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Health Care Distribution

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The purpose of this research is to examine the implications of justice as fairness with regard to the distribution of health care in modern society, as elaborated by the thought of John Rawls and critiques of his thought. The plan of the research will be to set forth the context in which issues of the availability of medical procedures, services, medications, and other health-relevant goods, including those meant to serve the needs of the disabled arise in Rawls, and then to discuss, with reference to selected philosophers of justice and civil society, the relevance of Rawls's theory of justice to these issues.

To appreciate the implications of justice as fairness for issues of health-care delivery in a society where the evidence is that access to appropriate health care is uneven, it is useful to look at Rawls's view of how society itself is organized. Rawls's analysis of modern social structure is very much a critique of the fact that access to the benefits of civil society have not been sufficiently distributed and diffused through upper and lower classes, i.e., those best and least able to survive and flourish in society. In particular, Rawls rejects utilitarianism in its various forms as inadequate to the real-world needs of modern society or the alleged needs of utopian society. His bias is in favor of the potentialities of the contract theory of social organization "as represented by Locke, Rousseau, and Kant," although he acknowledges that there has been a gap betwe

. . .
e one bears personal responsibility for one's own medical pathology, the less institutions would be obliged to remedy it. Daniels's critique of Rawls with regard to the principles of justice as fairness as applied to health care derives from the fact that, as he puts it, in Rawls's society, there is no distributive theory for health care because no one is sick!" According to Daniels, Rawls in his assertion of primary goods assumes that those engaged in the social consensus are all quite normal. Therefore Daniels makes the case that different health-care needs are not irrelevant to questions of justice. On the other hand, Daniels acknowledges that it is problematic simply to add health care to the list of primary goods. To do so and maintain the view that inequalities should "work to the advantage of the worst-off (representative) individuals, would be to drain excessive resources" from the general welfare into special needs. Additionally, adding health care to the list would introduce a level of particularity to a set of items that are meant to be universalist in their application: "if we treat health-care services as a distinct primary social good, we abandon the useful generality of the notion of a primary social good." There
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Some common words found in the essay are:
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Approximate Word count = 8994
Approximate Pages = 36 (250 words per page)

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