Institut für Philosophie und Politikwissenschaft, Technische Universität Dortmund, Dortmund, Germany.
Bioethics. 2024 Nov;38(9):796-802. doi: 10.1111/bioe.13338. Epub 2024 Jul 30.
According to the sufficiency theory of justice in health, justice requires that people have equal access to adequate health. In this article, I lay out the structure of this view and I assess its distributive implications for setting priority (i) between health needs across persons and (ii) between health care spending and other societal goods. I argue, first, that according to the sufficiency theory, deficiency in health cannot be completely offset by providing other societal goods. And, second, that it can prevent the medicalization of societies by stressing that improvements beyond the level of adequate health have relatively little weight, if any, from the standpoint of justice.
根据健康公正的充分理论，公正要求人们平等地获得足够的健康。本文阐述了这一观点的结构，并评估了它在确定优先事项方面的分配含义：（i）在人与人之间的健康需求之间，以及（ii）在医疗保健支出和其他社会福利之间。我认为，首先，根据充分理论，提供其他社会福利并不能完全消除健康缺陷。其次，它可以通过强调超越足够健康水平的改善从公正的角度来看相对没有什么（如果有的话）权重来防止社会的医疗化。
