Peter F
Department of Economics, University of Basel, Petersgraben 51, 4003 Basel, Switzerland.
J Appl Philos. 2001;18(2):159-70. doi: 10.1111/1468-5930.00183.
There is consistent and strong empirical evidence for social inequalities in health, as a vast and growing literature shows. In recent years, these findings have helped to move health equity high on international research and policy agendas. This paper examines how the empirical identification of social inequalities in health relates to a normative judgment about health inequities and puts forward an approach which embeds the pursuit of health equity within the general pursuit of social justice. It defends an indirect approach to health equity, which views social inequalities in health as unjust in so far as they are the result of an unjust basic structure of society in Rawls' sense.
正如大量且不断增加的文献所显示的,健康方面存在社会不平等这一点有着坚实且一致的实证证据。近年来,这些研究结果有助于将健康公平置于国际研究和政策议程的重要位置。本文探讨了健康方面社会不平等的实证识别如何与关于健康不公平的规范性判断相关联,并提出了一种将追求健康公平嵌入对社会正义的总体追求之中的方法。它捍卫了一种间接的健康公平方法,这种方法认为,从罗尔斯意义上讲,健康方面的社会不平等只要是不公正的社会基本结构的结果,那就是不公正的。