Democracy and health

Jp, Ruger

doi:10.1093/qjmed/hci042

Cited by 83 publications

(70 citation statements)

References 20 publications

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“…I would add that such systems inculcate this balance even within the minds of the actors, through, for example, recognition and balancing of intrinsic and external motivation. I applaud the real-world examples in Berger's commentary-particularly that of SARS in China (Ruger 2005), and I would add that of the Speaker case with respect to XDR-TB (Ruger 2010a)-which emphasize need for a strong regulatory environment along with strong self-regulation.…”

Section: Developing a Healthy Sense Of Cooperationmentioning

confidence: 99%

Responses to Peer Commentaries on “Shared Health Governance”

Ruger

2011

The American Journal of Bioethics

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Section: Developing a Healthy Sense Of Cooperationmentioning

confidence: 99%

Responses to Peer Commentaries on “Shared Health Governance”

Ruger

2011

The American Journal of Bioethics

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“…One answer comes from a theory of health ethics [11][12][13][14][15][16][17][18][19] that builds on and integrates Aristotle's political theory [20][21][22][23][24] and Amartya Sen's capability approach. [25][26][27] Although recognising the inter-relatedness of health and other social ends, this approach emphasises the importance of health for individual agency-the ability to live a life we value.…”

Section: Critical Ethical Issues Raised By Global Health Inequalitiesmentioning

confidence: 99%

“…[11][12][13][14][15][16][17][18][19] It places emphasis on health capability-an individual's ability to achieve good health [11][12][13][14][15][16][17][18][19] and be free of preventable morbidity and mortality. 25 26 Although the idea of capability relates to opportunity, it is a more positive notion of overall freedom: ''real opportunities'' we have regarding the life we may lead.…”

Section: Critical Ethical Issues Raised By Global Health Inequalitiesmentioning

confidence: 99%

“…Rather, it endorses the more robust concept of human flourishing and the desire to live in a world where all people have the capability to be healthy. [11][12][13][14][15][16][17][18][19] This approach to global health inequalities differs from general cosmopolitan theory by rejecting the attenuation of attachments of duties and obligations to the nation-state, fellow citizens and local communities. From this perspective, the primary, though not sole, 29 duties fall on nation-states.…”

Section: Critical Ethical Issues Raised By Global Health Inequalitiesmentioning

confidence: 99%

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Ethics and governance of global health inequalities

Ruger

2006

Journal of Epidemiology & Community Health

161

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Background: A world divided by health inequalities poses ethical challenges for global health. International and national responses to health disparities must be rooted in ethical values about health and its distribution; this is because ethical claims have the power to motivate, delineate principles, duties and responsibilities, and hold global and national actors morally responsible for achieving common goals. Theories of justice are necessary to define duties and obligations of institutions and actors in reducing inequalities. The problem is the lack of a moral framework for solving problems of global health justice. Aim: To study why global health inequalities are morally troubling, why efforts to reduce them are morally justified, how they should be measured and evaluated; how much priority disadvantaged groups should receive; and to delineate roles and responsibilities of national and international actors and institutions. Discussion and conclusions: Duties and obligations of international and state actors in reducing global health inequalities are outlined. The ethical principles endorsed include the intrinsic value of health to well-being and equal respect for all human life, the importance of health for individual and collective agency, the concept of a shortfall from the health status of a reference group, and the need for a disproportionate effort to help disadvantaged groups. This approach does not seek to find ways in which global and national actors address global health inequalities by virtue of their self-interest, national interest, collective security or humanitarian assistance. It endorses the more robust concept of ''human flourishing'' and the desire to live in a world where all people have the capability to be healthy. Unlike cosmopolitan theory, this approach places the role of the nation-state in the forefront with primary, though not sole, moral responsibility. Rather shared health governance is essential for delivering health equity on a global scale.

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“…At the same time improved economic, cultural, and social conditions for adults and children -through, for example, cultural disapproval of smoking; non-smoking expectations and workplace bans on smoking (Jarvis, 2004) -enhances the effectiveness of tobacco use prevention and treatment. In addition, real employment, political, and civil opportunities (Ruger, 2005b;Northridge, 2004) that empower individuals within society improve the odds of tobacco abstinence and cessation because such freedoms enable individuals to exercise greater control in choosing healthier life strategies (such as smoking abstinence) and conditions for themselves and those around them.…”

Section: Development and Health Strategiesmentioning

confidence: 99%

Global Tobacco Control: An integrated approach to global health policy

Ruger¹

2005

Development

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Following the development discussion in the last volume on the 'politics of health', Jennifer Prah Ruger argues that the Framework Convention on Tobacco Control (FCTC) represents a shift in global health policy that recognizes the importance of addressing health needs on multiple fronts and integrating public policies into a comprehensive set of health improvement strategies. She argues that the FCTC provides a model for multifaceted approaches to health improvement that require simultaneous progress on various dimensions.

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Democracy and health

Cited by 83 publications

References 20 publications

Responses to Peer Commentaries on “Shared Health Governance”

Responses to Peer Commentaries on “Shared Health Governance”

Ethics and governance of global health inequalities

Global Tobacco Control: An integrated approach to global health policy

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