Abstract
It would not be an exaggeration to say that social justice and just distribution of health care resources is probably the most fundamental issue in bioethics. The perspectives on social justice shape the model of the health care system, which a particular country aims to establish. These perspectives also determine, for example, the line between health care measures freely available for the whole population and those which have to be purchased privately. The kind of health care resources distribution also provides the context for the interpretation of different ethical dilemmas, such as the tension between autonomy and paternalism or providing and withdrawing extraordinary health care interventions. What is regarded as extraordinary treatment in Lithuania could be an ordinary procedure in the Netherlands, simply due to a huge difference in the health care resources available.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Arneson, R.J.: 1998, Equality and egalitarianism. In: Chadwick, R. (ed.), Encyclopedia of applied ethics, Vol. 2. Academic Press, San Diego, p. 115–125.
Beauchamp, T. and Childress, J.: 1994, Principles of biomedical ethics ( 4th ed ). Oxford University Press, New York.
Blank, R.: 1992, Introduction. In: Blank, R.H., Bonnicksen, A.L. (eds.), Emerging issues in biomedical policy. Columbia University Press, New York, p. 3–12.
Brody, B.A. and Lie, R.K.: 1993, Methodological and conceptual issues in health care system comparisons: Canada, Norway, and the United States. Journal of Medicine and Philosophy 18: 437–463.
Buchanan, A: 1989, Health care delivery and resource allocation. In: Veach, R.M. (ed.), Medical ethics. Johns and Barlett Publishers, Boston, p. 292–327.
Buchanan, A.: 1992, Distributive justice. In: Baker, L.C., and Baker, Ch.B. (eds.), Encyclopedia of ethics. Garland Publishing, New York and London, p. 655–661.
Callahan, D.: 1987, Setting limits. Simon & Schuster, New York.
Callahan, D.: 1993, Health care reform and the goals of medicine. Phi KAPPA PHI Journal: 1416.
Chadwick, R. (ed.): 1998, Encyclopedia of applied ethics. Academic Press, San Diego.
Daniels, N.: 1985, Just health care. Cambridge University Press, London.
Engelhardt, H.: 1994, Health care reform: A study of moral malfeasance. Journal of Medicine and Philosophy 19: 501–516.
Engelhardt, H.: 1996, The foundations of bioethics (2nd ed.). Oxford University Press, New York. Explanatory report to the convention for the protection of human rights and dignity of the human being with regard to the application of biology and medicine: Convention on human rights and biomedicine: 1997. Council of Europe, Strasbourg.
Gefenas, E.: 1995, Health care in Lithuania: From idealism to reality? In: Seedhouse, D. (ed.), Reforming health care: The philosophy and practice of international health reform. John Willey & Sons Ltd., Chichester, p. 121–127.
Hadorn, D.C.: 1991, Setting health care priorities in Oregon: Cost-effectiveness meets a rule of rescue. Journal of the American Medical Association 265: 2218–2225.
Hanson, L.F, et al.: 1994, Equality, explicitness, severity, and rigidity: The Oregon plan evaluated from a Scandinavian perspective. Journal of Medicine and Philosophy 19: 343–366.
Harris, J.: 1987, QALYfying the value of life. Journal of Medical Ethics 13: 117–123.Have, H.A.M.J. ten: 1988, Ethics and economics in health care: A medical philosopher’s view. In: Mooney, G., McGuire, A. (eds.), Medical ethics and economics in health care. Oxford University Press, Oxford, p. 23–39.
Have, H.A.M.J. ten: 1993, Physicians’ priorities–patients’ expectations. In: Szawarski, Z. and Evans, D. (eds.), Solidarity, justice and health care priorities, Health Service Studies 8. Linköping University Press, Linköping, p. 42–52.
Have, H.A.MJ. ten: 1998, Philosophy of medicine and health care - European perspectives. Medicine Health Care and Philosophy 1: 1–3.
Holm, S.: 1993, Solidarity, justice and health care priorities. In: Szawarski, Z. and Evans, D. (eds.), Solidarity, justice and health care priorities, Health Service Studies 8. Linkoping University Press, Linkoping, p. 53–64.
Holm, S.: 1995, ‘Socialized medicine’, Resource allocation and two-tier health care–The Danish experience. The Journal of Medicine and Philosophy 20: 631–637.
Knudsen, K.: 1996, Lithuania in a period of transition, Fafo Report 186. Falsh Hurtigtrykk, Oslo. Musschenga, A.W.: 1997, The relation between concepts of quality-of-life, health and happiness. Journal of Medicine and Philosophy 22: 11–28.
Norheim, O.F.: 1993, Guideline for priority-setting in the Norwegian health care system. In: Szawarski, Z. and Evans, D. (eds.), Solidarity, justice and health care priorities, Health Service Studies 8. Linköping University Press, Linköping, p. 65–77.
Norheim, O.F.: 1995, The Norwegian welfare state in transition. Journal of Medicine and Philosophy 20: 639–655.
O’Neill, 0.: 1993, International justice and health care. In: Szawarski, Z. and Evans, D. (eds.), Solidarity, justice and health care priorities, Health Service Studies 8. Linköping University Press, Linköping, p. 120–128.
Quintana, O. and Infante, A: 1995, Setting priorities in the Spanish health care system. Journal of Medicine and Philosophy 20: 595–606.
Sass, H-M.: 1992, Introduction: The principle of solidarity in health care policy. Journal of Medicine and Philosophy 17: 367–370.
Sass, H-M.: 1995, The new triad: Responsibility, solidarity and subsidiary. Journal of Medicine and Philosophy 17: 587–594.
Sterba, J.P.: 1995, Justice. In: Reich (ed.), W.T., Encyclopedia of bioethics (rev. ed.). Macmillan, New York, p. 1308–1315.
Thomsen, O., Wulff, H.R., Martin, A, Singer, P.A.: 1993, What do gastroenterologists in Europe tell cancer patients? The Lancet 20: 473–476.
Williams, A: 1985, Economics of coronary artery bypass grafting. British Medical Journal 291: II 326–329.
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2001 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Gefenas, E. (2001). Social Justice and Solidarity. In: ten Have, H., Gordijn, B. (eds) Bioethics in a European Perspective. International Library of Ethics, Law, and the New Medicine, vol 8. Springer, Dordrecht. https://doi.org/10.1007/978-94-015-9706-7_6
Download citation
DOI: https://doi.org/10.1007/978-94-015-9706-7_6
Publisher Name: Springer, Dordrecht
Print ISBN: 978-90-481-5872-0
Online ISBN: 978-94-015-9706-7
eBook Packages: Springer Book Archive