Alpinar Zümrüt, Civaner Murat, Ors Yaman
Department of Philosophy, School of Literature, Middle East Technical University, Ankara, Turkey.
Anadolu Kardiyol Derg. 2010 Aug;10(4):367-71. doi: 10.5152/akd.2010.097.
Health is considered as important due to its impacts on individuals' lives. Although individual health level is determined partly by the accessibility of the services and their quality, there are many other factors that may influence an individual's health condition, which are mainly social determinants. Since there are many factors that determine health conditions of the individuals, it would be wrong to hold someone totally responsible for her health condition on the basis of her life-style; such as prudency. Indeed, before deciding about whether the patient was prudent or not; first, we have to look at those determinants of health, and investigate whether there is an effective intervention to avoid those determinants. Furthermore, life-styles of the individuals, which are thought to be the personal choices, are just one of the relatively less effective factors that may influence a person's health and also the autonomy of those choices is controversial. In our paper, we will endeavor to develop an argument showing that since health is one of our primary goods that needs to be protected as one of our basic human rights, and since the health status of individuals are not determined only by their personal choices, we claim that it would be unfair to consider accessing healthcare as something removable or limitable based on conditions other than medical criteria.
健康因其对个人生活的影响而被视为重要。虽然个人健康水平部分取决于医疗服务的可及性及其质量，但还有许多其他因素可能影响个人的健康状况，这些因素主要是社会决定因素。由于有许多因素决定个人的健康状况，基于个人生活方式（如谨慎与否）而让某人对其健康状况完全负责是错误的。事实上，在判定患者是否谨慎之前，我们首先得审视那些健康决定因素，并调查是否存在有效的干预措施来避免这些决定因素。此外，被认为是个人选择的个人生活方式，只是可能影响一个人健康的相对不太有效的因素之一，而且这些选择的自主性也存在争议。在我们的论文中，我们将努力提出一个论点，即既然健康是我们需要作为基本人权之一加以保护的主要福祉之一，而且个人的健康状况并非仅由其个人选择决定，那么我们认为，基于医疗标准以外的条件将获得医疗保健视为可去除或可限制的事情是不公平的。
