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Health and Social Justice

Autor Jennifer Prah Ruger
en Limba Engleză Paperback – 28 mar 2012
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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Specificații

ISBN-13: 9780199653133
ISBN-10: 0199653135
Pagini: 320
Ilustrații: 5 figures, 2 tables
Dimensiuni: 154 x 233 x 18 mm
Greutate: 0.49 kg
Editura: OUP OXFORD
Colecția OUP Oxford
Locul publicării:Oxford, United Kingdom

Recenzii

Ruger enhances the reach of her powerful perspective by enlightening investigations of human flourishing ... By producing a book of such richness concerning a major area of human agency and policy, Jennifer Prah Ruger has substantially advanced the reach of public reasoning, not just about health care, but about social justice in general.
Jennifer Prah Ruger has produced a masterpiece - a beautifully written and strikingly bold 'health capability paradigm' for the analysis of problems of health and social justice ... This gem of a book is destined to push forward current debates about health care reform and its theoretical foundations. It will more than contribute to this field of investigation; it will be a defining moment.
I have no doubt that this book will become a beacon for the debates on health system reform in the United States and around the world.
[A]n original synthesis ... that illuminates a way forward toward a more rational health policy and health policy process. ... [A] must read for all serious students of health policy.
[A]n attractive, concrete vision of a health society, strongly grounded in philosophy, economics and public health.
Ruger articulates a persuasive case ... for grounding reform in a commitment to human flourishing ... [and] presents us with practical tools for determining what to cover and how to allocate resources at a time when cost-containment must be a constraint on future policy. Health and Social Justice is an important book not just as a guide to current debates, but for understanding how to navigate future challenges in the rapidly evolving environment of health policy in the United States and other nations.
[A] major contribution to an important, complex and continuing process that examines the theoretical and operational relationships between development, poverty reduction, health and human rights. ... [T]he health and human rights communities are enriched by Ruger's philosophical justification for the right to heath, as well as the health capability paradigm ... [W]e commend Ruger's excellent book
[A] complex, timely, ambitious reflection on moral and political legitimacy in healthcare. ... [A]n original theoretical framework ... [A] fresh, systematic, forward-looking paradigm ... Ruger has built 'brick by brick' a serious, provocative comprehensive defense of a progressive, social justice perspective on health and healthcare.
I view Ruger's book as the product of monumental scholarship that undoubtedly makes a significant contribution to future academic research on social ethics in healthcare and to academic courses focused on that subject.
[Jennifer Prah Ruger's] most systematic and vital contribution. ... [S]eminal ... [D]emands attention and determined action
Health and Social Justice is clearly a scholarly work ... providing a different perspective on the meaning of health and the importance of true collaboration on the micro as well as macro levels.
In this important book, ... Ruger's 'health capability paradigm' builds upon Aristotle's theory of 'human flourishing' with ... insight from diverse fields such as law, politics, and economics. ... Those readers with an interest in law will find Professor Ruger's cogent analysis of and respectful counterargument to Professor Eugene Volokh's idea of a 'right to medical self-defense' particularly provocative. ... [R]eaders would be wise to heed [her model's] wisdom.
[A] scientific and deliberative approach to guiding health system development and reform and allocating scarce health resources.
Jennifer Prah Ruger invites the reader to envision a world where health policy allocated resources such that all persons could realize their maximum capabilities for health. ... This book ... offers an ethical framework for putting this ideal into practice
Jennifer Prah Ruger provides a valuable contribution to the theoretical literature on the right to health care. ... Ruger's central health capabilities ... will resonate widely. ... Ruger presses the strengths of her approach, but wisely recognizes its limits. ... Readers will benefit from the impressive interdisciplinary nature of Ruger's analysis. The range of her work cuts easily across political philosophy, political science, economics, law, public health, and medical ethics.
Ruger combines sophisticated philosophy, concrete policy proposals, and astute observations ... With its theoretically sophisticated and realistic policy analysis, this work will be an important read for ethicists, students of health policy, and policy makers.
Understanding justice in health on the basis of health capabilities ... overcomes some theoretical divides, most importantly those between outcomes and procedures as well as freedom and welfare.
Jennifer Prah Ruger's book Health and Social Justice is a substantial contribution to the emerging scholarship at the intersection of health issues and the philosophy of social justice. ... Ruger proposes a bold and expansive theory ... [A]n innovative theory ... [T]he argument for refocusing health care policy onto health capabilities is compelling and substantively argued. ... Such a contribution is just what the emerging field of health and social justice scholarship needs.
Ruger demonstrates that she has ... thought long and hard about multiple aspects of the ethical, legal, and political environments that impinge on public health and health care policy ... and despite the interdisciplinary breadth of her research, I cannot think of a page of it that is extraneous ... Her HCP is constructed precisely in order to demonstrate what it would mean for policy and in practice to take capabilities earnestly in health policy debates ... the clarity and forcefulness of her argument suggest that hers is a voice worth hearing on a related set of health policy topics not directly tackled in this impressive and wide- ranging volume.
Editor's Choice

Notă biografică

Jennifer Prah Ruger's previous appointments include Assistant Professor at Washington University in St. Louis, Schools of Medicine and Social Work, Speech Writer to the World Bank President, James D. Wolfensohn, Health Economist in the World Bank Health, Nutrition and Population Sector and Satellite Secretariat for the World Health Organization Transition Team, Health and Development Satellite. has authored numerous theoretical and empirical studies on the equity and efficiency of health system access, financing, resource allocation, policy reform and social determinants of health. These contributions are unified by an overarching interest in equity and disparities in health and health care, focusing on vulnerable and impoverished populations.