Distributive Justice And The New Medicine

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Distributive Justice and the New Medicine

Author : George Patrick Smith
Publisher : Edward Elgar Publishing
ISBN 13 : 1848441487
Total Pages : 201 pages
Book Rating : 4.8/5 (484 download)

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Book Synopsis Distributive Justice and the New Medicine by : George Patrick Smith

Download or read book Distributive Justice and the New Medicine written by George Patrick Smith and published by Edward Elgar Publishing. This book was released on 2010-01-01 with total page 201 pages. Available in PDF, EPUB and Kindle. Book excerpt: Smith has packed an incredible amount of information into this relatively short and clearly written book. His erudition is unquestionable, and his knowledge of current trends in medical technology and the ethical issues surrounding them is obvious on every page. P. Jenkins, Choice George P. Smith is one of the world s leading experts on the legal and ethical issues raised by modern medicine. His book is a wide-ranging and deeply informed and considered analysis of those issues, with particular emphasis on the inequality with which the benefits of modern medicine are bestowed on the sick. Knowledgeable as well about the technical aspects of the biomedical revolution, Smith writes with insight and authority, and offers a perspective that will influence the policy debates. Richard A. Posner, United States Court of Appeals for the Seventh Circuit and University of Chicago Law School, US While much has been written about the various issues addressed in this book genetics, cloning, informed consent, organ donation Smith s book moves beyond traditional legal analysis, tying these issues together by examining them through the lens of distributive justice. He thus provides the reader with a unique and valuable perspective on this important area. Distributive Justice and the New Medicine will be of interest to all those interested in health law and bioethics and in particular for those interested in distributive justice. Belinda Bennett, Journal of Law, Social Justice and Global Development Professor George P. Smith s Distributive Justice and the New Medicine is a major new work by one of the world s leading medical lawyers. This book brings important new insights into the complex area of rationing health care resources and should be read by anyone interested in seeking to create a just society. Jonathan Herring, Exeter College, University of Oxford, UK Is the advancement of scientific knowledge and the development of biomedical technologies known as the New Medicine desirable? George P. Smith asks this fundamental question while also confronting the distribution of these scarce medical resources. Law, economics, medical science, philosophy and ethics all coalesce in this discussion of how to structure normative standards of conduct that will improve the quality of human life. The author begins by examining various economic constructs as aids for achieving a fair and equitable delivery of health care services. He then assesses their level of practical application and evaluates the costs and benefits to society of pursuing the development and use of the New Medicine . The book ends with a case study of organ and tissue transplantation that illustrates the implementation of distributive justice. The author concludes that as long as clinical medicine maintains its focus on healing and alleviating suffering among patients, a point of equilibrium will be reached that advances the common good. This timely and compelling exploration will be a must-read for scholars, researchers, policymakers and all those interested in advances in medical technology and the issues surrounding access to health care.

Understanding Health Inequalities and Justice

Author : Mara Buchbinder
Publisher : UNC Press Books
ISBN 13 : 1469630362
Total Pages : 351 pages
Book Rating : 4.4/5 (696 download)

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Book Synopsis Understanding Health Inequalities and Justice by : Mara Buchbinder

Download or read book Understanding Health Inequalities and Justice written by Mara Buchbinder and published by UNC Press Books. This book was released on 2016-09-19 with total page 351 pages. Available in PDF, EPUB and Kindle. Book excerpt: The need for informed analyses of health policy is now greater than ever. The twelve essays in this volume show that public debates routinely bypass complex ethical, sociocultural, historical, and political questions about how we should address ideals of justice and equality in health care. Integrating perspectives from the humanities, social sciences, medicine, and public health, this volume illuminates the relationships between justice and health inequalities to enrich debates. Understanding Health Inequalities and Justice explores three questions: How do scholars approach relations between health inequalities and ideals of justice? When do justice considerations inform solutions to health inequalities, and how do specific health inequalities affect perceptions of injustice? And how can diverse scholarly approaches contribute to better health policy? From addressing patient agency in an inequitable health care environment to examining how scholars of social justice and health care amass evidence, this volume promotes a richer understanding of health and justice and how to achieve both. The contributors are Judith C. Barker, Paula Braveman, Paul Brodwin, Jami Suki Chang, Debra DeBruin, Leslie A. Dubbin, Sarah Horton, Carla C. Keirns, J. Paul Kelleher, Nicholas B. King, Eva Feder Kittay, Joan Liaschenko, Anne Drapkin Lyerly, Mary Faith Marshall, Carolyn Moxley Rouse, Jennifer Prah Ruger, and Janet K. Shim.

