Sachs Benjamin
Program in Environmental Studies and Center for Bioethics, New York University, 285 Mercer Street, New York, NY 10003, USA.
J Med Philos. 2010 Aug;35(4):402-14. doi: 10.1093/jmp/jhq032. Epub 2010 Jul 15.
Norman Daniels's new book, Just Health, brings together his decades of work on the problem of justice and health. It improves on earlier writings by discussing how we can meet health needs fairly when we cannot meet them all and by attending to the implications of the socioeconomic determinants of health. In this article I return to the core idea around which the entire theory is built: that the principle of equality of opportunity grounds a societal obligation to meet health needs. I point, first, that nowhere does Daniels say just what version of that principle he accepts. I then proceed to construct a principle on his behalf, based on a faithful reading of Just Health. Once we actually nail down the principle, I argue, we will find that there are two problems: it is implausible in itself, and it fails to ground a societal obligation to meet health needs.
诺曼·丹尼尔斯的新书《正义与健康》汇集了他数十年来在正义与健康问题上的研究成果。该书通过讨论当我们无法满足所有健康需求时如何公平地满足这些需求，以及关注健康的社会经济决定因素的影响，对他早期的著作进行了改进。在本文中，我回到了构建整个理论的核心观点：机会平等原则为满足健康需求的社会义务奠定了基础。我首先指出，丹尼尔斯在任何地方都没有说明他接受该原则的哪个版本。然后，我基于对《正义与健康》的忠实解读，代他构建了一个原则。我认为，一旦我们真正确定了这个原则，就会发现有两个问题：它本身难以置信，而且它无法为满足健康需求的社会义务奠定基础。
