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Microlevel Prioritizations and Incommensurability

Published online by Cambridge University Press:  07 December 2017

ANDERS HERLITZ
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Abstract:

This article addresses the prioritization questions that arise when people attempt to institutionalize reasonable ethical principles and create guidelines for microlevel decisions. I propose that this instantiates an incommensurability problem, and suggest two different kinds of practical solutions for dealing with this issue.

Keywords

prioritizationmicrolevel decisionsincommensurability
Type
Special Section: Open Forum
Information
Cambridge Quarterly of Healthcare Ethics , Volume 27 , Issue 1 , January 2018 , pp. 75 - 86
Copyright
Copyright © Cambridge University Press 2017 

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References

Notes

1. Bærøe, K. Priority setting in health care: On the relation between reasonable choices on the micro-level and the macro-level. Theoretical Medicine and Bioethics 2008;29:87–102;CrossRefGoogle ScholarPubMed Sheunemann, L, White, DB. The ethics and reality of rationing in medicine. Chest 2012;140:1625–32.CrossRefGoogle Scholar

2. Parfit, D. On What Matters. Oxford: Oxford University Press; 2011;Google Scholar Scanlon, T. What We Owe to Each Other. Cambridge, MA: Harvard University Press; 1998.Google Scholar

3. Chang, R. Comparativism: The grounds of rational choice. In: Lord, E, McGuire, B, eds. Weighing Reasons. Oxford: Oxford University Press; 2015.Google ScholarPubMed

4. Eyal, N, Hurst, SA, Norheim, OF, Wikler, D. Introduction: What’s wrong with health inequalities? In: Eyal, N, Hurst, SA, Norheim, OF, Wikler, D, eds. Inequalities in Health. Concepts, Measures, and Ethics. Oxford: Oxford University Press; 2013;CrossRefGoogle Scholar Robinson, S, Dickinson, H, Williams, I, Freeman, T, Rumbold, B, Spence, K. Setting Priorities in Health. London: Nuffield Trust; 2011;Google Scholar Sabik, LM, Lie, RK. Priority setting in health care: Lessons from the experiences of eight countries. International Journal for Equity in Health 2008;7:4.CrossRefGoogle ScholarPubMed

5. Hausman, DM. Valuing Health: Well-Being, Freedom, and Suffering. Oxford: Oxford University Press; 2015.CrossRefGoogle Scholar

6. Bognar, G, Hirose, I. The Ethics of Health Care Rationing. New York: Routledge; 2014;Google Scholar see note 5, Hausman 2015; Sassi, F. Calculating QALYs, comparing QALY and DALY calculations. Health Policy and Planning 2006;21:402–8.CrossRefGoogle ScholarPubMed

7. Cookson, R, Dolan, P. Principles of justice in health care rationing. Journal of Medical Ethics 2000;26:323–9;CrossRefGoogle ScholarPubMed Crisp, R. Treatment according to need: Justice and the British National Health Service. In: Rosamond, R, Battin, MP, Silvers, M, eds. Medicine and Social Justice: Essays on the Distribution of Health Care. New York: Oxford University Press; 2002;Google Scholar Herlitz, A, Horan, D. Measuring needs for priority setting in healthcare planning and policy. Social Science and Medicine 2016;157:96–102;CrossRefGoogle ScholarPubMed Juth, N. Challenges for principles of need in health care. Health Care Analysis 2015;23:73–87.CrossRefGoogle ScholarPubMed

8. See note 7, Herlitz, Horan 2016.

9. Ross, WD. The Right and the Good. Oxford: Oxford University Press; 2002.CrossRefGoogle Scholar

10. Kagan, S. The additive fallacy. Ethics. 1988;99:5–31.CrossRefGoogle Scholar

11. Davidson, D. On the very idea of a conceptual scheme. Proceedings and Addresses of the American Philosophical Association 1973;47:5–20;CrossRefGoogle Scholar Kuhn, T. The Structure of Scientific Revolutions, 3rd ed. Chicago: Chicago University Press; 1996.CrossRefGoogle Scholar

12. Raz, J. The Morality of Freedom. Oxford: Clarendon Press; 1986.Google Scholar

13. Chang, R. Introduction. In: Chang, R, ed. Incommensurability, Incomparability, and Practical Reason. Cambridge, MA: Harvard University Press; 1997;Google Scholar Temkin, L. Rethinking the Good: Moral Ideals and the Nature of Practical Reasoning. Oxford: Oxford University Press; 2012.CrossRefGoogle Scholar

14. Broome, J. Is incommensurability vagueness? In: Chang, R, ed. Incommensurability, Incomparability, and Practical Reason. Cambridge, MA: Harvard University Press; 1997.Google Scholar

15. Chang, R. The possibility of parity. Ethics 2002;112:659–88.CrossRefGoogle Scholar

16. Herlitz, A. The limited impact of indeterminacy for healthcare rationing: How indeterminacy problems show the need for a hybrid theory, but nothing more. Journal of Medical Ethics 2016;42:22–5.CrossRefGoogle ScholarPubMed

17. See note 13, Chang 1997.

18. Anderson, E. Value in Ethics and Economics. Cambridge, MA: Harvard University Press; 1993; see note 12, Raz 1986.Google Scholar

19. See note 5, Hausman 2015; Sen A. Development as Freedom. Oxford: Oxford University Press; 1999.

20. Chang, R. Grounding practical normativity: Going hybrid. Philosophical Studies 2013;164:163–87;CrossRefGoogle Scholar Korsgaard, C. Self-Constitution: Agency, Identity, and Integrity. Oxford: Oxford University Press; 2009.CrossRefGoogle Scholar

21. Aristotle (trans. Pakaluk M.). Nicomachean Ethics. Oxford: Clarendon Press; 1998.

22. Nagel T. The fragmentation of values. In: Nagel T. Mortal Questions. Cambridge: Cambridge University Press; 1979; see note 13, Temkin 2012.