Medicine and Social Justice

Author : Rosamond Rhodes
Publisher : Oxford University Press
ISBN 13 : 0199930813
Total Pages : pages
Book Rating : 4.1/5 (999 download)

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Book Synopsis Medicine and Social Justice by : Rosamond Rhodes

Download or read book Medicine and Social Justice written by Rosamond Rhodes and published by Oxford University Press. This book was released on 2012-07-16 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Because medicine can preserve life, restore health and maintain the body's functions, it is widely acknowledged as a basic good that just societies should provide for their members. Yet, there is wide disagreement over the scope and content of what to provide, to whom, how, when, and why. In this unique and comprehensive volume, some of the best-known philosophers, physicians, legal scholars, political scientists, and economists writing on the subject discuss what social justice in medicine should be. Their contributions deepen our understanding of the theoretical and practical issues that run through the contemporary debate. The forty-two chapters in this reorganized second edition of Medicine and Social Justice update and expand upon the thirty-four chapters of the 2002 first edition. Eighteen chapters from the original volume are revised to address policy changes and challenging issues that have emerged in the intervening decade. Twenty-two of the chapters in this edition are entirely new. The treatment of foundational theory and conceptual issues related to access to health care and rationing medical resources have been expanded to provide a more comprehensive and nuanced discussion of the background concepts that underlie distributive justice debates, with global perspectives on health and well-being added. New additions to the section on health care justice for specific populations include chapters on health care for the chronically ill, soldiers, prisoners, the severely cognitively disabled, and the LGBT population. The section devoted to dilemmas and priorities addresses an array of topics that have recently become especially pressing because of new technologies or altered policies. New chapters address questions of justice related to genetics, medical malpractice, research on human subjects, pandemic and disaster planning, newborn screening, and justice for the brain dead and those with profound neurological injury. Reviews of the first edition: "This compilation brings a variety of perspectives, national settings, and disciplinary backgrounds to the topic and provides a unique survey of theoretical and applied thinking about the connections between health care and social justice... Physicians and others interested in this field will find this book an engaging introduction to the theoretical and practical challenges pertaining to social justice and health care." New England Journal of Medicine "Although much work in bioethics has focused on clinical encounters, there has been a current of discussion about questions of social justice for decades-at least since the allocation of access to dialysis was widely understood in the 1960s to be a matter of justice, not of medical judgment. This volume will facilitate heightened awareness and deeper discussion of such issues." JAMA "Impressively, the editors have chosen an array of essays that explore the philosophical and bioethical foundations of distributive justice; review the current practice of rationing and patients' access to care in a number of different countries; highlight the issues raised by various special needs groups; and then wrestle with some dilemmas in assessing priorities in distributing healthcare... This book is an excellent resource. " Doody's

Public Health and Social Justice

Author : Martin T. Donohoe
Publisher : John Wiley & Sons
ISBN 13 : 1118236769
Total Pages : 656 pages
Book Rating : 4.1/5 (182 download)

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Book Synopsis Public Health and Social Justice by : Martin T. Donohoe

Download or read book Public Health and Social Justice written by Martin T. Donohoe and published by John Wiley & Sons. This book was released on 2012-10-10 with total page 656 pages. Available in PDF, EPUB and Kindle. Book excerpt: Praise for Public Health and Social Justice "This compilation unifies ostensibly distant corners of our broad discipline under the common pursuit of health as an achievable, non-negotiable human right. It goes beyond analysis to impassioned suggestions for moving closer to the vision of health equity." —Paul Farmer, MD, PhD, Kolokotrones University Professor and chair, Department of Global Health and Social Medicine, Harvard Medical School; co-founder, Partners In Health "This superb book is the best work yet concerning the relationships between public health and social justice." —Howard Waitzkin, MD, PhD, Distinguished Professor Emeritus, University of New Mexico "This book gives public health professionals, researchers and advocates the essential knowledge they need to capture the energy that social justice brings to our enterprise." —Nicholas Freudenberg, DrPH, Distinguished Professor of Public Health, the City University of New York School of Public Health at Hunter College "The breadth of topics selected provides a strong overview of social justice in medicine and public health for readers new to the topic." —William Wiist, DHSc, MPH, MS, senior scientist and head, Office of Health and Society Studies, Interdisciplinary Health Policy Institute, Northern Arizona University "This book is a tremendous contribution to the literature of social justice and public health." —Catherine Thomasson, MD, executive director, Physicians for Social Responsibility "This book will serve as an essential reference for students, teachers and practitioners in the health and human services who are committed to social responsibility." —Shafik Dharamsi, PhD, faculty of medicine, University of British Columbia

