Tuesday, January 5, 2010

[EQ] Global Health Justice

Global Health Justice

Jennifer Prah Ruger, Yale University
PUBLIC HEALTH ETHICS VOLUME 2 • NUMBER 3 • 2009 • 261–275

 

Available online at: http://papers.ssrn.com/sol3/papers.cfm?abstract_id=1502810

 

“……..What are the respective roles and responsibilities of global, national, and local communities as well as individuals themselves to address health deprivations and avert health threats?
This article offers the beginnings of a theory of global health justice, arguing for universal ethical norms (general duty) with shared global and domestic responsibility (specific duties) for health. It offers a global minimalist view I call ‘provincial globalism’ as a mean between nationalism and cosmopolitanism, in which a provincial consensus must accompany a global consensus on health morality.

 

This minimalist account asserts global and national duties to promote human flourishing and, more specifically, individuals’ central health capabilities. In this view, justice requires prioritizing responsibilities through shared health governance to reduce shortfall inequalities in central health capabilitiesa general duty to reduce premature mortality and escapable morbidity. It examines the difficulties presented by the philosophical principles of connectedness, causality, remediation, partiality, and capacity in the allocation of responsibility for global health.

 

It offers a theory of responsibility allocation based on a functional, health agency centered and homeostatic balanced understanding of the analytical components required to solve global health problems and parcels out roles and responsibilities at the global, national, local, and individual levels accordingly. Allocations of responsibility rest on the effectiveness and special obligations of different actors, respecting self-determination by groups and individuals and seeking voluntary commitments. This view understands that the remedy for global health problems must be sustainable to take nations and the global health community to a new global health equilibrium that remedies current problems and prepares for new health threats to come….”

 

Also in the same Volume are:

 

 

***NOTE REQUIRES A PAID SUBSCRIPTION***

 

Special symposium on Justice and the Social Determinants of Health 

 

Website: http://bit.ly/5momXc

 

James Wilson

Justice and the Social Determinants of Health: An Overview


Jonathan Wolff

Disadvantage, Risk and the Social Determinants of Health

 

Sridhar Venkatapuram

A Bird's Eye View. Two Topics at the Intersection of Social Determinants of Health and Social Justice Philosophy

 

Daniel M. Hausman

Benevolence, Justice, Well-Being and the Health Gradient

 

Gopal Sreenivasan

Ethics and Epidemiology: Residual Health Inequalities

 

Norah Mulvaney-Day and Catherine A. Womack

Obesity, Identity and Community: Leveraging Social Networks for Behavior Change in Public Health

 

Jennifer Prah Ruger

Global Health Justice

 

Christopher Lowry and Udo Schüklenk

Two Models in Global Health Ethics

 

Stephen Holland

Public Health Paternalism—A Response to Nys

 

Thomas Nys

Public Health Paternalism: Continuing the Dialogue


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This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMC Area]

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[EQ] The European health report 2009. Health and health systems

The European health report 2009. Health and health systems

WHO Regional Office for Europe

Copenhagen, Denmark – December 2009

ISBN 978 92 890 1415 1

Available online PDF [141p.] at: http://www.euro.who.int/Document/E93103.pdf

“…….Investing in health and health systems is especially important during times of crisis, such as the severe economic crisis and pandemic (H1N1) 2009 influenza. To address these issues, governments and policy-makers need information that is current, accurate, comparable and user-friendly.

 

What were the trends in public health indicators over the last four years? What factors influence health, and what are the challenges for the future?
What contribution can health systems make to improve population health in the WHO European Region?
In addressing these questions, this report illustrates the wide-ranging reforms countries have undertaken to strengthen performance in four core functions of health systems: service delivery, resource generation, financing and stewardship.

 

This report presents public health information to support countries in choosing sound investments in health. It should encourage the successful implementation of effective health system reforms and policies, and help countries improve their health systems’ performance to provide efficient, patient-centred, high-quality health care. The annex provides some of the data used in the analysis…..”

 

*      *     *
This message from the Pan American Health Organization, PAHO/WHO, is part of an effort to disseminate
information Related to: Equity; Health inequality; Socioeconomic inequality in health; Socioeconomic
health differentials; Gender; Violence; Poverty; Health Economics; Health Legislation; Ethnicity; Ethics;
Information Technology - Virtual libraries; Research & Science issues.  [DD/ KMC Area]

“Materials provided in this electronic list are provided "as is". Unless expressly stated otherwise, the findings
and interpretations included in the Materials are those of the authors and not necessarily of The Pan American
Health Organization PAHO/WHO or its country members”.
------------------------------------------------------------------------------------
PAHO/WHO Website

Equity List - Archives - Join/remove: http://listserv.paho.org/Archives/equidad.html
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    IMPORTANT: This transmission is for use by the intended recipient and it may contain privileged, proprietary or confidential information. If you are not the intended recipient or a person responsible for delivering this transmission to the intended recipient, you may not disclose, copy or distribute this transmission or take any action in reliance on it. If you received this transmission in error, please notify us immediately by email to infosec@paho.org, and please dispose of and delete this transmission. Thank you.