This essay considers whether permitting the cost-effectiveness of healthcare to govern its allocation is ethically objectionable on the grounds that it fails to give sufficient weight to the severity of people's health states. After documenting the popular sentiment that appears to support this criticism, the essay considers how to implement prioritising severity, focusing on Erik Nord's work. The remainder of the essay scrutinises the ethical arguments supporting policies prioritising severity and challenges those who would prioritise severity to define a notion of severity whose prioritisation they can defend.
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http://dx.doi.org/10.1136/medethics-2018-105058 | DOI Listing |
Camb Q Healthc Ethics
January 2025
Department of Psychiatry, Huntsman Mental Health Institute, University of Utah, Salt Lake City, Utah, USA.
Ethicists frequently suppose that suffering has special moral significance. It is often claimed that a main goal of medicine-perhaps its primary goal-is the alleviation of human suffering. Following Eric Cassell and others, this essay considers suffering understood as the experience of distress-negative emotions-in response to threats to something that one cares about.
View Article and Find Full Text PDFAt the intersection of literature and psychoanalysis, this essay draws on Freud's discovery of the infantile sexual unconscious to explore moments in the late novels of Henry James, in which an adult protagonist both recognizes and disavows the visible evidence of a sexual relationship. The essay considers Hans Holbein's 1533 painting, The Ambassadors, as a possible source for Henry James' choice of title for his 1903 novel: the painting's visual play with point of view touches on the narrative disavowal of what is there to be seen. The essay explores some narrative dimensions of Freud's writing to highlight the dynamic disclosure of the infantile within the adult.
View Article and Find Full Text PDFIr Polit Stud
May 2024
Geschwister Scholl Institute of Political Science, Ludwig-Maximilians-Universitat, Munich, Germany.
Cartel party theory has put the study of party-state relations high on the research agenda, deliberately shifting the focus of researchers away from an understanding of political parties on the basis of their relationship with civil society or, indeed, as part of civil society itself. As fruitful as this reorientation has been, this essay argues that the resulting emphasis on 'parties as governors' has produced downsides of its own. Cartel party theory reinforced a separation of the study of parties from the study of other membership organizations considered the very fabric of civil societies.
View Article and Find Full Text PDFGlob Health Res Policy
January 2025
Faculty of Medicine and Health, Sydney School of Public Health, The University of Sydney, Sydney, NSW, Australia.
There is a growing tendency in global discourse to describe a health issue as a security issue. But why is this health security language and framing necessary during times of crisis? Why is the term "health security" used when perhaps simply saying "public health" would do? As reference to 'health security' grows in contemporary discourse, research, advocacy, and policymaking, its prominence is perhaps most consequential in public health. Existing power dynamics in global health are produced and maintained through political processes.
View Article and Find Full Text PDFCamb Q Healthc Ethics
January 2025
Precision Health Program, Michigan State University, East Lansing, MI, USA.
This essay focuses on the ethical considerations and implications of providing a universal multi-cancer screening test as the best approach to reduce societal cancer burden in a society with limited funds, resources, and infrastructure. With 1.9 million cancer diagnoses each year in the United States, with 86% of all cancers diagnosed in individuals over the age of 50, and with screening tools approved for only four cancer types (breast, cervical, colorectal, and lung cancer), it seems that a multi-cancer screening test to detect most cancer early that is easy to administer, and is accurate and cost-effective, would be worth considering.
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