Women and Health Research

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 030904992X
Total Pages : 286 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Women and Health Research by : Institute of Medicine

Download or read book Women and Health Research written by Institute of Medicine and published by National Academies Press. This book was released on 1994-02-01 with total page 286 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the nineteenth century some scientists argued that women should not be educated because thinking would use energy needed by the uterus for reproduction. The proof? Educated women had a lower birth rate. Today's researchers can only shake their heads at such reasoning. Yet professional journals and the popular press are increasingly criticizing medical research for ignoring women's health issues. Women and Health Research examines the facts behind the public's perceptions about women participating as subjects in medical research. With the goal of increasing researchers' awareness of this important topic, the book explores issues related to maintaining justice (in its ethical sense) in clinical studies. Leading experts present general principles for the ethical conduct of research on womenâ€"principles that are especially important in the light of recent changes in federal policy on the inclusion of women in clinical research. Women and Health Research documents the historical shift from a paternalistic approach by researchers toward women and a disproportionate reliance on certain groups for research to one that emphasizes proper access for women as subjects in clinical studies in order to ensure that women receive the benefits of research. The book addresses present-day challenges to equity in four areas: Scientificâ€"Do practical aspects of scientific research work at cross-purposes to gender equity? Focusing on drug trials, the authors identify rationales for excluding people from research based on demographics. Social and Ethicalâ€"The authors offer compelling discussions on subjectivity in science, the evidence for male bias, and issues related to race and ethnicity, as well as the recruitment, retention, and protection of research participants. Legalâ€"Women and Health Research reviews federal research policies that affect the inclusion of women and evaluates the basis for researchers' fears about liability, citing court cases. Riskâ€"The authors focus on risks to reproduction and offspring in clinical drug trials, exploring how risks can be identified for study participants, who should make the assessment of risk and benefit for participation in a clinical study, and how legal implications could be addressed. This landmark study will be of immediate use to the research community, policymakers, women's health advocates, attorneys, and individuals.

Medical Education, Politics and Social Justice

Author : Alan Bleakley
Publisher : Routledge
ISBN 13 : 1000339483
Total Pages : 206 pages
Book Rating : 4.0/5 (3 download)

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Book Synopsis Medical Education, Politics and Social Justice by : Alan Bleakley

Download or read book Medical Education, Politics and Social Justice written by Alan Bleakley and published by Routledge. This book was released on 2020-12-30 with total page 206 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book critically analyses how politics and power affect the ways that medicine is taught and learned. Challenging society’s historic reluctance to connect the realm of politics to the realm of medicine, Medical Education, Politics and Social Justice: The Contradiction Cure emphasizes the need for medical students to engage with social justice issues, including global health crises resulting from the climate emergency, and the health implications of widening social inequality. Arguing for an increased focus on community-based learning, rather than acute care, this innovative text maps the territory of medicine’s contradictory engagement with politics as a springboard for creative curriculum design. It demonstrates why the socially disempowered - such as political and climate refugees, the homeless, or those without health insurance should be primary subjects of attention for medical students, while exploring how political engagement can be refined, sharp, cultivated and creative, engaging imagination and demanding innovation Exploring how the medical humanities can promote engagement with politics to improve medical education, this book is a ground-breaking and inspiring contribution. It is an essential read for all those with a focus on medical education and medical humanities, as well as medical and healthcare students with an interest in the social determinants of health.

