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The Future of BioethicsInternational Dialogues$
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Akira Akabayashi

Print publication date: 2014

Print ISBN-13: 9780199682676

Published to Oxford Scholarship Online: January 2014

DOI: 10.1093/acprof:oso/9780199682676.001.0001

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Commentary

Commentary

Justice, Fairness, and Deliberative Democracy in Health Care4

Chapter:
(p.579) 16.4 Commentary
Source:
The Future of Bioethics
Author(s):

Akira Inoue

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199682676.003.0079

First, the author argues that Daniels and Sabin’s way of setting priorities in healthcare is implausible. Daniels and Sanin think there is a lack of consensus on comprehensive principle(s) of justice that can resolve the issue of priority-setting in healthcare. Nevertheless, their argument appeals to the deliberative democracy-based idea of accountability for reasonableness that involve the conception of justice construed naturally as comprehensive. The author then proposes a comprehensive conception of justice, with which the issue of priority-setting, an equal opportunity-based principle of justice, can be resolved. Although Daniels addresses two critical issues on the equal opportunity-based principle of justice, the author contends that it can be defended in ways that overcome these issues while being applicable to priority-setting conditions.

Keywords:   Accountability for reasonableness, equal opportunity-based principle of justice, deliberative democracy, fairness, priority-setting in healthcare

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