On August 5, 2010, a cave-in left thirty-three Chilean miners trapped underground. The Chilean government embarked on a massive rescue effort that is estimated to have cost between ten and twenty million dollars. There is a puzzle here. Many mine safety measures that would have been more cost effective had not been taken in Chile earlier, either by the mining companies, the Chilean government or by international donors. The Chilean story illustrates a persistent puzzle: the identified lives effect. Human beings show a greater inclination to assist persons and groups identified as those at high risk of great harm than to assist persons and groups who will suffer - or already suffer - similar harm but are not identified as yet. The problem touches almost every aspect of human life and politics: health, the environment, the law. What can social and cognitive sciences teach us about the origin and triggers of the effect? Philosophically and ethically, is the effect a "bias" to be eliminated or is it morally justified? What implications does the effect have for health care, law, the environment and other practice domains? This volume is the first book to tackle the effect from all necessary perspectives: psychology, public health, law, ethics, and public policy.

The central idea for this book is that we lack consensus on principles for allocating resources and in the absence of such a consensus we must rely on a fair decision-making process for setting limits on health care. The authors characterize key elements of this process in a variety of health care contexts where such decisions are made- decisions about insurance coverage for new technologies, pharmacy benefit management, the design of physician incentives, contracting for mental health care by public agencies, etc.- and they connect the problem in the U.S. with the same problem in other countries. They provide a cogent analysis of the current situation, lucidly review the usual candidate solutions, and describe their own approach, which represents a clear advance in thinking. Their intended audience is international since the problem of limits cuts across types of health care systems whether or not they have universal coverage.

Written by four internationally renowned bioethicists, From Chance to Choice is the first systematic treatment of the fundamental ethical issues underlying the application of genetic technologies to human beings. Probing the implications of the remarkable advances in genetics, the authors ask how should these affect our understanding of distributive justice, equality of opportunity, the rights and obligations as parents, the meaning of disability, and the role of the concept of human nature in ethical theory and practice. The book offers a historical context to contemporary debate over the use of these technologies by examining the eugenics movement of the late 19th and early 20th centuries. In addition, appendices explain the nature of genetic causation, gene-environment interaction, and expose widespread misconceptions of genetic determinism, as well as outlining the nature of the ethical analysis used in the book. The questions raised in this book will be of interest to any reflective reader concerned about science and society and the rapid development of biotechnology, as well as to professionals in such areas as philosophy, bioethics, medical ethics, health management, law, and political science.

In this book by the award-winning author of Just Healthcare, Norman Daniels develops a comprehensive theory of justice for health that answers three key questions: what is the special moral importance of health? When are health inequalities unjust? How can we meet health needs fairly when we cannot meet them all? Daniels' theory has implications for national and global health policy: can we meet health needs fairly in ageing societies? Or protect health in the workplace while respecting individual liberty? Or meet professional obligations and obligations of justice without conflict? When is an effort to reduce health disparities, or to set priorities in realising a human right to health, fair? What do richer, healthier societies owe poorer, sicker societies? Just Health: Meeting Health Needs Fairly explores the many ways that social justice is good for the health of populations in developed and developing countries.

First published in 1975, this collection includes many of the best critical responses to John Rawls' A Theory of Justice, and the editor has elected to reissue the book without making any substitutions. As he argues in his new preface, the variety of issues raise in the original papers has been a major part of the book's appeal. He also acknowledges that no modest revision of this book could pretend to respond adequately to the considerable elaboration and evolution of Rawls' theory in the last fifteen years. Political philosophy has been one of the most exciting areas of philosophical activity in the years since A Theory of Justice, and much of that activity has been a response to Rawls' work. In his preface, the editor suggests how some of the insights and criticisms contained in the collection have had a bearing on developments in Rawls' theory and in political philosophy more generally, and that fresh reading of each of them reveals additional important points that have not yet received adequate attention. The contributors are: Benjamin Barber, Norman Daniels, Gerald Dworkin, Ronald Dworkin, Joel Feinberg, Milton Fisk, R.M. Hare, H.L.A. Hart, David Lyons, Frank Michelman, Richard Miller, Thomas Nagel, T.M. Scanlon, and A.K. Sen.

