Jecker Nancy S
Dev World Bioeth. 2018 Jun;18(2):144-155. doi: 10.1111/dewb.12148. Epub 2017 May 16.
How should healthcare systems prepare to care for growing numbers and proportions of older people? Older people generally suffer worse health than younger people do. Should societies take steps to reduce age-related health inequalities? Some express concern that doing so would increase age-related inequalities in healthcare. This paper addresses this debate by (1) presenting an argument in support of three principles for distributing scarce resources between age groups; (2) framing these principles of age group justice in terms of life stages; and (3) indicating policy implications that merit further attention in light of rapidly aging societies.
医疗保健系统应如何做好准备来照顾数量和比例不断增加的老年人？老年人的健康状况通常比年轻人更差。社会是否应该采取措施减少与年龄相关的健康不平等现象？一些人担心这样做会加剧医疗保健方面与年龄相关的不平等。本文通过以下方式来探讨这场辩论：（1）提出支持在不同年龄组之间分配稀缺资源的三项原则的论点；（2）从生命阶段的角度阐述这些年龄组公平原则；（3）指出鉴于社会迅速老龄化而值得进一步关注的政策影响。