Health, Luck, and Justice

Author : Shlomi Segall
Publisher : Princeton University Press
ISBN 13 : 0691140537
Total Pages : 253 pages
Book Rating : 4.6/5 (911 download)

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Book Synopsis Health, Luck, and Justice by : Shlomi Segall

Download or read book Health, Luck, and Justice written by Shlomi Segall and published by Princeton University Press. This book was released on 2010 with total page 253 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Luck egalitarianism"--the idea that justice requires correcting disadvantages resulting from brute luck--has gained ground in recent years and is now the main rival to John Rawls's theory of distributive justice. Health, Luck, and Justice is the first attempt to systematically apply luck egalitarianism to the just distribution of health and health care. Challenging Rawlsian approaches to health policy, Shlomi Segall develops an account of just health that is sensitive to considerations of luck and personal responsibility, arguing that people's health and the health care they receive are just only when society works to neutralize the effects of bad luck. Combining philosophical analysis with a discussion of real-life public health issues, Health, Luck, and Justice addresses key questions: What is owed to patients who are in some way responsible for their own medical conditions? Could inequalities in health and life expectancy be just even when they are solely determined by the "natural lottery" of genes and other such factors? And is it just to allow political borders to affect the quality of health care and the distribution of health? Is it right, on the one hand, to break up national health care systems in multicultural societies? And, on the other hand, should our obligation to curb disparities in health extend beyond the nation-state? By focusing on the ways health is affected by the moral arbitrariness of luck, Health, Luck, and Justice provides an important new perspective on the ethics of national and international health policy.

Health Care Politics, Policy, and Distributive Justice

Author : Robert P. Rhodes
Publisher : SUNY Press
ISBN 13 : 9780791407783
Total Pages : 356 pages
Book Rating : 4.4/5 (77 download)

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Book Synopsis Health Care Politics, Policy, and Distributive Justice by : Robert P. Rhodes

Download or read book Health Care Politics, Policy, and Distributive Justice written by Robert P. Rhodes and published by SUNY Press. This book was released on 1992-01-01 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book describes and evaluates power and influence in the creation, administration, and distribution of health care in the United States. His work is uniquely concerned with distributive justice as well as power. Who ought to receive more (or less) health care? How should we decide these distributions? Such questions are addressed in works of philosophy with little attention to political, legal, and economic analysis of budget dilemmas, professional and industrial politics, and technology. This volume takes the issue a step further by placing health policy issues in the broader context of American politics, illuminating the conflict between health resources and other needs, and evaluating the trade offs.

Health and Social Justice

Author : Jennifer Prah Ruger
Publisher : Oxford University Press
ISBN 13 : 019955997X
Total Pages : 313 pages
Book Rating : 4.1/5 (995 download)

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Book Synopsis Health and Social Justice by : Jennifer Prah Ruger

Download or read book Health and Social Justice written by Jennifer Prah Ruger and published by Oxford University Press. This book was released on 2010 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book brings together the latest thinking in social justice and health policy and seeks to integrate a capabilities perspective with the demands of health and economic policies that impact on health

Justice and Health Care

Author : E.E. Shelp
Publisher : Springer Science & Business Media
ISBN 13 : 9400983921
Total Pages : 240 pages
Book Rating : 4.4/5 (9 download)

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Book Synopsis Justice and Health Care by : E.E. Shelp

Download or read book Justice and Health Care written by E.E. Shelp and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bioethics is a discipline still not fully explored in spite of its rather remark able expansion and sophistication during the past two decades. The prolifer ation of courses in bioethics at educational institutions of every description gives testimony to an intense academic interest in its concerns. The media have catapulted the dilemmas of bioethics out of the laboratory and library into public view arid discussion with a steady report of the so-called 'mira cles of modern medicine' and the moral perplexities which frequently accom pany them. The published work of philosophers, theologians, lawyers and others represents a substantial and growing body of literature which explores relevant concepts and issues. Commitments have been made by existing in stitutions, and new institutions have been chartered to further the discussion of the strategic moral concerns that attend recent scientific and medical progress. This volume focuses attention on one of the numerous topics of interest within bioethics. Specifically, an examination is made of the implications of the principle of justice for health care. Apart from four essays in Ethics and Health Policy edited by Robert Veatch and Roy Branson [4] the dis cussion of justice and health care has been occasional, almost non-existent, and scattered. The paucity of literature in this area is regrettable but perhaps understandable. On the one hand, Joseph Fletcher, one of the contemporary pioneers in bioethics, can hold that "distributive justice is the core or key question for biomedical ethics" ([1], p. 102).

