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Public Health, Ethics, and Equity
Sudhir Anand
Fabienne Peter and Amartya Sen
330 pages
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9 figures
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234x156mm
978-0-19-927636-3
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Hardback
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09 December 2004
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This item is printed to order. Items which are printed to order are normally despatched and charged within 5-10 days.
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- Incorporates wide-ranging, new perspectives in public-health ethics.
- Includes contributions by eminent scholars from a variety of relevant fields.
- Investigates the normative implications of empirical research on social inequalities in health.
In the last fifty years, average overall health status has increased more or less in parallel with a much celebrated decline in mortality, attributed mostly to poverty reduction, sanitation, nutrition, housing, immunization, and improved medical care. It is becoming increasingly clear, however, that these achievements were not equally distributed. In most countries, while some social groups have benefited significantly, the situation of others has stagnated or may even have worsened.
If health is a prerequisite to a person functioning as an agent, inequalities in health constitute inequalities in
people's capability to function -- a denial of equality of opportunity. So why should a concern with health equity be singled out from the pursuit of social justice more generally? Can existing theories of justice provide an adequate account of health equity? And what ethical problems arise in evaluating health inequalities?
These are some of the important questions that this book addresses in building an interdisciplinary understanding of health equity. With contributions from distinguished philosophers, anthropologists, economists, and public-health specialists, it centres on five major themes: what is health equity?; health equity and social justice; responsibilities for health; ethical issues in health evaluation; and anthropological
perspectives.Readership: Researchers and teachers in public health, philosophy, public policy, and health economics; public health analysts and national and international health policy makers.
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Sudhir Anand Fabienne Peter, University of Warwick, and Amartya Sen, Harvard UniversityContributors:
Sudhir Anand
Fabienne Peter
Amartya Sen
Michael Marmot
Norman Daniels, Bruce Kennedy, and Ichiro Kawachi
Daniel Wikler
Thomas Pogge
Philippe Van Parijs
Sudhir Anand and Kara Hanson
Dan Brock
Frances Kamm
John Broome
Arthur Kleinman
Vincanne Adams
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"...some of the most significant contributions to the discourse on health equity." - John Lynch, British Medical Journal. "Public Health, Ethics, and Equity is an important addition to the very small number of publications on the ethics of public health and health inequalities." - Robert Beaglehole, The Lancet
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Amartya Sen: Preface
Sudhir Anand and Fabienne Peter: Introduction
I. Health Equity
1: Sudhir Anand: The Concern for Equity in Health
2: Amartya Sen: Why Health Equity?
II. Health, Society, and Justice
3: Michael Marmot: Social Causes of Social Inequalities in Health
4: Norman Daniels, Bruce Kennedy, and Ichiro Kawachi: Why Justice is Good for Our Health: The Social Determinants of Health Inequalities
5: Fabienne Peter: Health Equity and Social Justice
III. Responsibility for Health and Health Care
6: Daniel Wikler: Justice, Socioeconomic Status, and Responsibility for Health
7: Thomas Pogge: Relational Conceptions of Justice: Responsibilities for Health Outcomes
8: Philippe Van Parijs: Just Health Care in a Plurinational Country
IV. Ethical and Measurement Problems in Health Evaluation
9: Sudhir Anand and Kara Hanson: Disability-adjusted Life Years: A Critical Review
10: Dan Brock: Ethical Issues in the Use of Cost Effectiveness Analysis for the Prioritization of Health Care Resources
11: Frances Kamm: Deciding Whom to Help, Health-Adjusted Life Years, and Disabilities
12: John Broome: The Value of Living Longer
V. Equity and Conflicting Perspectives on Health Evaluation
13: Amartya Sen: Health Achievement and Equity: External and Internal Perspectives
14: Arthur Kleinman: Ethics and Experience: An Anthropological Approach to Health Equity
15: Vincanne Adams: Equity of the Ineffable: Cultural and Political Constraints on Ethnomedicine as a Health Problem in Contemporary Tibet
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