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Health and Social Justice (Hardcover)
Loot Price: R3,898
Discovery Miles 38 980
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Health and Social Justice (Hardcover)
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Societies make decisions and take actions that profoundly impact
the distribution of health. Why and how should collective choices
be made, and policies implemented, to address health inequalities
under conditions of resource scarcity? How should societies
conceptualize and measure health disparities, and determine whether
they've been adequately addressed? Who is responsible for various
aspects of this important social problem? In Health and Social
Justice, Jennifer Prah Ruger elucidates principles to guide these
decisions, the evidence that should inform them, and the policies
necessary to build equitable and efficient health systems
world-wide. This book weaves together original insights and
disparate constructs to produce a foundational new theory, the
health capability paradigm.
Ruger's theory takes the ongoing debates about the theoretical
underpinnings of national health disparities and systems in
striking new directions. It shows the limitations of existing
approaches (utilitarian, libertarian, Rawlsian, communitarian), and
effectively balances a consequentialist focus on health outcomes
and costs with a proceduralist respect for individuals' health
agency. Through what Ruger calls shared health governance, it
emphasizes responsibility and choice. It allows broader assessment
of injustices, including attributes and conditions affecting
individuals' "human flourishing," as well as societal structures
within which resource distribution occurs. Addressing complex
issues at the intersection of philosophy, economics, and politics
in health, this fresh perspective bridges the divide between the
collective and the individual, between personal freedom and social
welfare, equality and efficiency, and science and economics.
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