| 1. |
- Agnafors, Marcus
(författare)
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A Critical Comment on Collste
- 2011
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Ingår i: Public Health Ethics. - : Oxford University Press. - 1754-9973 .- 1754-9981. ; 4:2, s. 203-205
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- This article claims that the account of specification as a way to solve conflicts between rights, suggested by Göran Collste, is unsatisfactory. It is argued that specification is not a solution on its own, but is better described as a remedy in response to a political failure.
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| 2. |
- Collste, Göran, 1950-
(författare)
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A Reply to Agnafors
- 2011
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Ingår i: Public Health Ethics. - Oxford : Oxford University Press. - 1754-9973 .- 1754-9981. ; 4:3, s. 303-304
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)
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| 3. |
- Collste, Göran, 1950-
(författare)
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Specifying Rights: the Case of TRIPS
- 2011
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Ingår i: Public Health Ethics. - Oxford : Oxford University Press. - 1754-9981 .- 1754-9973. ; 4:1, s. 63-69
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Tidskriftsartikel (refereegranskat)abstract
- The TRIPS-agreement has been widely discussed. Critics have critisised it for favouring property rights at the cost of public health in AIDS-stricken development countries. In this article the conflict between on the one hand Intellectual Property Rights and on the other a right to subsistence is analysed with the help of a method for specification. The rationalization of TRIPS and its amendments raises two questions for ethics, one normative and one meta-ethical. Firstly, which right has priority: the right to property or the right to subsistence? Secondly, how can conflicting rights be reconciled in a coherent ethical system. The aim of the article is to answer these two questions and in order to do that the method of specification developed by the philosopher Henry Richardson is applied. The result is a specified norm applicable for this and similar kind of rights conflicts.
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| 4. |
- Nedlund, Ann-Charlotte, 1977-, et al.
(författare)
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Legitimate Policymaking : The Importance of Including Health-care Workers in Limit-Setting Decisions in Health care
- 2014
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Ingår i: Public Health Ethics. - : Oxford University Press. - 1754-9973 .- 1754-9981. ; 7:2, s. 123-133
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Tidskriftsartikel (refereegranskat)abstract
- The concept of legitimacy is often used and emphasized in the context of setting limits in health care, but rarely described is what is actually meant by its use. Moreover, it is seldom explicitly stated how health-care workers can contribute to the matter, nor what weight should be apportioned to their viewpoints. Instead the discussion has focused on whether they should take on the role of the patients’ advocate or that of gatekeeper to the society’s resources. In this article, we shed light on the role of health-care workers in limit setting and how their conferred legitimacy may support subordinators’ (i.e. citizens’) conferred legitimacy. We argue that health-care workers have an important role to play as both moral and political agents in limit setting, and delineate normative conditions that justify and facilitate health-care workers in conferring legitimacy on this kind of decision. Their role and potential impact on political limit setting does not—theoretically—affect the idea of democratic legitimacy negatively. Rather, as we suggest, by designing for limit-setting policymaking accordingly, health-care workers, as well as citizens, are more justified in conferring democratic legitimacy to health-care limit-setting decisions than if these concerns were not addressed.
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| 5. |
- Nordgren, Anders, 1953-
(författare)
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Crisis management and public health : ethical principles for priority setting at a regional level in Sweden
- 2015
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Ingår i: Public Health Ethics. - : Oxford University Press. - 1754-9973 .- 1754-9981. ; 8:1, s. 72-84
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Tidskriftsartikel (refereegranskat)abstract
- In this article I analyse and discuss guidelines for priority setting in crisis management at a regional level in Sweden. The guidelines concern three types of crises: pandemics, large losses of electric power and interruptions in water supply. Pandemics are typical public health issues. Large losses of electric power and interruptions in water supply are in themselves not, but may have serious public health consequences. These guidelines are compared with guidelines for priority setting in health care. This is done because of the central position of health care in the management of many different types of crises. The comparison shows clear differences. In the analysis, I use a distinction between substantive principles of priority setting and process-oriented principles. Regarding substantive principles, I have found that the guidelines point in different directions. This seems acceptable, however, since they focus on different problems. Moreover, it seems possible to integrate the various context-dependent principles by relating them to higher order principles. Regarding process-oriented principles, I have found that how and to what extent these principles are applied in the guidelines vary. If we want to apply these principles in a more satisfying way, this would require a more systematic approach.
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| 6. |
- Vilhelmsson, Andreas, et al.
(författare)
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Mental Ill Health, Public Health and Medicalization
- 2011
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Ingår i: Public Health Ethics. - : Oxford University Press (OUP): Policy F. - 1754-9973 .- 1754-9981. ; 4:3, s. 207-217
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Tidskriftsartikel (refereegranskat)abstract
- WHO suggests mental ill health in terms of depression to be the highest ranking disease problem in the developed world in 2020-2030 and claims a public health approach to be the most appropriate response. But some argue that the alarming reports on mental ill health have their ground in the methods of inquiry themselves and refer to medicalization as an important issue. The aim of this article is to explore and illuminate the issue of what is meant by mental health and mental ill health and what it means that mental ill health is a major public health problem. Basically, two understandings and aspects of public health exist: a reductionist and a holistic with connections to different theories of health. These diverging understandings may lead to quite different public health responses, and they may have different consequences with regard to medicalization. It is concluded that we need more clearly elaborated ways to think about public health so that the increased attention to mental ill health as a public health problem does not in itself lead to medicalization in terms of just medical treatment. Otherwise, we risk losing the importance of public health as an overarching social and political instrument.
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| 7. |
- Yuksekdag, Yusuf, 1988-
(författare)
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Individual Responsibilities in Partial Compliance : Skilled Health Worker Emigration from Under-Served Regions
- 2019
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Ingår i: Public Health Ethics. - Oxford : Oxford University Press. - 1754-9973 .- 1754-9981. ; , s. 1-10
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Tidskriftsartikel (refereegranskat)abstract
- One of the ways to address the effects of skilled worker emigration is to restrict the movement of skilled workers. However, even if skilled workers have responsibilities to assist their compatriots, what if other parties, such as affluent countries or source country governments, do not fulfil their fair share of responsibilities? This discussion raises an interesting problem about how to think of individual responsibilities under partial compliance where other agents (including affluent countries, developing states, or other individuals) do not fulfil their fair share of responsibilities. What is fair to expect from them? Taking health worker emigration as a case in point, I discuss whether the individual health workers’ fair share of responsibilities to address basic health care needs decreases or increases when the other parties do not fulfil their share. First, I review the responsibilities that different stakeholders may hold. Second, I argue that there are strong reasons against increasing or decreasing health workers’ fair share of responsibilities in a situation of partial compliance. I also argue that it is unfair for non-complier states to enforce health workers to fulfil their fair share or take up the slack.
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