Journal Article

Implementing the Marmot Commission's Recommendations: Social Justice Requires a Solution to the Equity–Efficiency Trade-Off

Ole Frithjof Norheim

in Public Health Ethics

Volume 2, issue 1, pages 53-58
Published in print April 2009 | ISSN: 1754-9973
Published online March 2009 | e-ISSN: 1754-9981 | DOI: http://dx.doi.org/10.1093/phe/php006
Implementing the Marmot Commission's Recommendations: Social Justice Requires a Solution to the Equity–Efficiency Trade-Off

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The WHO Commission on Social Determinants of Health has documented pervasive inequalities in health in many countries. These are clearly associated with unfair distribution of the social determinants of health. Policies directed at reducing this unfair distribution should be promoted across all sectors and institutions responsible for securing equal opportunities and freedom for all citizens. This article argues that such policies will need to balance the competing goals of reducing social group inequalities in health and improving average health. We need a public debate about how to make such difficult choices. This paper outlines a framework that can help us structure our thinking about this dilemma.

Journal Article.  2730 words.  Illustrated.

Subjects: Philosophy of Science ; Philosophy of Biology ; Bioethics and Medical Ethics ; Medical Ethics ; Public Health

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