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Les priorités de la prise en charge financière des soins. Une approche par la philosophie du besoin

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  • Philippe Batifoulier
  • John Latsis
  • Jacques Merchiers

Abstract

The concept of need plays an essential role in defining legitimate health inequalities. The debate on equity in healthcare policy has so far evolved independently of the philosophical discussions of need. This article draws on moral and political philosophy in order to develop a conception of need that goes beyond the current dichotomy between universal lists and individual preferences. We build on Wiggins’ and Hamiltons’ insights in an attempt to further develop an institutionalist health economics. Our contribution suggests that (against mainstream economics and the dominant trends imported from moral philosophy) needs must be determined by explicitly political processes of negotiation and conventions. We propose an institutionalist approach to needs that emphasises the role of social processes in creating and consolidating specific and situated healthcare needs.

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Bibliographic Info

Paper provided by University of Paris West - Nanterre la Défense, EconomiX in its series EconomiX Working Papers with number 2010-2.

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Length: 32 pages
Date of creation: 2010
Date of revision:
Handle: RePEc:drm:wpaper:2010-2

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Keywords: Healthcare needs; Health care priority setting; Equity; Institutionalist economics; Philosophy of economics;

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