Health, capability, and justice: toward a new paradigm of health ethics, policy and law.

INTRODUCTION .................................................................................103 I. HEALTH ETHICS, POLICY AND LAW: THE CURRENT SET OF FRAMEWORKS ..........................................................112 A. WELFARE ECONOMIC AND UTILITARIAN APPROACHES......112 B. COMMUNITARIANISM AND LIBERAL COMMUNITARIANISM...........................................................117 C. EGALITARIAN THEORIES: EQUAL OPPORTUNITY AND EQUAL WELFARE.................................................................118 D. LIBERTARIAN AND MARKET-BASED APPROACHES.............123 E. DELIBERATIVE DEMOCRATIC PROCEDURES........................127 F. SUMMARY OF PROBLEMS WITH THE CURRENT SET OF FRAMEWORKS......................................................................130 II. AN ALTERNATIVE PARADIGM: CAPABILITY AND HEALTH ACCOUNT ................................................................136 A. AN AGENCY-ORIENTED VIEW .............................................137 B. POLICY IMPLICATIONS .........................................................138 C. INCOMPLETELY THEORIZED AGREEMENTS .........................140 III. APPLICATIONS ........................................................................142 A. EQUITABLE ACCESS TO HIGH-QUALITY HEALTH CARE .....142 1. A Capability and Health Account of Equal Access ........142