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Health and Social Justice

Author

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  • Ruger, Jennifer Prah

    (Associate Professor, Yale University)

Abstract

Societies make decisions and take actions that profoundly impact the distribution of health. Why and how should collective choices be made, and policies implemented, to address health inequalities under conditions of resource scarcity? How should societies conceptualize and measure health disparities, and determine whether they've been adequately addressed? Who is responsible for various aspects of this important social problem? In Health and Social Justice, Jennifer Prah Ruger elucidates principles to guide these decisions, the evidence that should inform them, and the policies necessary to build equitable and efficient health systems world-wide. This book weaves together original insights and disparate constructs to produce a foundational new theory, the health capability paradigm. Ruger's theory takes the ongoing debates about the theoretical underpinnings of national health disparities and systems in striking new directions. It shows the limitations of existing approaches (utilitarian, libertarian, Rawlsian, communitarian), and effectively balances a consequentialist focus on health outcomes and costs with a proceduralist respect for individuals' health agency. Through what Ruger calls shared health governance, it emphasizes responsibility and choice. It allows broader assessment of injustices, including attributes and conditions affecting individuals' "human flourishing," as well as societal structures within which resource distribution occurs. Addressing complex issues at the intersection of philosophy, economics, and politics in health, this fresh perspective bridges the divide between the collective and the individual, between personal freedom and social welfare, equality and efficiency, and science and economics. Available in OSO: http://www.oxfordscholarship.com/oso/public/content/economicsfinance/9780199559978/toc.html

Suggested Citation

  • Ruger, Jennifer Prah, 2009. "Health and Social Justice," OUP Catalogue, Oxford University Press, number 9780199559978.
    • Handle: RePEc:oxp:obooks:9780199559978
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    Citations

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    Cited by:

    1. Martina Ventura & Danilo Fusco & Katia Bontempi & Paola Colais & Marina Davoli, 2018. "Regional Outcome Evaluation Program (P.Re.Val.E.): Reduction of inequality in access to effective health care in the Lazio region of Italy (2012–2015)," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-14, March.
    2. Matthijs M. Versteegh & Isaac Corro Ramos & Nasuh C. Buyukkaramikli & Amir Ansaripour & Vivian T. Reckers-Droog & Werner B. F. Brouwer, 2019. "Severity-Adjusted Probability of Being Cost Effective," PharmacoEconomics, Springer, vol. 37(9), pages 1155-1163, September.
    3. Ian Gough, 2014. "Climate Change and Sustainable Welfare: An Argument for the Centrality of Human Needs," CASE Papers case182, Centre for Analysis of Social Exclusion, LSE.
    4. Marion Coste, 2021. "Beyond social determinants of health: an application of the Health Capability Model to rural Senegal," AMSE Working Papers 2116, Aix-Marseille School of Economics, France.
    5. Gough, Ian, 2014. "Climate change and sustainable welfare: an argument for the centrality of human needs," LSE Research Online Documents on Economics 58630, London School of Economics and Political Science, LSE Library.
    6. Erik Nord & Jose Luis Pinto & Jeff Richardson & Paul Menzel & Peter Ubel, 1999. "Incorporating societal concerns for fairness in numerical valuations of health programmes," Health Economics, John Wiley & Sons, Ltd., vol. 8(1), pages 25-39, February.
    7. Simon, Judit & Anand, Paul & Gray, Alastair & Rugkåsa, Jorun & Yeeles, Ksenija & Burns, Tom, 2013. "Operationalising the capability approach for outcome measurement in mental health research," Social Science & Medicine, Elsevier, vol. 98(C), pages 187-196.
    8. Marion Coste, 2021. "Beyond social determinants of health: an application of the Health Capability Model to rural Senegal," Working Papers halshs-03160413, HAL.
    9. Wachira, Catherine & Ruger, Jennifer Prah, 2011. "National poverty reduction strategies and HIV/AIDS governance in Malawi: A preliminary study of shared health governance," Social Science & Medicine, Elsevier, vol. 72(12), pages 1956-1964, June.
    10. Penelope Weller, 2016. "Legal Capacity and Access to Justice: The Right to Participation in the CRPD," Laws, MDPI, vol. 5(1), pages 1-13, March.
    11. Shahjahan Bhuiyan, 2022. "COVID‐19 vaccine equity in doldrums: Good governance deficits," Public Administration & Development, Blackwell Publishing, vol. 42(5), pages 293-304, December.
    12. Regina Moczadlo & Harald Strotmann & Jürgen Volkert, 2015. "Corporate Contributions to Developing Health Capabilities," Journal of Human Development and Capabilities, Taylor & Francis Journals, vol. 16(4), pages 549-566, November.
    13. Pierre Pratley & John Floyd Sandberg, 2018. "Refining the Conceptualization and Measurement of Women’s Empowerment in Sub-Saharan Africa Using Data from the 2013 Nigerian Demographic and Health Survey," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 140(2), pages 777-793, November.
    14. Jennifer Prah Ruger & Arbi Ben Abdallah & Craig Luekens & Linda Cottler, 2012. "Cost-Effectiveness of Peer-Delivered Interventions for Cocaine and Alcohol Abuse among Women: A Randomized Controlled Trial," PLOS ONE, Public Library of Science, vol. 7(3), pages 1-12, March.
    15. Manuel Cebral-Loureda & Enrique Tamés-Muñoz & Alberto Hernández-Baqueiro, 2022. "The Fertility of a Concept: A Bibliometric Review of Human Flourishing," IJERPH, MDPI, vol. 19(5), pages 1-15, February.
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