Inequality in Political Philosophy and in Epidemiology: A Remarriage

被引:4
作者
Eyal, Nir [1 ]
机构
[1] Harvard Univ, Program Eth & Hlth, 641 Huntington Ave, Boston, MA 02115 USA
关键词
HEALTH REPORT 2000; LUNG TRANSPLANTATION; EQUITY; DISPARITIES; MORTALITY; JUSTICE; ACCESS;
D O I
10.1111/japp.12150
中图分类号
B82 [伦理学(道德学)];
学科分类号
摘要
In political philosophy and in economics, unfair inequality is usually assessed between individuals, nowadays often on luck-egalitarian grounds. You have more than I do (through no fault of my own) and that's unfair. By contrast, in epidemiology and sociology, unfair inequality is traditionally assessed between groups. More is concentrated among people of your class or race than among people of mine, and that's unfair. I shall call this difference the egalitarian divorce'. Epidemiologists, and their divorce lawyers' Paula Braveman, Norman Daniels, and Iris Marion Young, explain that not every inequality between individuals is an inequity. Only inequality between social status groups is unfair. Only such inequality stems from problems like partiality, discrimination, oppression, inequality-related population health problems, and unfair distribution of prospects. And it alone is actionable. By contrast, inequality between individuals, e.g. in longevity, is natural, inevitable, less important, or otherwise less informative not unjust. In divorce trial' mode, I respond to epidemiologists that group inequalities lack the intrinsic disvalue that they ascribe them. They may be instrumentally or contingently bad or wrong, not essentially so. I then shift to remarriage': although group inequalities lack intrinsic badness or wrongness, for multiple reasons they remain useful to measure.
引用
收藏
页码:149 / 167
页数:19
相关论文
共 59 条
  • [1] Adler Matthew D., 2003, MINN LAW REV, V87, P1342
  • [2] Methodological concerns and recommendations on policy consequences of the World Health Report 2000
    Almeida, C
    Braveman, P
    Gold, MR
    Szwarcwald, CL
    Ribeiro, JM
    Miglionico, A
    Millar, JS
    Porto, S
    Costa, ND
    Rubio, VO
    Segall, M
    Starfield, B
    Travessos, C
    Uga, A
    Varente, J
    Viacava, F
    [J]. LANCET, 2001, 357 (9269) : 1692 - 1697
  • [3] [Anonymous], SPHERES JUSTICE DEFE
  • [4] [Anonymous], 2002, UNEQUAL TREATMENT CO
  • [5] [Anonymous], 2013, WHO HDB HLTH IN MON
  • [6] [Anonymous], 2021, Commission on social determinants of health, 2005-2008
  • [7] [Anonymous], 2007, JUST HLTH M HLTH NEE
  • [8] Asada Yukiko., 2013, Inequalities in Health: Concepts Measures and Ethics
  • [9] Health disparities and health equity: Concepts and measurement
    Braveman, P
    [J]. ANNUAL REVIEW OF PUBLIC HEALTH, 2006, 27 : 167 - 194
  • [10] Braveman P, 2003, B WORLD HEALTH ORGAN, V81, P539