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The Meaning of Old Age and the Distribution of Health-Care Resources

Published online by Cambridge University Press:  14 November 2008

Rob Houtepen
Affiliation:
Department of Health Care Ethics and Philosophy, University of Limburg, P.O. Box 616, 6200 MD Maastricht, The Netherlands.

Abstract

Daniel Callahan has maintained that a common understanding of the meaning of old age and the proper role of old people in society is a prerequisite for decisions on the distribution of health-care resources to the elderly. The call for such a common understanding is traced to the writings of Thomas Cole and Harry Moody. A discussion of their ideas is followed by a philosophical analysis of communitarian accounts of meaning and the good life in general. It is concluded that viable interpretations of the meaning of old age should comply with the values of liberal individualism. Meaning should be localised less at the level of global ideas and images and more at the level of local and heterogeneous practices. The practice of distributing health-care resources cannot and should not be regulated by communitarian interpretations of the value of old age. It would seem to be sufficiently infused by liberal individualist interpretations of meaning and justice.

Type
Research Article
Copyright
Copyright Cambridge University Press 1995

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References

Binstock, R. and Post, S. (eds.) 1991. Too Old for Health Care? Johns Hopkins University Press, Baltimore.Google Scholar
Brock, D. 1989. Justice, Health Care, and the Elderly. Philosophy and Public Affairs, 18, 297312.Google ScholarPubMed
Callahan, D. 1987. Setting Limits: Medical Goals in an Aging Society. Simon and Schuster, New York.Google Scholar
Callahan, D. 1993. The Troubled Dream of Life: Living with Mortality. Simon and Schuster, New York.Google Scholar
Carson, R. 1986. Foreword. In Cole, and Gadow, (eds.).Google Scholar
Cole, T. 1986. The tattered web of cultural meanings. In Cole, , Gadow, (eds.).Google Scholar
Cole, T. 1992. The Journey of Life: A Cultural History of Aging in America. Cambridge University Press, Cambridge.Google Scholar
Cole, T. and Gadow, S. (eds.) 1986. What does it mean to grow old?: Reflections from the Humanities. Duke University Press, Durham.Google Scholar
Cole, T., Van Tassel, D. and Kastenbaum, R. (eds.) 1992. Handbook of Aging and the Humanities. Springer, New York.Google Scholar
Daniels, N. 1988. Am I My Parents' Keeper?: an essay on justice between the young and the old. Oxford University Press, New York.Google Scholar
Dworkin, R. 1979. Taking Rights Seriously. Harvard University Press. Cambridge (MA).Google Scholar
Fennel, G., Phillipson, C. and Evers, H. 1988. The Sociology of Old Age. Open University Press, Milton Keynes.Google Scholar
Glaser, B. and Strauss, A. 1965. Awareness of Dying. Aldine, Chicago.Google Scholar
Gutmann, A. 1985. Communitarian Critics of Liberalism. Philosophy and Public Affairs, 14, 380–322.Google Scholar
Houtepen, R. 1993. Op zoek naar een goede ouderdom: Liberalisme, Communitarisme en Gerontology (In search of a good old age: Liberalism, Communitarianism and Gerontology). Kok Agora, Kampen.Google Scholar
Kymlicka, W. 1988. Liberalism and Communitarianism. Canadian Journal of Philosophy, 18, 181203.CrossRefGoogle Scholar
Macedo, S. 1990. Liberal Virtues. Clarendon Press, Oxford.CrossRefGoogle Scholar
MacIntyre, A. 1981. After Virtue. University of Notre Dame Press, Notre Dame.Google Scholar
Minois, G. 1989. History of old age from antiquity to the Renaissance. University of Chicago Press, Chicago.Google Scholar
Moody, H. 1986. The Meaning of Life and the Meaning of Old Age. In Cole, and Gadow, (eds.).Google Scholar
Moody, H. 1988. Abundance of Life: Human Development Policies for an Aging Society. Columbia University Press, New York.Google Scholar
Moody, H. 1992. Ethics in an Aging Society. Johns Hopkins University Press, Baltimore.CrossRefGoogle Scholar
Munnichs, J. 1990. Gerontologie, levensloop en biografie (Gerontology, life course and biography). Van Loghum Slaterus, Deventer.Google Scholar
Rawls, J. 1971. A Theory of Justice. Harvard University Press, Cambridge (MA).CrossRefGoogle Scholar
Rosenblum, N. (ed.) 1989. Liberalism and the moral life. Harvard University Press, Cambridge (MA).CrossRefGoogle Scholar
Sandel, M. 1982. Liberalism and the Limits of Justice. Cambridge University Press, Cambridge.Google Scholar
Taylor, C. 1985. Philosophy and the Human Sciences. Philosophical Papers, volume 2. Cambridge University Press, Cambridge.CrossRefGoogle Scholar
Taylor, C. 1989 a. Cross-Purposes: The Liberal-Communitarian Debate. In Rosenblum, (ed.) 1989.Google Scholar
Taylor, C. 1989b. Sources of the Self. Cambridge University Press, Cambridge.Google Scholar
Taylor, C. 1991. The Ethics of Authenticity. Harvard University Press, Cambridge (MA).Google Scholar
Trappenburg, M. 1993. Soorten van gelijk. Medisch-ethische discussies in Nederland (Kinds of right. Medical-ethical debates in the Netherlands). Tjeenk Willink, Zwolle.Google Scholar
Wallach, J. 1987. Liberals, Communitarians, and the task of political theory. Political Theory, 15, 581611.CrossRefGoogle Scholar
Walzer, M. 1983. Spheres of justice. A defence of pluralism and equality. Basil Blackwell, Oxford.Google Scholar
Walzer, M. 1990. The Communitarian critique of Liberalism. Political Theory, 18, 623.CrossRefGoogle Scholar
Wittgenstein, L. 1958. Philosophical Investigations, second edition. Basil Blackwell, Oxford.Google Scholar