Authors
Karim Jebari
Institute for Futures Studies
Abstract
Disease prioritarianism is a principle that is often implicitly or explicitly employed in the realm of healthcare prioritization. This principle states that the healthcare system ought to prioritize the treatment of disease before any other problem. This article argues that disease prioritarianism ought to be rejected. Instead, we should adopt ‘the problem-oriented heuristic’ when making prioritizations in the healthcare system. According to this idea, we ought to focus on specific problems and whether or not it is possible and efficient to address them with medical means. This has radical implications for the extension of the healthcare system. First, getting rid of the binary disease/no-disease dichotomy implicit in disease prioritarianism would improve the ability of the healthcare system to address chronic conditions and disabilities that often defy easy classification. Second, the problem-oriented heuristic could empower medical practitioners to address social problems without the need to pathologize these conditions. Third, the problem-oriented heuristic clearly states that what we choose to treat is a normative consideration. Under this assumption, we can engage in a discussion on de-medicalization without distorting preconceptions. Fourth, this pragmatic and de-compartmentalizing approach should allow us to reconsider the term ‘efficiency’.
Keywords medical ethics  medicalization  disease  Prioritization  Cost-benefit analysis
Categories (categorize this paper)
ISBN(s)
DOI 10.1007/s11019-015-9649-2
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 71,355
External links

Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library

References found in this work BETA

Equality, Priority, and Compassion.Roger Crisp - 2003 - Ethics 113 (4):745-763.
The Nature of Disease.Lawrie Reznek - 1987 - Routledge & Kegan Paul.
Concepts of Health and Disease.Christopher Boorse - 2011 - In Fred Gifford (ed.), Philosophy of Medicine. Elsevier. pp. 16--13.

View all 15 references / Add more references

Citations of this work BETA

Add more citations

Similar books and articles

Prioritarianism and Population Ethics.Nils Holtug - 2012 - Iride: Filosofia e Discussione Pubblica 25 (1):45-56.
Utilitarianism and Prioritarianism II.David McCarthy - 2008 - Economics and Philosophy 24 (1):1-33.
A New Counterexample to Prioritarianism.Toby Ord - 2015 - Utilitas 27 (3):298-302.
Equality-Tempered Prioritarianism.Dale Dorsey - 2014 - Politics, Philosophy and Economics 13 (1):45-61.
In Defence of the Priority View.Thomas Porter - 2012 - Utilitas 24 (3):349-364.
Utilitarianism and Prioritarianism I.David McCarthy - 2006 - Economics and Philosophy 22 (3):335-363.
Equality, Priority or What?Larry S. Temkin - 2003 - Economics and Philosophy 19 (1):61-87.
Prioritarianism and the Measure of Utility.Michael Otsuka - 2015 - Journal of Political Philosophy 23 (1):1-22.
Prioritarianism.Michael Weber - 2014 - Philosophy Compass 9 (11):756-768.
Lifetime QALY Prioritarianism in Priority Setting.Trygve Ottersen - 2013 - Journal of Medical Ethics 39 (3):175-180.
Prioritarianism, Levelling Down and Welfare Diffusion.Ingmar Persson - 2011 - Ethical Theory and Moral Practice 14 (3):307-311.
Equality and Priority.Martin Peterson & Sven Ove Hansson - 2005 - Utilitas 17 (3):299-309.

Analytics

Added to PP index
2016-09-07

Total views
16 ( #668,647 of 2,519,593 )

Recent downloads (6 months)
1 ( #407,153 of 2,519,593 )

How can I increase my downloads?

Downloads

My notes