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The right to preventive health care

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Abstract

The right to health care is a right to care that (a) is not too costly to the provider, considering the benefits it conveys, and (b) is effective in bringing about the level of health needed for a good human life, not necessarily the best health possible. These considerations suggest that, where possible, society has an obligation to provide preventive health care, which is both low cost and effective, and that health care regulations should promote citizens’ engagement in reasonable preventive health care practices.

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Notes

  1. See, for example, Henry Shue [1] and the United Nations International Covenant on Economic, Social and Cultural Rights.

  2. I do not know that this is Shue’s own position.

  3. I refer to the recipient and the provider separately, but of course these are not usually two distinct sets of people: most of us are in a position where we would be both providers and recipients, in any system of publicly-provided health care. It is not a system where one distinct group provides for another, or at least an individual in that situation would be rare.

  4. See Richard Thaler and Cass Sunstein [22]; see also Sarah Conly [23].

  5. See Jimmy Tobias [24]. The article states that “Under a 2008 revision to New Hampshire law, any person who acts ‘negligently in requiring a search and rescue response’ is liable to pay for it. The state deemed Bacon [the rescued party] negligent because he went into the woods despite a history of hip problems and a high likelihood of bad weather. Bacon fought the department’s decision all the way to the state Supreme Court, which ruled against him in April.”

References

  1. Shue, Henry. 1980. Basic rights, subsistence, affluence, and U.S. foreign policy. Princeton, NJ: Princeton University Press.

    Google Scholar 

  2. Griffin, James. 2008. On human rights. New York: Oxford University Press.

    Book  Google Scholar 

  3. Mill, John Stuart. 1978[1859]. On liberty. Indianapolis: Hackett.

  4. World Health Organization. 2015. Health and human rights. Fact sheet no. 323. http://www.who.int/mediacentre/factsheets/fs323/en/. Accessed July 22, 2016.

  5. Jones, Camara Phyllis, Clara Yvonne Jones, Geraldine S. Perry, Gillian Barclay, and Camille Arnel Jones. 2009. Addressing the social determinants of children’s health care: A cliff analogy. Journal of Health Care for the Poor and Underserved 20(4 suppl): 1–12.

    Article  Google Scholar 

  6. Althaus, Dudley. 2013. How Mexico got so fat. GlobalPost, July 8. http://www.globalpost.com/dispatch/news/regions/americas/mexico/130705/mexican-fattest-country-obesity. Accessed July 22, 2016.

  7. Center for Disease Control. 2016. Obesity and overweight. http://www.cdc.gov/nchs/fastats/obesity-overweight.htm. Accessed July 22, 2016.

  8. O’Connor, Anahad. 2014. Nutrition: Mixed news on obesity rates. New York Times, New York edition, page D4, September 8.

  9. Brody, Jane E. 2014. Diabetes, a crisis of inaction. New York Times, New York edition, page D5, September 9.

  10. Harvard School of Public Health. n.d. Economic costs: Paying the price for those extra pounds. Obesity Prevention Source. www.hsph.harvard.edu/obesity-prevention-source/obesity-consequences/economic. Accessed July 22, 2016.

  11. Thompson, David, John Edelsberg, Graham A. Colditz, Amy P. Birds, and Gerry Oster. 1999. Lifetime health and economic consequences of obesity. Archives of Internal Medicine 159: 2177–2183.

    Article  Google Scholar 

  12. Ungar, Rick. 2012. Obesity now costs Americans more in healthcare spending than smoking. Forbes, April 30. www.forbes.com/sites/rickungar/2012/04/30/obesity-now-costs-americans-more-in-healthcare-spending-than-smoking/. Accessed July 22, 2016.

  13. Finkelstein, Eric A., Justin G. Trogdon, Joel R. Cohen, and William Dietz. 2009. Annual medical spending attributable to obesity: Payer-and-service-specific estimate. Health Affairs 28: w822–w831.

    Article  Google Scholar 

  14. NYU Langone Medical Center. 2013. Mandatory calorie postings at fast-food chains do not influence food choice. ScienceDaily, November 15. www.sciencedaily.com/releases/2013/11/131115154458.htm. Accessed July 22, 2016.

  15. Bittman, Mark. 2011. Bad food? Tax it, and subsidize vegetables. New York times, July 23. http://www.nytimes.com/2011/07/24/opinion/sunday/24bittman.html. Accessed July 22, 2016.

  16. Nielson, Samara Joy, and Barry M. Popkin. 2003. Patterns and trends in food portion sizes, 1977–1998. Journal of the American Medical Association 289: 450–453.

    Article  Google Scholar 

  17. Boseley, Sarah. 2014. Mexico enacts soda tax in effort to combat world’s highest obesity rate. The Guardian, January 16. http://www.theguardian.com/world/2014/jan/16/mexico-soda-tax-sugar-obesity-health. Accessed July 22, 2016.

  18. BBC. 2014. Mexico restricts soft drink TV ads to fight obesity. July 16. http://www.bbc.com/news/world-latin-america-28325105. Accessed July 22, 2016.

  19. Evans, J.M.M., R.N. Newton, D.A. Ruta, T.M. MacDonald, and A.D. Morris. 2000. Socio-economic status, obesity, and prevalence of type 1 and type 2 diabetes melitus. Diabetic Medicine 17: 478–480.

    Article  Google Scholar 

  20. ABC News. 2012. 100 million dieters, $20 billion: The weight loss industry by the numbers. May 8. http://abcnews.go.com/Health/100-million-dieters-20-billion-weight-loss-industry/story?id=16297197. Accessed July 22, 2016.

  21. Center for Disease Control. 2015. Smoking and tobacco use: Fast facts. http://www.cdc.gov/tobacco/data_statistics/fact_sheets/fast_facts/. Accessed July 22, 2016.

  22. Thaler, Richard, and Cass Sunstein. 2008. Nudge: Improving decisions about health, wealth, and happiness. New Haven: Yale University Press.

    Google Scholar 

  23. Conly, Sarah. 2013. Against autonomy: Justifying coercive paternalism. New York: Cambridge University Press.

    Google Scholar 

  24. Tobias, Jimmy. 2015. Is search and rescue a public service? Not exactly. Outside Magazine, June 4. http://www.outsideonline.com/1986496/search-and-rescue-public-service-not-exactly. Accessed July 22, 2016.

  25. The Lewin Group. 2009. Wisdom at work: Retaining experienced RNs and their knowledgecase studies of top performing organizations. Prepared for the Robert Wood Johnson Foundation. http://www.rwjf.org/content/dam/farm/reports/reports/2009/rwjf41983. Accessed July 22, 2016.

  26. Conly, Sarah. 2016. Well-being and autonomy. In The Routledge handbook of philosophy of well-being, ed. Guy Fletcher, 439–449. New York: Routledge.

    Google Scholar 

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Conly, S. The right to preventive health care. Theor Med Bioeth 37, 307–321 (2016). https://doi.org/10.1007/s11017-016-9374-8

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