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Income-based equity weights in healthcare planning and policy

Artikel i vetenskaplig tidskrift
Författare Anders Herlitz
Publicerad i Journal of Medical Ethics
Volym 43
Nummer/häfte 8
Sidor 510-514
ISSN 0306-6800
Publiceringsår 2017
Publicerad vid Institutionen för filosofi, lingvistik och vetenskapsteori
Sidor 510-514
Språk English
Länkar dx.doi.org/10.1136/medethics-2016-1...
Ämnesord priority, life, Social Sciences - Other Topics, Medical Ethics, Social Issues, Biomedical Social Sciences
Ämneskategorier Annan samhällsvetenskap, Medicinsk etik

Sammanfattning

Recent research indicates that there is a gap in life expectancy between the rich and the poor. This raises the question: should we on egalitarian grounds use income-based equity weights when we assess benefits of alternative benevolent interventions, so that health benefits to the poor count for more? This article provides three egalitarian arguments for using income-based equity weights under certain circumstances. If income inequality correlates with inequality in health, we have reason to use income-based equity weights on the ground that health inequality is bad. If income inequality correlates with inequality in opportunity for health, we have reason to use such weights on the ground that inequality in opportunity for health is bad. If income inequality correlates with inequality in well-being, income-based equity weights should be used to mitigate inequality in well-being. Three different ways in which to construe income-based equity weights are introduced and discussed. They can be based on relative income inequality, on income rankings and on capped absolute income. The article does not defend any of these types of weighting schemes, but argues that in order to settle which of these types of weighting scheme to choose, more empirical research is needed.

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