ter Meulen Ruud
University of Bristol, Bristol, UK.
J Med Philos. 2011 Dec;36(6):612-23. doi: 10.1093/jmp/jhr048. Epub 2012 Jan 11.
This article tries to analyze the meaning of a decent minimum of health care, by confronting the idea of decent care with the concept of justice. Following the ideas of Margalith about a decent society, the article argues that a just minimum of care is not necessarily a decent minimum. The way this minimum is provided can still humiliate individuals, even if the end result is the best possible distribution of the goods as seen from the viewpoint of justice. This analysis is combined with an analysis from the perspective of solidarity, particularly of reflective solidarity, as a way to develop decent care, which is care that does not humiliate individuals and maintains their dignity.
本文试图通过将体面护理的理念与正义概念相对照,来分析体面的最低限度医疗保健的含义。遵循玛加利特关于体面社会的观点,本文认为,公正的最低限度护理不一定是体面的最低限度。即使从正义的角度看最终结果是商品的最佳分配,但提供这种最低限度护理的方式仍可能羞辱个人。这种分析与从团结的角度,特别是反思性团结的角度进行的分析相结合,作为发展体面护理的一种方式,体面护理即不羞辱个人并维护其尊严的护理。