Efficiency, Justice and Care Philosophical Reflections on Scarcity i
What does just health care imply? Does it mean that people have a right to health care? Does it entail that there are rights-based social obligations to provide equal access to health care for everyone? And if so, why? Why are health care interests so imp
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International Library of Ethics, Law, and the New Medicine 33
Efficiency, Justice and Care Philosophical Reflections on Scarcity in Health Care
EFFICIENCY, JUSTICE AND CARE
INTERNATIONAL LIBRARY OF ETHICS, LAW, AND THE NEW MEDICINE Founding Editors DAVID C. THOMASMA† DAVID N. WEISSTUB, Université de Montréal, Canada THOMASINE KIMBROUGH KUSHNER, University of California, Berkeley, U.S.A.
Editor DAVID N. WEISSTUB, Université de Montréal, Canada
Editorial Board TERRYCARNEY, University of Sydney, Australia MARCUS DÜWELL, Utrecht University, Utrecht, the Netherlands SØREN HOLM, University of Cardiff, Wales,United Kingdom GERRITK. KIMSMA, Vrije Universiteit, Amsterdam, the Netherlands DAVID NOVAK, University of Toronto, Canada EDMUND D. PELLEGRINO, Georgetown University, Washington D.C., U.S.A. DOM RENZO PEGORARO, Fondazione Lanza and University of Padua, Italy DANIELP. SULMASY, Saint Vincent Catholic Medical Centers, New York, U.S.A. LAWRENCE TANCREDI, New York University, New York, U.S.A.
VOLUME 33 The titles published in this series are listed at the end of this volume.
Efficiency, Justice and Care Philosophical Reflections on Scarcity in Health Care
YVONNE, DENIER Catholic University of Leuven, Belgium
A C.I.P. Catalogue record for this book is available from the Library of Congress.
ISBN-10: 1-4020-5213-8 (HB) ISBN-13: 978-1-4020-5213-2 (HB) ISBN-10: 1-4020-5214-6 (e-book) ISBN-13: 978-1-4020-5214-9 (e-book)
Published by Springer, P.O. Box 17, 3300 AA Dordrecht, The Netherlands. www.springer.com
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All Rights Reserved © 2007 Springer No part of this work may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording or otherwise, without written permission from the Publisher, with the exception of any material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work.
In memory of my father and to Lode with love
ACKNOWLEDGEMENTS
In the spring of 2004, I attended the play called Die Siel van die Mier, written by David Van Reybrouck and marvellously performed by Josse De Pauw. It is about a professor who gives his final lecture. For 35 years he has done this, passing on his scientific knowledge to his students, in a clear and well-structured way. However, as clear and lucid lectures, articles, books and syllabi may be, the journey towards it is anything but that: As a student, you’re served knowledge. Well-finished, polished, ready, and printed off. As a young researcher, however, you start to gather knowledge. In a cluttered, disorderly, and clumsy way. Sometimes you’re tired, not in good shape. And you’re constantly thinking: I am messing about; I was not made for doing this; my research should be like all those lectures I’ve attended – just as systematic, just as immaculate. Until you realise that this is only a facade. Until you realise that … your … colleagues are also busy muddling along. It is
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