Solidarity and the problem of structural injustice in healthcare.
The concept of solidarity has recently come to prominence in the healthcare literature, addressing the motivation for taking seriously the shared vulnerabilities and medical needs of compatriots and for acting to help them meet these needs. In a recent book, Prainsack and Buyx take solidarity as a c...
| Publicado en: | Bioethics Vol. 32; no. 9; pp. 541 - 553 |
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| Formato: | Artículo |
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Wiley-Blackwell
Nov2018
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=133094311&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 133094311 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 02699702 6PJ jtl: Bioethics issn: 02699702 maglogo: Y pubinfo: dt: Nov2018 vid: 32 iid: 9 pid: 480 pub: Wiley-Blackwell artinfo: ui: 133094311 10.1111/bioe.12474 ppf: 541 ppct: 12 formats: tig: atl: Solidarity and the problem of structural injustice in healthcare. aug: au: Gould, Carol C. affil: Department of Philosophy, Hunter College (CUNY), New York, New York United States su: Bioethics Commitment (Psychology) Community health services Cooperativeness Organ donation Health services accessibility Health status indicators Health insurance Medical care Medical care costs Motivation (Psychology) Natural disasters Social justice Social responsibility Databases Endowments Medical information storage & retrieval systems Medical needs assessment World health Individualized medicine sug: subj: Bioethics Commitment (Psychology) Community health services Cooperativeness Organ donation Health services accessibility Health status indicators Health insurance Medical care Medical care costs Motivation (Psychology) Natural disasters Social justice Social responsibility Research and Development in the Physical, Engineering, and Life Sciences (except Biotechnology) All Other Outpatient Care Centers Community health centres Residential Mental Health and Substance Abuse Facilities Other local, municipal and regional public administration Other Individual and Family Services Grantmaking Foundations Direct individual life, health and medical insurance carriers Direct group life, health and medical insurance carriers Databases Endowments Medical information storage & retrieval systems Medical needs assessment World health Individualized medicine keyword: healthcare justice solidarity healthcare justice solidarity ab: The concept of solidarity has recently come to prominence in the healthcare literature, addressing the motivation for taking seriously the shared vulnerabilities and medical needs of compatriots and for acting to help them meet these needs. In a recent book, Prainsack and Buyx take solidarity as a commitment to bear costs to assist others regarded as similar, with implications for governing health databases, personalized medicine, and organ donation. More broadly, solidarity has been understood normatively to call for 'standing with' or assisting fellow community members and possibly also distant others in regard to their needs, whether for its own sake or in order to realize the demands of justice. I argue here that the understanding of solidarity in the existing bioethics literature is unduly restricted by not sufficiently theorizing the notion of structural (or systemic) injustice and its import for understanding solidarity. Extending traditional conceptions of labor and social movement solidarity, I contrast unitary solidarity within a given group with 'networking solidarities' across groups. I analyze the meaning of structural injustice and its significance for solidarity, including countering institutionally entrenched inequalities and economic exploitation. I then apply this broadened conception to healthcare, discussing structural problems with the U.S. insurance system and the solidarity movements addressing its deficiencies. I analyze some natural disasters and global health challenges that were aggravated by structural injustices, along with the solidarity movements they engendered. Finally, I revisit the questions of governing health databases and of personalized medicine with the enlarged conception of solidarity in view. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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