who experience well-documented physical, structural, attitudinal, and financial barriers to health care. The disability rights community is deeply engaged in advocacy to promote health care justice for all PWD. As the community continues to work toward systems change, there is a critical need for community-directed interventions that ensure individuals with disabilities are able to access the health care services they need and are entitled to. Peer health navigator (PHN) programs have been shown to help people from diverse underserved communities break down barriers to health care. The PHN model has not been systematically adapted to meet the needs of PWD. In this article, we describe the collaborative process of developing Our Peers—Empowerment and Navigational Supports (OP-ENS), an evidence-informed PHN intervention for Medicaid beneficiaries with physical disabilities in Chicago, IL, USA. Our Peers—Empowerment and Navigational Supports is a 12-month community-based PHN intervention that pairs Medicaid beneficiaries with physical disabilities (peers) with disability PHNs who use a structured recursive process of barrier identification and asset mapping, goal setting, and action planning to help peers meet their health care needs. Our Peers—Empowerment and Navigational Supports was developed by a collaborative team that included disability rights leaders, representatives from a Medicaid managed care organization, and academic disability health care justice researchers. We highlight both the conceptual and empirical evidence that informed OP-ENS as well as the lessons learned that can assist future developers.


2019 ◽  
Vol 15 (S1) ◽  
Author(s):  
Anne-Emanuelle Birn ◽  
Laura Nervi

AbstractThe presumed global consensus on achieving Universal Health Coverage (UHC) masks crucial issues regarding the principles and politics of what constitutes “universality” and what matters, past and present, in the struggle for health (care) justice. This article focuses on three dimensions of the problematic: 1) we unpack the rhetoric of UHC in terms of each of its three components: universal, health, and coverage; 2) paying special attention to Latin America, we revisit the neoliberal coup d’état against past and contemporary struggles for health justice, and we consider how the current neoliberal phase of capitalism has sought to arrest these struggles, co-opt their language, and narrow their vision; and 3) we re-imagine the contemporary challenges/dilemmas concerning health justice, transcending the false technocratic consensus around UHC and re-infusing the profoundly political nature of this struggle. In sum, as with the universe writ large, a range of matters matter: socio-political contexts at national and international levels, agenda-setting power, the battle over language, real policy effects, conceptual narratives, and people’s struggles for justice.


2015 ◽  
Vol 212 (6) ◽  
pp. 736-739 ◽  
Author(s):  
Amirhossein Moaddab ◽  
Laurence B. McCullough ◽  
Frank A. Chervenak ◽  
Karin A. Fox ◽  
Kjersti Marie Aagaard ◽  
...  

2021 ◽  
Vol 66 (Special Issue) ◽  
pp. 151-151
Author(s):  
Dario Sacchini ◽  
◽  
Pietro Refolo ◽  
Antonio G. Spagnolo ◽  
◽  
...  

"Introduction. The recent introduction of extremely effective drugs in treating diseases, but associated with exorbitant costs raised several issues in terms of distributive justice. However, in this debate justice is widely thought in intragenerational terms. The work will explore the concept of intergenerational health care justice, in particular the argument, often used to justify the introduction of this type of drugs, according to which the vast amount of money spent now will allow to have savings in the long run. The recent introduction of some drugs that are extremely effective in treating diseases but associated with exorbitant costs, raised several issues in terms of distributive justice. However, in this debate justice is widely thought in intragenerational terms. Methods: A review of key documents on intergenerational justice was conducted, followed by a nonsystematic review of peer-reviewed and gray literature. The existing material was analyzed and a draft manuscript was prepared and discussed. Some experts carried out the revision of the manuscript until consensus was reached. Results: The concept of intergenerational health care justice has never been well explored. From an intergenerational point of view, the argument – which is often supported by pharmaco-economic evaluations – according to which the vast amount of money spent now for this type of drugs will allow to have savings in the long run is not in itself coherent with the main theories of justice. Conclusions: Considerations that are extrinsic to the assumptions of the main theories of justice are needed in order to justify the argument above. "


2013 ◽  
Author(s):  
Jackeline Sanchez ◽  
Carolyn M. Tucker ◽  
Julia Roncoroni ◽  
Whitney Wall

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