Introduction: A legal exception to the principle of equal health rights, discriminatory subsidies often pose an ethical dilemma in the field of application.
Aim: To analyze discriminatory subsidies for healthcare in the light of the ethical principle of justice and to propose alternatives to any inherent legal and ethical conflicts.
Method: This was a qualitative, descriptive and analytical study based on semi-structured interviews with caregivers.
Results: Participants felt that the application of discriminatory subsidies has a negative impact on substantial distributive justice. The infringements of the award conditions were exclusively for the benefit of the patients concerned. Their impact was considered positive on distributive justice and negative on formal justice.
Discussion: Discriminatory care subsidies generally stem from a legal requirement whose application should not be ambiguous. It is apparent that the infringements of the conditions for attribution were in favour of substantial distributive justice. This opposition is a potential source of decision-making difficulties for caregivers who often choose to violate conditions for the benefit of their indigent patients. There are therefore violations of ethically understandable standards, which must be admitted. This could be done through the provision of exceptions for the application of standards for ”noble causes” and conscientious objection clauses in health policy texts.
Conclusion: The legitimacy of health policy norms is essential for their effective application, hence the interest of taking distributive justice into account in the genesis of formal norms.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.3917/jibes.343.0069 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Organisational Inequalities and the Myth of Meritocracy: How They Impede Employee Task Performance?
Int J Psychol
February 2025
Department of Management Information Systems, College of Business Administration, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.
Previous studies have overlooked organisational inequalities and their influence on employee task performance. Anchored in equity theory, we address this gap by examining how promotion and compensation inequalities relate to employee task performance. Further, this study examines the myth of meritocracy as an underlying mechanism and overall perceived distributive justice as a boundary condition.
View Article and Find Full Text PDFEnd-of-life issues in the ITU - 10 important points to remember.
Eur Heart J Acute Cardiovasc Care
January 2025
Department of Intensive Care, Erasme University Hospital, Université Libre de Bruxelles, Brussels, Belgium.
End-of-life (EOL) issues have become increasingly common in intensive therapy units (ITUs), largely due to advances in critical care that enable patients to be kept alive for extended periods. Death in the ITU now generally follows an EOL decision, which can pose ethical, emotional, and practical challenges. Our approach to such issues should be based on adherence to the four bioethical principles -autonomy, beneficence, nonmaleficence, and distributive justice- as well as the concept of proportionate care, and requires careful and effective communication with the whole ITU team, including the patient and their family.
View Article and Find Full Text PDFCoercive measures in disability and mental health care services: Mechanical restraints from a bioethical and legal perspective in Spain.
Int J Law Psychiatry
January 2025
Benito Menni CASM, Spain.
This article explores the use of coercive measures, particularly mechanical and pharmacological restraints, in disability care settings and mental health services from a bioethical perspective, focusing on how these practices impact the human rights of individuals with mental disorder, focusing on how these practices impact the human rights of individuals with mental disorders. A robust bioethical framework is presented, advocating for principles of autonomy, beneficence, non-maleficence, dignity, dialogical justice, distributive justice, and vulnerability. These principles are integrated to reframe interventions and promote respect for patient rights.
View Article and Find Full Text PDFDemographic inequities and cumulative environmental burdens within communities near superfund sites on Long Island, New York.
Health Place
January 2025
Yale School of Public Health, Department of Environmental Health Sciences, 60 College St., New Haven, CT, USA. Electronic address:
Nassau and Suffolk Counties of Long Island, New York are densely populated and contain 34 federally-designated and 449 state-designated Superfund sites, potentially exposing communities to toxic releases. We conducted a distributive justice analysis assessing proximity to Superfund sites, community socio-demographics, and other environmental burdens. Socio-demographic and environmental variables for 665 census tracts were obtained from the United States Census and Environmental Protection Agency's Environmental Justice Screening and Mapping Tool.
View Article and Find Full Text PDFAdaptation and Validation of the Multidimensional Fairness Scale in Chilean University Students.
Behav Sci (Basel)
November 2024
Departamento de Matemática y Estadística, Universidad de La Frontera, Temuco 4811230, Chile.
The Multidimensional Fairness Scale (MFS) assesses an individual's experience of fairness across the many contexts of daily life. It has been applied in the USA; however, the psychometric qualities of reliability and validity have not been examined in a Spanish-speaking population or among Chilean university students. A cross-sectional study was conducted on 377 university students to explore these properties.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!