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Priority setting in healthcare: from arbitrariness to societal values

Author

Listed:
  • Philippe Batifoulier

    (CEPN - Centre d'Economie de l'Université Paris Nord - UP13 - Université Paris 13 - USPC - Université Sorbonne Paris Cité - CNRS - Centre National de la Recherche Scientifique)

  • Louise Braddock

    (Girton College - Girton College)

  • John Latsis

    (Balliol College - University of Oxford)

Abstract

This paper develops an account of the normative basis of priority setting in health care as combining the values which a given society holds for the common good of its members, with the universal provided by a principle of common humanity. We discuss national differences in health basket in Europe and argue that health care decision-making in complex social and moral frameworks is best thought of as anchored in such a principle by drawing on the philosophy of need. We show that health care needs are ethically ‘thick' needs whose psychological and social construction can best be understood in terms of David Wiggins's notion of vital need: a person's need is vital when failure to meet it leads to their harm and suffering. The moral dimension of priority setting which operates across different societies' health care systems is located in the demands both of and on any society to avoid harm to its members.

Suggested Citation

  • Philippe Batifoulier & Louise Braddock & John Latsis, 2013. "Priority setting in healthcare: from arbitrariness to societal values," Post-Print hal-01335695, HAL.
    • Handle: RePEc:hal:journl:hal-01335695
    DOI: 10.1017/S174413741200015X
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    Cited by:

    1. Philippe Batifoulier & Nicolas da Silva & Victor Duchesne, 2019. "The dynamics of conventions: the case of the French Social Security System," Post-Print hal-01994383, HAL.
    2. 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.
    3. Philippe Batifoulier & Nicolas Da Silva, 2014. "Medical Altruism in Mainstream Health Economics: Theoretical and Political Paradoxes," Review of Social Economy, Taylor & Francis Journals, vol. 72(3), pages 261-279, September.
    4. Batifoulier, Philippe, 2015. "Aux origines de la privatisation du financement du soin : quand la théorie de l’aléa moral rencontre le capitalisme sanitaire," Revue de la Régulation - Capitalisme, institutions, pouvoirs, Association Recherche et Régulation, vol. 17.
    5. Philippe Batifoulier & Louise Braddock & Victor Duchesne & Ariane Ghirardello & John Latsis, 2021. "Das Targeting von „Lifestyle“-Bedingungen. Welche Rechtfertigungen für die Behandlung? [“Targeting Lifestyle" Conditions: What Justifications for Treatment?]," Post-Print hal-03345323, HAL.
    6. Philippe Batifoulier & Nicolas Da Silva, 2016. "Is physician behavior too serious a business to be left to economics? Reply to medical altruism in mainstream health economics: theoretical and political paradoxes," Review of Social Economy, Taylor & Francis Journals, vol. 74(2), pages 222-227, June.

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