We all have beliefs, even strong convictions, about what is just and fair in our social arrangements. How should these beliefs and the theories of justice that incorporate them guide our thinking about practical matters of justice? This wide-ranging collection of essays by one of the foremost medical ethicists in the United States explores the claim that justification in ethics, whether concerning matters of theory or practice, involves achieving coherence or "reflective equilibrium" (as Rawls has called it) between our moral and nonmoral beliefs. Among the practical issues the volume addresses are the design of health-care institutions, the distribution of goods between the old and the young, and fairness in hiring and firing practices. In combining ethical theory and practical ethics this volume will prove especially valuable to philosophers concerned with ethics and applied ethics, political theorists, bioethicists, and others involved in the study of public policy.

In this book by the award-winning author of Just Healthcare, Norman Daniels develops a comprehensive theory of justice for health that answers three key questions: what is the special moral importance of health? When are health inequalities unjust? How can we meet health needs fairly when we cannot meet them all? Daniels' theory has implications for national and global health policy: can we meet health needs fairly in ageing societies? Or protect health in the workplace while respecting individual liberty? Or meet professional obligations and obligations of justice without conflict? When is an effort to reduce health disparities, or to set priorities in realising a human right to health, fair? What do richer, healthier societies owe poorer, sicker societies? Just Health: Meeting Health Needs Fairly explores the many ways that social justice is good for the health of populations in developed and developing countries.

We all have beliefs, even strong convictions, about what is just and fair in our social arrangements. How should these beliefs and the theories of justice that incorporate them guide our thinking about practical matters of justice? This wide-ranging collection of essays by one of the foremost medical ethicists in the USA explores the claim that justification in ethics, whether of matters of theory or practice, involves achieving coherence between our moral and non-moral beliefs. Amongst the practical issues addressed in the volume are the design of health-care institutions, the distribution of goods between the old and the young, and fairness in hiring and firing. In combining ethical theory and practical ethics this volume will prove especially valuable to philosophers concerned with ethics and applied ethics, political theorists, bioethicists, and others involved in the study of public policy.

Examines some of the dilemmas that have emerged from confronting demands for medical attention. The issues of equality of access to health care, paternalism, and the obligations of doctors and medical administrators are discussed at length.

The central idea behind this book is that we lack consensus on principles for allocating medical resources, and in the absence of such a consensus we must develop and rely on a fair decision-making process for setting limits on health care. Daniels and Sabin provide a cogent analysis of the current situation, lucidly review the usual candidate solutions, and describe their own approach. The audience for the book is global since the problem of limited resources cuts across types of health care systems whether or not they have universal coverage. In its first edition Setting Limits Fairly stimulated considerable work on setting priorities in health care. The second edition adds new material to the book, including a new chapter on the international response to accountability for reasonableness and two new chapters on applications of the approach in developing countries and in human rights approaches to health.

Health care services are rapidly changing in ways that seem increasingly inaccessible and unfair to millions of Americans. Yet what does "unfair" mean and how should our system be changed to make it more "fair"? This book addresses these probing questions by providing a universal definition of fairness and a set of criteria to measure which health care reform policies are more fair and why. The book comprises the efforts of a leading moral philosopher of health care, an internationally known sociologist of health care systems, and a health economist who join forces to transpose for the first time the universal moral concept. Through examples, they show how leaders and experts in various realms of public policy could develop criteria for applying concepts of moral philosophy to different fields. The book is original and controversial because it actually scores four major proposals for health care reform that exemplify the most prevalent ideas of the 1990s in state and national circles. Although some reform ideas fare much better than others, the author finds all proposals wanting, especially in establishing open, democratic procedures for deciding the limits of care. The authors give special attention to what market-based reforms need to do to be fair to everyone. They also assess the current changes brought on by the rapid growth of managed care systems since the collapse of national reform. Benchmarks of Fairness should be read by every citizen, physician, nurse, employer and politician who wants to educate themselves about fairness and who is interested in assessing the fairness of health care reforms.

