The Progressive Obligation to Realize the Right to Health
The progressive nature of a state's obligation with respect to economic and social rights continues to attract considerable attention. This chapter examines this concept in the context of the right to health and seeks to articulate a persuasive account of how states can implement this obligation in a way that is principled, practical, coherent, and context sensitive. It shows that international law accommodates the reality of the need for states to prioritize the allocation of scarce resources, provided a state is able to demonstrate that the process for allocating these resources can be shown to be reasonable. This standard will be satisfied where the decision making process is shown to be principled, evidence-based, consultative, transparent, and evaluative.
Keywords: progressive obligation, resource scarcity, reasonableness, minimum core obligations
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