Precision Medicine and Distributive Justice

Author : Leonard M. Fleck
Publisher : Oxford University Press
ISBN 13 : 0197647723
Total Pages : 433 pages
Book Rating : 4.1/5 (976 download)

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Book Synopsis Precision Medicine and Distributive Justice by : Leonard M. Fleck

Download or read book Precision Medicine and Distributive Justice written by Leonard M. Fleck and published by Oxford University Press. This book was released on 2022 with total page 433 pages. Available in PDF, EPUB and Kindle. Book excerpt: Metastatic cancer and costly precision medicines generate extremely complex problems of health care justice. Targeted cancer therapies yield only very marginal gains in life expectancy for most patients at very great cost, thereby threatening the just allocation of limited health care resources. Philosophers have high hopes for the utility of their theories of justice in addressing the challenges of resource allocation; however, none of these theories can address adequately the "wicked" ethical problems that have resulted from these targeted therapies. What we need instead, bioethicist Leonard M. Fleck argues, is a political conception of health care justice, following Rawls, and a fair and inclusive process of rational democratic deliberation governed by public reason. His account makes the basic assumption that we have only limited health care resources to meet unlimited health care needs generated by emerging medical technologies. The primary ethical and political virtue of rational democratic deliberation is that it allows citizens to fashion autonomously shared understandings of how to fairly address the complex problems of health care justice generated by precision medicine. While ideally just outcomes are a moral and political impossibility, "wicked" problems can metastasize if rationing decisions are made invisibly--in ways effectively hidden from those affected by those decisions. As Fleck demonstrates, a fair and inclusive process of democratic deliberation could make these "wicked" problems visible, and subject, to public reason.

Health Justice

Author : Sridhar Venkatapuram
Publisher : John Wiley & Sons
ISBN 13 : 0745637507
Total Pages : 282 pages
Book Rating : 4.7/5 (456 download)

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Book Synopsis Health Justice by : Sridhar Venkatapuram

Download or read book Health Justice written by Sridhar Venkatapuram and published by John Wiley & Sons. This book was released on 2013-04-17 with total page 282 pages. Available in PDF, EPUB and Kindle. Book excerpt: Social factors have a powerful influence on human health and longevity. Yet the social dimensions of health are often obscured in public discussions due to the overwhelming focus in health policy on medical care, individual-level risk factor research, and changing individual behaviours. Likewise, in philosophical approaches to health and social justice, the debates have largely focused on rationing problems in health care and on personal responsibility. However, a range of events over the past two decades such as the study of modern famines, the global experience of HIV/AIDS, the international women’s health movement, and the flourishing of social epidemiological research have drawn attention to the robust relationship between health and broad social arrangements. In Health Justice, Sridhar Venkatapuram takes up the problem of identifying what claims individuals have in regard to their health in modern societies and the globalized world. Recognizing the social bases of health and longevity, Venkatapuram extends the ‘Capabilities Approach’ of Amartya Sen and Martha Nussbaum into the domain of health and health sciences. In so doing, he formulates an inter-disciplinary argument that draws on the natural and social sciences as well as debates around social justice to argue for every human being’s moral entitlement to a capability to be healthy. An ambitious integration of the health sciences and the Capabilities Approach, Health Justice aims to provide a concrete ethical grounding for the human right to health, while advancing the field of health policy and placing health at the centre of social justice theory. With a foreword by Sir Michael Marmot, chair of the WHO Commission on the Social Determinants of Health.

Summarizing Population Health

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309060990
Total Pages : 91 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Summarizing Population Health by : Institute of Medicine

Download or read book Summarizing Population Health written by Institute of Medicine and published by National Academies Press. This book was released on 1998-05-01 with total page 91 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Social Justice and Medical Practice

Author : Merrill Singer
Publisher : Routledge
ISBN 13 : 135162153X
Total Pages : 240 pages
Book Rating : 4.3/5 (516 download)

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Book Synopsis Social Justice and Medical Practice by : Merrill Singer

