Cargando…

From Sufficient Health to Sufficient Responsibility

The idea of using responsibility in the allocation of healthcare resources has been criticized for, among other things, too readily abandoning people who are responsible for being very badly off. One response to this problem is that while responsibility can play a role in resource allocation, it can...

Descripción completa

Detalles Bibliográficos
Autores principales: Davies, Ben, Savulescu, Julian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Singapore 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7557480/
https://www.ncbi.nlm.nih.gov/pubmed/32696113
http://dx.doi.org/10.1007/s11673-020-09992-9
_version_ 1783594430361501696
author Davies, Ben
Savulescu, Julian
author_facet Davies, Ben
Savulescu, Julian
author_sort Davies, Ben
collection PubMed
description The idea of using responsibility in the allocation of healthcare resources has been criticized for, among other things, too readily abandoning people who are responsible for being very badly off. One response to this problem is that while responsibility can play a role in resource allocation, it cannot do so if it will leave those who are responsible below a “sufficiency” threshold. This paper considers first whether a view can be both distinctively sufficientarian and allow responsibility to play a role even for those who will be left with very poor health. It then draws several further distinctions that may affect the application of responsibility at this level. We conclude that a more plausible version of the sufficientarian view is to allow a role for responsibility where failure to do so will leave someone else who is not responsible below the sufficiency threshold. However, we suggest that individuals must exhibit “sufficient responsibility” in order for this to apply, involving both a sufficient level of control and an avoidable failure to respond adequately to reasons for action.
format Online
Article
Text
id pubmed-7557480
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Springer Singapore
record_format MEDLINE/PubMed
spelling pubmed-75574802020-10-19 From Sufficient Health to Sufficient Responsibility Davies, Ben Savulescu, Julian J Bioeth Inq Original Research The idea of using responsibility in the allocation of healthcare resources has been criticized for, among other things, too readily abandoning people who are responsible for being very badly off. One response to this problem is that while responsibility can play a role in resource allocation, it cannot do so if it will leave those who are responsible below a “sufficiency” threshold. This paper considers first whether a view can be both distinctively sufficientarian and allow responsibility to play a role even for those who will be left with very poor health. It then draws several further distinctions that may affect the application of responsibility at this level. We conclude that a more plausible version of the sufficientarian view is to allow a role for responsibility where failure to do so will leave someone else who is not responsible below the sufficiency threshold. However, we suggest that individuals must exhibit “sufficient responsibility” in order for this to apply, involving both a sufficient level of control and an avoidable failure to respond adequately to reasons for action. Springer Singapore 2020-07-21 2020 /pmc/articles/PMC7557480/ /pubmed/32696113 http://dx.doi.org/10.1007/s11673-020-09992-9 Text en © The Author(s) 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
spellingShingle Original Research
Davies, Ben
Savulescu, Julian
From Sufficient Health to Sufficient Responsibility
title From Sufficient Health to Sufficient Responsibility
title_full From Sufficient Health to Sufficient Responsibility
title_fullStr From Sufficient Health to Sufficient Responsibility
title_full_unstemmed From Sufficient Health to Sufficient Responsibility
title_short From Sufficient Health to Sufficient Responsibility
title_sort from sufficient health to sufficient responsibility
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7557480/
https://www.ncbi.nlm.nih.gov/pubmed/32696113
http://dx.doi.org/10.1007/s11673-020-09992-9
work_keys_str_mv AT daviesben fromsufficienthealthtosufficientresponsibility
AT savulescujulian fromsufficienthealthtosufficientresponsibility