Global Health Justice
Jennifer Prah Ruger,
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 capabilities—a 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:
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Special symposium on Justice and the Social Determinants of Health
Justice and the Social Determinants of Health: An Overview
Disadvantage, Risk and the Social Determinants of Health
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
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
Public Health Paternalism—A Response to Nys
Public Health Paternalism: Continuing the Dialogue
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