Health and Social Justice
June 28 – July 2, 2010
Organiser: Universidad Internacional Menéndez Pelayo (UIMP) in cooperation with Ecuela de Salud Pública de Menorca
Jennifer Prah Ruger. - Yale School of Public health. Former Co-Director of the Yale
World Health Organization (WHO) Collaborating Centre for Health Promotion, Policy and Research.
Grants available - Deadline for applications: 24 May
Registration at: http://bit.ly/bzr3Gx
“….Health and Social Justice introduces the health capability paradigm, a unique approach, which considers the capability for health to be a moral imperative. There are no guarantees for good health, but society can, if it will, design and build effective institutions and social systems that support all citizens in the pursuit of central health capabilities-- avoiding premature death and escapable morbidity.
The health capability paradigm embodies comprehensive strategies for this vision to become a reality and employs theories and methods from disciplines including philosophy, economics, law, political science, health policy and public health. It argues for a norms-based approach to health promotion, a joint scientific and deliberative approach to efficiently guide allocation decisions, and offers shared health governance to create systems enabling all to be healthy….”
LUNES / MONDAY
Mañana Lección 1ª: Introduction: The health capability paradigm - Summary of theoretical foundations - Overview of components
Tarde Lección 2ª: Part I: The current set of ethical frameworks Approaches to medical and public ethics
MARTES / TUESDAY
Mañana Lección 3ª: Part II: An alternative account – the health capability paradigm Health and human flourishing
Tarde Lección 4ª: Pluralism, incompletely theorized agreements, and public policy
MIÉRCOLES / WENESDAY
Mañana Lección 5ª: Justice, capability, and health policy
Tarde Lección 6ª: Grounding the right to health
JUEVES / THURSDAY
Mañana Lección 7ª: Part III: Domestic health policy applications A health capability account of equal access
Lección 8ª: A health capability account of equitable and efficient health financing and insurance
TardeLección 9ª: Allocating resources: A joint scientific and deliberative approach
VIERNES / FRIDAY
Mañana Lección 10ª Part IV: Domestic health reform Political and moral legitimacy: A normative theory of health policy decision-making
Lección 11ª: Conclusion
INTRODUCCIÓN – RESUMEN / DESCRIPTION
Societies make decisions and take actions that profoundly impact the distribution of health. Why and how should collective choices be made, and policies implemented, to address health inequalities under conditions of resource scarcity? How should societies conceptualize and measure health disparities, and determine whether they've been adequately addressed? Who is responsible for various aspects of this important social problem? In Health and Social Justice, Jennifer Prah Ruger elucidates principles to guide these decisions, the evidence that should inform them, and the policies necessary to build equitable and efficient health systems world-wide. This book weaves together original insights and disparate constructs to produce a foundational new theory, the health capability paradigm.
Ruger's theory takes the ongoing debates about the theoretical underpinnings of national health disparities and systems in striking new directions. It shows the limitations of existing approaches (utilitarian, libertarian, Rawlsian, communitarian), and effectively balances a consequentialist focus on health outcomes and costs with a proceduralist respect for individuals' health agency. Through what Ruger calls shared health governance, it emphasizes responsibility and choice. It allows broader assessment of injustices, including attributes and conditions affecting individuals' "human flourishing," as well as societal structures within which resource distribution occurs. Addressing complex issues at the intersection of philosophy, economics, and politics in health, this fresh perspective bridges the divide between the collective and the individual, between personal freedom and social welfare, equality and efficiency, and science and economics.
Jennifer Prah Ruger, Ph.D.
Associate Professor at Yale University Schools of Public Health, Medicine, Law and the
UNIVERSITY OF CALIFORNIA-BERKELEY 1988 B.A. Political Economy of Industrial Societies
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