ArticleHealth care analysis : HCA : journal of health philosophy and policy2015
Challenges for principles of need in health care.
Article in Health care analysis : HCA : journal of health philosophy and policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- The Ethical Basis of Severity as a Priority Setting Criterion in Healthcare-Egalitarian or Prioritarian?Journal of bioethical inquiry · 2026Article
- Toward a Hybrid Theory of How to Allocate Health-related Resources.The Journal of medicine and philosophy · 2023Article
- Assessing needs-based supply of physicians: a criteria-led methodological review of international studies in high-resource settings.BMC health services research · 2023Review
- Ethical, Translational, and Legal Issues Surrounding the Novel Adoption of Ectogestative Technologies.Risk management and healthcare policy · 2022Review
- Who should be tested in a pandemic? Ethical considerations.BMC medical ethics · 2021Review
- Responsibility for Funding Refractive Correction in Publicly Funded Health Care Systems: An Ethical Analysis.Health care analysis : HCA : journal of health philosophy and policy · 2021Article
- Principles of Need and the Aggregation Thesis.Health care analysis : HCA : journal of health philosophy and policy · 2019Article
- Existential decision-making in a fatal progressive disease: how much do legal and medical frameworks matter?BMC palliative care · 2017Article
- Medical Need: Evaluating a Conceptual Critique of Universal Health Coverage.Health care analysis : HCA : journal of health philosophy and policy · 2017Article
- For the Sake of Justice: Should We Prioritize Rare Diseases?Health care analysis : HCA : journal of health philosophy and policy · 2017Article
- Priority rules as solutions to conflicting health care rights.Medicine, health care, and philosophy · 2017Article
- Indeterminacy and the principle of need.Theoretical medicine and bioethics · 2017Article
- Empirical and philosophical analysis of physicians' judgments of medical indications.Clinical ethics · 2016Article
- Heed or disregard a cancer patient's critical blogging? An experimental study of two different framing strategies.BMC medical ethics · 2016Article
- Disease prioritarianism: a flawed principle.Medicine, health care, and philosophy · 2016Article
- Health-care needs and shared decision-making in priority-setting.Medicine, health care, and philosophy · 2015Article
Corrections and comments
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Authors and funding
1 author.
Funding
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Abstract
What challenges must a principle of need for prioritisations in health care meet in order to be plausible and practically useful? Some progress in answering this question has recently been made by Hope, Østerdal and Hasman. This article continue their work by suggesting that the characteristic feature of principles of needs is that they are sufficientarian, saying that we have a right to a minimally acceptable or good life or health, but nothing more. Accordingly, principles of needs must answer two distributive questions: when do we have sufficient and how should we prioritise among those who do not yet have a sufficiency? Furthermore, it is argued that Roger Crisp's theory of need, which combines sufficientarianism with prioritarianism below the threshold of need, is better equipped than alternatives to answer these questions as well as meeting the challenges formulated by Hope, Østerdal and Hasman. However, Crisp's theory faces two major challenges. First, it has to say something about the currency of distribution: a principle of need must be complemented either with a theory on the human good or a theory about the proper goals of health care. Second, it has to say something about where the threshold should be set. However, any attempt to set a threshold seems morally arbitrary in the light of the sufficientarian idea that those just above the threshold never should be given priority over those just below the threshold.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.