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Health and Social Justice (Paperback)
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Health and Social Justice (Paperback)
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Health and Social Justice provides a theoretical framework for
health ethics, public policy and law in which Dr Ruger introduces
the health capability paradigm, an innovative and unique approach
which considers the capability of health as a moral imperative.
This book is the culmination of more than a decade and a half of
work to develop the health capability paradigm, with a vision of a
world where all have the capability to be healthy. This vision is
grounded in the Aristotelian view of human flourishing and also
Amartya Sen's capability approach. In this new paradigm, not just
health care, or even just health alone, but the capability for
health itself is a moral imperative, as is ensuring the conditions
that allow all individuals the means to achieve central health
capabilities. Key tenets of health capability include health
agency, shared health governance, where individuals, providers and
institutions work together to create a social system enabling all
to be healthy, and the use of theorized agreements and shared
reasoning to guide social choice and shape health policy and
decision-making. This book provides philosophical justification for
the direct moral importance of health and the capability for health
and follows a norms-based approach to health promotion. It employs
a joint scientific and deliberative approach to guide health system
development and reform, and the allocation of scarce health
resources. The health capability paradigm integrates both
proceduralist and consequentialist approaches to justice, and both
moral and political legitimacy are critical.
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