An examination of the moral principles and institutional arrangements that will be needed to drive any new health care reform inititive. Health care reform has been stalled since the Clinton health care initiative, but the political difficulties internal to that initiative and the ethical problems that provoked it -- of cost, coverage, and overall fairness, for example -- have only gotten worse. This collection examines the moral principles that must underlie any new reform initiative and the processes of democratic decision-making essential to successful reform. This volume provides careful analyses that will allow the reader to short-circuit the mythmaking, polemics, and distortions that have too often characterized public discussion of health care reform. Its aim is to provide the moral foundations and institutional arrangements needed to drive any new health care initiative and so to stimulate a reasoned discussion before the next inevitable round of reform efforts. Foreword by Thomas H. Murray. Contributors: HowardBrody, Norman Daniels, Theodore Marmor, Tobie H. Olsan, Uwe E. Reinhardt, Gerd Richter, Rory B. Weiner, Lawrence W. White Wade L. Robison is the Ezra A. Hale Professor in Applied Ethics at the Rochester Institute of Technology and recipient of the Nelson A. Rockefeller Prize for Social Science and Public Policy for his book Decisions in Doubt: The Environment and Public Policy. Timothy H. Engstroem is Professor of Philosophy at the Rochester Institute of Technology and recipient of the Eisenhart Award for Outstanding Teaching.

In this election year, health care again proves to be one of our nation's most urgent issues. Daniels, Kennedy, and Kawachi shift the focus of the debate, forcing us to take a closer look at how our health is affected by social injustice and inequality. Arguing that it isn't enough to increase access to doctors, they call for improving social conditions-such as poverty, lack of education and affordable housing, and harmful work environments-that damage our health. By urging us to work toward equality of opportunity for all, the authors situate health care reform among the larger social problems we must face.
The authors' argument for reform in early childhood development, nutrition, work environment, and distribution of income is certain to spark debate. The editor of The New England Journal of Medicine and World Health Organization officials respond.
Praise for the New Democracy Forum series: "The New Democracy Forum series is a civic treasure. . . . A truly good idea, carried out with intelligence and panache."--Robert Pinsky
NEW DEMOCRACY FORUM
A series of short paperback originals exploring creative solutions to our most urgent national concerns. The series editors (for Boston Review), Joshua Cohen and Joel Rogers, aim to foster politically engaged, intellectually honest, and morally serious debate about fundamental issues--both on and off the agenda of conventional politics.

From the time of the Crusades to the present day, the relationship between Islam and the West has been one of conflict and misunderstanding. The prejudices conceived over a thousand years ago have survived the break-up of western Christianity into Catholic and Protestant, the growth of atheism, and the rise of the multifaith community; they continue, despite today's increased mutual understanding, to permeate European attitudes towards Islam. This classic study by Norman Daniel explores the political and religious considerations behind distorted western views of Islam, examining Christian-Muslim interaction from medieval times to the modern world, and covering such key topics as: revelation, prophethood and incarnation; the life of Muhammad; the authenticity of the Qur'an; western views of violence, morality and religious practice in Islam. First published over 30 years ago, the message within this great scholarly achievement is more relevant today than ever before. This timeless and accessible book should be of interest to students and for anyone wishing to gain a deeper insight into the complex relations between two of the world's greatest religions.

This classic study by Norman Daniel explores the political and religious considerations behind distorted western views of Islam, examining Christian-Muslim interaction from medieval times to the modern world. First published over 30 years ago, the message within this great scholarly achievement is more relevant today than ever before. This timeless and accessible book should be of interest to students and for anyone wishing to gain a deeper insight into the complex relations between two of the world's greatest religions.