By: |
Philippe Batifoulier (CEPN - Centre d'Economie de l'Université Paris Nord - LABEX ICCA - UP13 - Université Paris 13 - Université Sorbonne Nouvelle - Paris 3 - CNRS - Centre National de la Recherche Scientifique - UP - Université de Paris - Université Sorbonne Paris Nord - CNRS - Centre National de la Recherche Scientifique - Université Sorbonne Paris Nord);
Louise Braddock;
Victor Duchesne (CEPN - Centre d'Economie de l'Université Paris Nord - LABEX ICCA - UP13 - Université Paris 13 - Université Sorbonne Nouvelle - Paris 3 - CNRS - Centre National de la Recherche Scientifique - UP - Université de Paris - Université Sorbonne Paris Nord - CNRS - Centre National de la Recherche Scientifique - Université Sorbonne Paris Nord);
Ariane Ghirardello (CEPN - Centre d'Economie de l'Université Paris Nord - LABEX ICCA - UP13 - Université Paris 13 - Université Sorbonne Nouvelle - Paris 3 - CNRS - Centre National de la Recherche Scientifique - UP - Université de Paris - Université Sorbonne Paris Nord - CNRS - Centre National de la Recherche Scientifique - Université Sorbonne Paris Nord);
John Latsis |
Abstract: |
Patients suffering from "lifestyle" conditions are most often viewed as
responsible for their illness, and so not considered to be a priority for
healthcare resources. Instead, their treatment is financed on instrumental
grounds: it is better to treat the condition now than to incur higher costs
later of not doing so. An alternative register of justification at work in
public healthcare policies is not motivated by instrumental considerations.
Instead, it seeks to articulate an ethical case for prioritizing lifestyle
conditions. Within this framework, we draw on the notion of vital need within
the tradition of humanistic philosophy to argue that solidarity justifies the
treatment of such conditions, exemplified here by obesity. We use the
theoretical framework of economics of convention to present these two
registers of justification at work in public healthcare policies. The
importance of humanistic criticism prevents instrumental logic from being
completely dominant. |
Keywords: |
health behavior,health care,health policy,legitimation,public health,self-responsibility |
Date: |
2021 |
URL: |
http://d.repec.org/n?u=RePEc:hal:journl:hal-03345323&r= |