Download or read book Social Justice and Medical Practice written by Merrill Singer and published by Routledge. This book was released on 2017-12-14 with total page 240 pages. Available in PDF, EPUB and Kindle. Book excerpt: How do we understand and respond to the pressing health problems of modern society? Conventional practice focuses on the assessment and clinical treatment of immediate health issues presented by individual patients. In contrast, social medicine advocates an equal focus on the assessment and social treatment of underlying social conditions, such as environmental factors, structural violence, and social injustice. Social Justice and Medical Practice examines the practice of social medicine through extensive life history interviews with a physician practicing the approach in marginalized communities. It presents a case example of social medicine in action, demonstrating how such a practice can be successfully pursued within the context of the existing structure of twenty-first-century medicine. In examining the experience of a physician on the frontlines of reforming health care, the book critiques the restrictive nature of the dominant clinical model of medicine and argues for a radically expanded focus for modern-day medical practice. Social Justice and Medical Practice is a timely intervention at a time when even advanced health care systems are facing multiple crises. Lucidly written, it presents a striking alternative and is important reading for students and practitioners of medicine and anthropology, as well as policy makers.

Social Justice

Author : Madison Powers
Publisher : Oxford University Press
ISBN 13 : 0195375130
Total Pages : 244 pages
Book Rating : 4.1/5 (953 download)

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Book Synopsis Social Justice by : Madison Powers

Download or read book Social Justice written by Madison Powers and published by Oxford University Press. This book was released on 2008-09-25 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: This volume develops a theory of social justice for the specific context of health care policy, although it can also be applied to education, economic development and other social policy issues where resources are limited.

Social Injustice and Public Health

Author : Barry S. Levy
Publisher : Oxford University Press
ISBN 13 : 0199939225
Total Pages : 586 pages
Book Rating : 4.1/5 (999 download)

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Book Synopsis Social Injustice and Public Health by : Barry S. Levy

Download or read book Social Injustice and Public Health written by Barry S. Levy and published by Oxford University Press. This book was released on 2013-09-19 with total page 586 pages. Available in PDF, EPUB and Kindle. Book excerpt: This second edition of Social Injustice and Public Health is a comprehensive, up-to-date, evidence-based resource on the relationship of social injustice to many aspects of public health. With contributions from leading experts in public health, medicine, health, social sciences, and other fields, this integrated book documents the adverse effects of social injustice on health and makes recommendations on what needs to be done to reduce social injustice and thereby improve the public's health. Social Injustice and Public Health is divided into four parts: · The nature of social injustice and its impact on public health · How the health of specific population groups is affected by social injustice · How social injustice adversely affects medical care, infectious and chronic non-communicable disease, nutrition, mental health, violence, environmental and occupational health, oral health, and aspects of international health · What needs to be done, such as addressing social injustice in a human rights context, promoting social justice through public health policies and programs, strengthening communities, and promoting equitable and sustainable human development With 78 contributors who are experts in their respective subject areas, this textbook is ideal for students and practitioners in public health, medicine, nursing, and other health sciences. It is the definitive resource for anyone seeking to better understand the social determinants of health and how to address them to reduce social injustice and improve the public's health.

Justice and Health Care

Author : Allen Buchanan
Publisher : Oxford University Press
ISBN 13 : 9780199739530
Total Pages : 272 pages
Book Rating : 4.7/5 (395 download)

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Book Synopsis Justice and Health Care by : Allen Buchanan

Download or read book Justice and Health Care written by Allen Buchanan and published by Oxford University Press. This book was released on 2009-11-05 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this volume Allen Buchanan collects ten of his most influential essays on justice and healthcare and connects the concerns of bioethicists with those of political philosophers, focusing not just on the question of which principles of justice in healthcare ought to be implemented, but also on the question of the legitimacy of institutions through which they are implemented. With an emphasis on the institutional implementation of justice in healthcare, Buchanan pays special attention to the relationship between moral commitments and incentives. The volume begins with an exploration of the difficulties of specifying the content of the right to healthcare and of identifying those agents and institutions that are obligated to help ensure that the right thus specified is realized, and then progresses to an examination of the problems that arise in attempts to implement the right through appropriate institutions. In the last two essays Buchanan pursues the central issues of justice in healthcare at the global level, exploring the idea of healthcare as a human right and the problem of assigning responsibilities for ameliorating global health disparities. Taken together, the essays provide a unique and consistent position on a wide range of issues, including conflicts of interest in clinical practice and the claims of medical professionalism, the nature and justification for the right to health care, the relationship between responsibility for healthcare and the nature of the healthcare system, and the problem of global health disparities. The result is an approach to justice in healthcare that will facilitate more productive interaction between the normative analysis of philosophers and the policy work of economists, lawyers, and political scientists.