Inequality in Political Philosophy and in Epidemiology: A Remarriage

Journal of Applied Philosophy (2018)
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Abstract

In political philosophy and in economics, unfair inequality is usually assessed between individuals, nowadays often on luck-egalitarian grounds. You have more than I do and that's unfair. By contrast, in epidemiology and sociology, unfair inequality is traditionally assessed between groups. More is concentrated among people of your class or race than among people of mine, and that's unfair. I shall call this difference the egalitarian ‘divorce’. Epidemiologists, and their ‘divorce lawyers’ Paula Braveman, Norman Daniels, and Iris Marion Young, explain that not every inequality between individuals is an inequity. Only inequality between social status groups is unfair. Only such inequality stems from problems like partiality, discrimination, oppression, inequality-related population health problems, and unfair distribution of prospects. And it alone is actionable. By contrast, inequality between individuals, e.g. in longevity, is natural, inevitable, less important, or otherwise less informative — not unjust. In ‘divorce trial’ mode, I respond to epidemiologists that group inequalities lack the intrinsic disvalue that they ascribe them. They may be instrumentally or contingently bad or wrong, not essentially so. I then shift to ‘remarriage’: although group inequalities lack intrinsic badness or wrongness, for multiple reasons they remain useful to measure.

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Nir Eyal
Harvard University

Citations of this work

Justice, inequality, and health.Gopal Sreenivasan - 2009 - Stanford Encyclopedia of Philosophy.
Gender, Status, and the Steepness of the Social Gradients in Health.Carina Fourie - 2019 - International Journal of Feminist Approaches to Bioethics 12 (1):137-156.

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References found in this work

Equality of whom? Social groups and judgments of injustice.Iris Marion Young - 2001 - Journal of Political Philosophy 9 (1):1–18.
What's wrong with health inequalities?Daniel M. Hausman - 2007 - Journal of Political Philosophy 15 (1):46–66.

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