1. Relational equality and health.Kristin Voigt & Gry Wester - 2015 - Social Philosophy and Policy 31 (2):204-229.
    Political philosophers have become increasingly interested in questions of justice as applied to health. Much of this literature works from a distributive understanding of justice. In the recent debate, however, ‘relational’ egalitarians have proposed a different way of conceptualising equality, which focuses on the quality of social relations among citizens and/or how social institutions ‘treat’ citizens. This paper explores some implications of a relational approach to health, with particular focus on health care, health inequalities and health policy. While the relational (...)
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    Conscientious Objection by Health Care Professionals.Gry Wester - 2015 - Philosophy Compass 10 (7):427-437.
    Certain health care services and goods, although legal and often generally accepted in a society, are by some considered morally problematic. Debates on conscientious objection in health care try to resolve whether and when physicians, nurses and pharmacists should be allowed to refuse to provide medical services and goods because of their ethical or religious beliefs. These debates have most often focused on issues such as how to balance the interests of patients and health care professionals, and the compatibility of (...)
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    When Are Health Inequalities Unfair?Gry Wester - 2018 - Public Health Ethics 11 (3):346-355.
    The unfairness of health inequalities depends on the more fundamental question of the relationship between justice in health and distributive justice more generally. In this article, I discuss some constraints on how health should be incorporated in a theory of justice and their implications for when health inequalities can be considered to be unfair. I argue against adopting separate distributive principles for health, and in favour of conceiving justice in health as interrelated with, and contingent on, justice in the distribution (...)
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    The ethics of grandfather clauses in healthcare resource allocation.Gry Wester, Leah Zoe Gibson Rand, Christine Lu & Mark Sheehan - 2021 - Bioethics 35 (2):151-160.
    A grandfather clause is a provision whereby an old rule continues to apply to some existing situation while a new rule applies to all future cases. This paper focuses on the use of grandfather clauses in health technology appraisals (HTAs) issued by the National Institute for Health and Care Excellence (NICE) in the United Kingdom. NICE provides evidence‐based guidance on healthcare technologies and public health interventions that influence resource allocation decisions in the National Health Service (NHS) and the broader public (...)
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    The Social Gradient in Health: Missed Opportunities or Unjust Inequalities?Gry Wester - 2015 - American Journal of Bioethics 15 (3):60-62.
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    Towards theoretically robust evidence on health equity: a systematic approach to contextualising equity-relevant randomised controlled trials.Gry Wester, Kristine Bærøe & Ole Frithjof Norheim - 2019 - Journal of Medical Ethics 45 (1):54-59.
    Reducing inequalities in health and the determinants of health is a widely acknowledged health policy goal, and methods for measuring inequalities and inequities in health are well developed. Yet, the evidence base is weak for how to achieve these goals. There is a lack of high-quality randomised controlled trials reporting impact on the distribution of health and non-health benefits and lack of methodological rigour in how to design, power, measure, analyse and interpret distributional impact in RCTs. Our overarching aim in (...)
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    Health, Health Care, and Equality of Opportunity: The Rationale for Universal Health Care.Gry Wester - 2023 - Cambridge Quarterly of Healthcare Ethics 32 (1):26-33.
    This article discusses what arguments best support universal health care (UHC), with a focus on Norman Daniels’ equality of opportunity account. This justification for UHC hinges on the assumption of a close relationship between health care and health. But in light of empirical research that suggests that health outcomes are shaped to a large extent by factors other than health care, such as income, education, housing, and working conditions, the question arises to what extent health care is really necessary to (...)
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