Source
Bioethics. 2005 Oct;19(5-6):460-75
Publication Type
Article
Date
Oct-2005
Author
Dwyer James
Author Affiliation
SUNY Upstate Medical University, Center for Bioethics and Humanities, Syracuse, NY 13210, USA. dwyerja@upstate.edu
Source
Bioethics. 2005 Oct;19(5-6):460-75
Date
Oct-2005
Language
English
Publication Type
Article
Keywords
Developed Countries
Developing Countries
Economics
Environment
Humans
Life expectancy
Malnutrition
Mortality
Political Systems
Social Change
Social Justice
Social Responsibility
World Health
Abstract
In Australia, Japan, Sweden, and Switzerland, the average life expectancy is now greater than 80 years. But in Angola, Malawi, Sierra Leone, and Zimbabwe, the average life expectancy is less than 40 years. The situation is even worse than these statistics suggest because average figures tend to mask inequalities within countries. What are we to make of a world with such inequal health prospects? What does justice demand in terms of global health? To address these problems, I characterize justice at the local level, at the domestic or social level, and at the international or global level. Because social conditions, structures, and institutions have such a profound influence on the health of populations, I begin by focusing attention on the relationship between social justice and health prospects. Then I go on to discuss health prospects and the problem of global justice. Here I distinguish two views: a cosmopolitan view and a political view of global justice. In my account of global justice, I modify and use the political view that John Rawls developed in The Law of Peoples. I try to show why an adequate political account must include three duties: a duty not to harm, a duty to reconstruct international arrangements, and a duty to assist.
PubMed ID
16425484 View in PubMed
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