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**Maximization vs Distribution Fairness
-Utilitarian
-Egalitarian Liberal
-Libertarian
-Commutarian
**Ageism(Tsuchiya et. al (2003))
-Health maximisation ageism’ claims that because older people have little of their life left, then the benefits of health-care interventions
-'Productivity ageism’ suggests that because older people are less likely than younger adults to
be economically productive, then investment in their care has reduced returns.
-Fair-innings ageism’ is based on the idea that everyone reaches an age at which they have been able to achieve most of their goals, and
that prolonging life beyond this is an unfair intervention.
**Disparities(Session6-15)
-When is an inequality unjust?
# Class/Racial/Gender/International Disparities
**[[Benchmarks of Fairness>http://www.hsph.harvard.edu/benchmark/index.html]]
Benchmarks of Fairness are a generic matrix for assessing the fairness of health sector reform in developing countries. “Fairness” is taken to include equity (in risk factors, access to services, and financing), accountability, and efficiency.
**Four unsolved issue
(1)aggregation
(2)best outcome-fair chance
(3)priority to worst off
(4)democracy problem
**Responsibility: Individual vs Social
-individual choice is important
**Example
Kidney Transplant
Oregon
Mexico
3 by 5 Program
**Reference
[General]
Wikler, D and R. Cash(2003)
Bobadilla, J et. al.(1994)
Daniel(2005)
Gibbs(2005)
**Lecture
[[Health Delv. >http://isites.harvard.edu/icb/icb.do?keyword=k15625&pageid=icb.page74222]]
**Maximization vs Distribution Fairness
-Utilitarian
-Egalitarian Liberal
-Libertarian
-Commutarian
**Ageism(Tsuchiya et. al (2003))
-Health maximisation ageism’ claims that because older people have little of their life left, then the benefits of health-care interventions
-'Productivity ageism’ suggests that because older people are less likely than younger adults to be economically productive, then investment in their care has reduced returns.
-Fair-innings ageism’ is based on the idea that everyone reaches an age at which they have been able to achieve most of their goals, and
that prolonging life beyond this is an unfair intervention.
**Disparities(Session6-15)
-When is an inequality unjust?
# Class/Racial/Gender/International Disparities
**[[Benchmarks of Fairness>http://www.hsph.harvard.edu/benchmark/index.html]]
Benchmarks of Fairness are a generic matrix for assessing the fairness of health sector reform in developing countries. “Fairness” is taken to include equity (in risk factors, access to services, and financing), accountability, and efficiency.
**Four unsolved issue
(1)aggregation
(2)best outcome-fair chance
(3)priority to worst off
(4)democracy problem
**Responsibility: Individual vs Social
-individual choice is important
**Example
Kidney Transplant
Oregon
Mexico
3 by 5 Program
**Reference
[General]
Wikler, D and R. Cash(2003)
Bobadilla, J et. al.(1994)
Daniel(2005)
Gibbs(2005)
**Lecture
[[Health Delv. >http://isites.harvard.edu/icb/icb.do?keyword=k15625&pageid=icb.page74222]]
