Suppr超能文献

健康差异的道德问题。

The moral problem of health disparities.

机构信息

Pan American Collaboration for Ethics in Professions, University of Texas-Pan American, Edinburg, TX 78539, USA.

出版信息

Am J Public Health. 2010 Apr 1;100 Suppl 1(Suppl 1):S47-51. doi: 10.2105/AJPH.2009.171181. Epub 2010 Feb 10.

Abstract

Health disparities exist along lines of race/ethnicity and socioeconomic class in US society. I argue that we should work to eliminate these health disparities because their existence is a moral wrong that needs to be addressed. Health disparities are morally wrong because they exemplify historical injustices. Contractarian ethics, Kantian ethics, and utilitarian ethics all provide theoretical justification for viewing health disparities as a moral wrong, as do several ethical principles of primary importance in bioethics. The moral consequences of health disparities are also troubling and further support the claim that these disparities are a moral wrong. The Universal Declaration of Human Rights provides additional support that health disparities are a moral wrong, as does an analogy with the generally accepted duty to provide equal access to education. In this article, I also consider and respond to 3 objections to my thesis.

摘要

在美国社会,健康差距存在于种族/民族和社会经济阶层的差异上。我认为,我们应该努力消除这些健康差距,因为这些差距的存在是一种需要解决的道德错误。健康差距在道德上是错误的,因为它们体现了历史上的不公正。契约论伦理学、康德伦理学和功利主义伦理学都为将健康差距视为道德错误提供了理论依据,而生物伦理学中的几个首要伦理原则也是如此。健康差距的道德后果也令人不安,进一步支持了这些差距是道德错误的观点。《世界人权宣言》为健康差距是道德错误提供了额外的支持,这与普遍接受的提供平等接受教育的义务的类比也是如此。在本文中,我还考虑并回应了对我的论文的 3 个反对意见。

相似文献

1
The moral problem of health disparities.
Am J Public Health. 2010 Apr 1;100 Suppl 1(Suppl 1):S47-51. doi: 10.2105/AJPH.2009.171181. Epub 2010 Feb 10.
2
Is there a moral duty to die?
Health Care Anal. 2001;9(1):41-63. doi: 10.1023/A:1011355028021.
3
A critique of principlism.
J Med Philos. 1990 Apr;15(2):219-36. doi: 10.1093/jmp/15.2.219.
4
Health for all in an unequal world: Obligations of global bioethics.
Indian J Med Ethics. 2018 Oct-Dec;3(4):263-266. doi: 10.20529/IJME.2018.093.
5
[Equity in health? Health inequalities, ethics, and theories of distributive justice].
Gesundheitswesen. 2010 Jan;72(1):48-53. doi: 10.1055/s-0029-1237743. Epub 2009 Nov 6.
6
In defence of moral imperialism: four equal and universal prima facie principles.
J Med Ethics. 2006 Apr;32(4):200-4. doi: 10.1136/jme.2005.012591.
7
Justifying a morally permissible breach of contract: kantian ethics, nozickian justice, and vaccine patents.
Med Health Care Philos. 2023 Dec;26(4):573-581. doi: 10.1007/s11019-023-10165-9. Epub 2023 Jul 21.
8
Ethics and governance of global health inequalities.
J Epidemiol Community Health. 2006 Nov;60(11):998-1003. doi: 10.1136/jech.2005.041947.
9
Ethics of care and HIV: a case for rural women in India.
Dev World Bioeth. 2006 May;6(2):89-94. doi: 10.1111/j.1471-8847.2006.00143.x.
10
A theory of international bioethics: the negotiable and the non-negotiable.
Kennedy Inst Ethics J. 1998 Sep;8(3):233-73. doi: 10.1353/ken.1998.0018.

引用本文的文献

1
Beyond Barriers: Achieving True Equity in Cancer Care.
Curr Oncol. 2025 Jun 12;32(6):349. doi: 10.3390/curroncol32060349.
3
Food Security in the Rural Mapuche Elderly: Analysis and Proposals.
Nutrients. 2024 Nov 26;16(23):4042. doi: 10.3390/nu16234042.
4
What Are Epidemiological Foundations for Integrating Legal Services Into Health Care Settings?
AMA J Ethics. 2024 Aug 1;26(8):E648-654. doi: 10.1001/amajethics.2024.648.
6
Geospatial Distribution of Racial Disparities in Influenza Vaccination in Nursing Homes.
J Am Med Dir Assoc. 2024 Jun;25(6):104804. doi: 10.1016/j.jamda.2023.08.018. Epub 2023 Sep 20.
7
Factors Associated with COVID-19 Infection, Hospitalization and Death in New York City Neighborhoods.
Innov Pharm. 2021 Jun 10;12(3). doi: 10.24926/iip.v12i3.3379. eCollection 2021.
8
Now You Are Part of the Solution: Bioethicists' Contribution in Addressing Racialized Health Inequity.
Hastings Cent Rep. 2022 Mar;52 Suppl 1(Suppl 1):S35-S38. doi: 10.1002/hast.1367.
9
Imagine a World ….
J Patient Cent Res Rev. 2018 Jan 30;5(1):4-5. doi: 10.17294/2330-0698.1623. eCollection 2018 Winter.
10
Educating for Indigenous Health Equity: An International Consensus Statement.
Acad Med. 2019 Apr;94(4):512-519. doi: 10.1097/ACM.0000000000002476.

本文引用的文献

1
Spillovers and vulnerability: the case of community uninsurance.
Health Aff (Millwood). 2007 Sep-Oct;26(5):1304-14. doi: 10.1377/hlthaff.26.5.1304.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验