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Public Reason and Scarce Medical Resources |
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Abstract:
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While much philosophical attention has been directed at the problem of allocating scarce medical resources, considerable disagreement persists. In this paper, we argue that the distinction between moral and political values, drawn most famously by John Rawls in his book Political Liberalism, has been wrongfully neglected in the course of this debate. In particular, Rawls’ distinction between comprehensive moral doctrines and political conceptions of justice is useful in light of persisting moral disagreements regarding allocative schemes. We illustrate this point by focusing upon the role of lotteries in the allocation of scarce medical resources. There is a lot of disagreement as to whether and when lotteries should be used to distribute, say, organ transplants or access to dialysis. But a close examination of this disagreement suggests 1) that the disagreement over lotteries per se is shallow rather than deep; 2) that this shallowness of disagreement masks deeper disagreement over issues distinct from, but relating to, lotteries; and 3) that the deep and persisting disagreement indicates a potential place for the distinction between moral and political values, as drawn by Rawls. By exploring this issue, we demonstrate the enormous importance of liberal political concerns in this and other public health issues more generally. |
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moral (72), lotteri (53), resourc (47), alloc (46), medic (46), one (45), claim (40), reason (38), individu (36), polit (36), good (34), select (33), make (33), disagr (32), rescher (32), scarc (29), equal (28), decis (25), argument (25), would (24), group (23), |
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Allocation, Justice, Lotteries, Scarce Medical Resources, Bioethics, Rawls |
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Name: MPSA Annual National Conference URL: http://www.indiana.edu/~mpsa/
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MLA Citation:
| Bruera, Eduardo. and Stone, Peter. "Public Reason and Scarce Medical Resources" Paper presented at the annual meeting of the MPSA Annual National Conference, Palmer House Hotel, Hilton, Chicago, IL, Apr 03, 2008 <Not Available>. 2010-03-12 <http://www.allacademic.com/meta/p268705_index.html> |
APA Citation:
| Bruera, E. and Stone, P. , 2008-04-03 "Public Reason and Scarce Medical Resources" Paper presented at the annual meeting of the MPSA Annual National Conference, Palmer House Hotel, Hilton, Chicago, IL Online <APPLICATION/PDF>. 2010-03-12 from http://www.allacademic.com/meta/p268705_index.html |
Publication Type: Conference Paper/Unpublished Manuscript Abstract: While much philosophical attention has been directed at the problem of allocating scarce medical resources, considerable disagreement persists. In this paper, we argue that the distinction between moral and political values, drawn most famously by John Rawls in his book Political Liberalism, has been wrongfully neglected in the course of this debate. In particular, Rawls’ distinction between comprehensive moral doctrines and political conceptions of justice is useful in light of persisting moral disagreements regarding allocative schemes. We illustrate this point by focusing upon the role of lotteries in the allocation of scarce medical resources. There is a lot of disagreement as to whether and when lotteries should be used to distribute, say, organ transplants or access to dialysis. But a close examination of this disagreement suggests 1) that the disagreement over lotteries per se is shallow rather than deep; 2) that this shallowness of disagreement masks deeper disagreement over issues distinct from, but relating to, lotteries; and 3) that the deep and persisting disagreement indicates a potential place for the distinction between moral and political values, as drawn by Rawls. By exploring this issue, we demonstrate the enormous importance of liberal political concerns in this and other public health issues more generally. |
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application/pdf |
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27 |
| Word count: |
7790 |
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| Decision-Making and Scarce Medical Resources* Eduardo Bruera Political Science Department Stanford University Stanford CA 94305-6044 bruera@stanford.edu Peter Stone Political Science Department Stanford University Stanford CA 94305-6044 (650) 725-2916 peter.stone@stanford.edu Abstract: While much philosophical attention has been directed at the problem of allocating scarce medical resources considerable disagreement persists. In this paper we argue that the distinction between moral and political values drawn most famously by John Rawls in his book Political Liberalism has been wrongfully neglected in the course |
| Oncology Vo. 22 No. 11 2004 Kamm Francis; Morality Mortality. Vol. 1; Oxford University Press 1993 Rawls 1985 xxxx. Rawls John. A Theory of Justice. Rev. ed. Cambridge MA: Belknap Press 1999. Rawls John. Political Liberalism. Expanded Ed. New York: Columbia 2005. 26 Rescher Nicholas; “The Allocation of Exotic Lifesaving Medical Therapy”; Ethics Vo. 79 No. 3 1969 Sanders David; Dukeminier Jesse; “Medical advance and legal lag: Hemodialysis and kidney transplantation” UCLA Law Review Vo. 15 Issue 367 1968 |
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