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Zusatztext "His view that luck egalitarians should be concerned only with inequalities is at least plausible. Like many other arguments in this significant contribution to the egalitarian literature, it is certain to spark considerable debate." ---Kristi A. Olson, Perspectives on Politics Informationen zum Autor Shlomi Segall is lecturer in the Department of Political Science and the Integrative Program of Philosophy! Economics! and Political Science (PEP) at the Hebrew University of Jerusalem. Klappentext "As the first serious attempt to apply the luck egalitarian approach to health and justice! this book will be widely read. It is lucid! well argued! rigorous! and analytic."--Ezekiel J. Emanuel! MD! PhD "In this very welcome book! Shlomi Segall makes a notable contribution to the very small number of serious attempts to provide a basis within a theory of justice for claims on social resources for health. Theoretically sophisticated and morally serious! Segall's book maintains a high scholarly standard. "Health! Luck! and Justice" should be read by philosophers! bioethicists! economists! and other social scientists concerned with the ethics of health policy."--Daniel Wikler! Harvard University Zusammenfassung "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. Inhaltsverzeichnis Preface iv Introduction 1 Chapter 1: Justice! Luck! and Equality 9 I. Rawlsian vs. Luck Egalitarian Justice 10 II. Inequality vs. Equality 14 III. Reasonable Avoidability vs. Responsibility 19 Part I Health Care 27 Chapter 2: Responsibility- Insensitive Health Care 29 I. The Fair Opportunity Account 30 II. Opportunities and Life Plans 34 III. Th e Democratic Equality Account 37 Chapter 3: Ultra- Responsibility- Sensitive Health Care: "All- Luck Egalitarianism" 45 I. A Test Case: Justifying Medical Treatment for Smoking- Related Diseases 46 II. Some Preliminary Problems with All- Luck Egalitarianism 48 III. What's Wrong with Neutralizing Luck as Such? 51 IV. All- Luck Egalitarianism! Moral Luck! and Desert 54 Chapter 4: Tough Luck? Why Luck Egalitarians Need Not Abandon Reckless Patients 58 I. Luck Egalitarian Attempts to Defl ect the Abandonment Objection 59 II. Value Pluralism 64 III. Three Objections to Luck Egalitarian Value Pluralism 66 IV. A Potential Solution? 68 Chapter 5: R...
