On the possibility of a positive-sum game in the distribution of health care resources

Journal of Medicine and Philosophy 28 (3):327 – 338 (2003)
  Copy   BIBTEX


Health care resource distribution is a subject of debate among health policy analysts, economists, and philosophers. In the United States, there is a widening gap between the more-and less-advantaged socioeconomic sub-populations in terms of both health care resource distribution and outcomes. Conventional wisdom suggests that there is a tradeoff, a zero-sum game, between efficiency and fairness in the distribution of health care resources. Promoting fairness in the distribution of health care resources and outcomes is not efficient in terms of maximization of a health outcome production function. On the other side of the coin, improving efficiency comes at the expense of fairness. Such conventional wisdom is supported in part by standard static Paretian welfare analysis. However, in this paper it is shown that in a dynamic setting in which there are efficiency gains in the health production function, fairness in distribution of health care resources can improve simultaneously.



    Upload a copy of this work     Papers currently archived: 92,261

External links

Setup an account with your affiliations in order to access resources via your University's proxy server

Through your library


Added to PP

36 (#446,058)

6 months
8 (#370,225)

Historical graph of downloads
How can I increase my downloads?

Author's Profile

Josh Cohen
University of Edinburgh

Citations of this work

No citations found.

Add more citations

References found in this work

No references found.

Add more references