Abstract
International Declarations and Covenants on human rights pretend to have universal reach, at the same time acknowledging that basic rights can only be cultivated and protected at the national level. This universality has been questioned by non-Western cultures, and by those pointing out that marginalized social groups, by being deprived of citizenship, are subject to violation of their freedom-based negative human rights, and unable to claim positive rights—basic goods. Furthermore, poor- and middle-income countries may lack the political will to protect basic rights, or be unable to muster resources to provide essential goods and services, thus leaving essential needs unattended.
Distributive justice searches for criteria to reduce inequalities and create fair social conditions. Liberal politics defend justice based on merit and access to equal opportunities as the most appropriate criteria for allocating scarce resources. Since poor populations lack the capabilities to behave meritoriously and achieve socially respectable positions, merit cannot lead to more justice. Addressing essential needs is the objective and foremost criterion to allocate resources appropriately, and ought to be applied wherever dire needs are unattended.
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References
Acheson, R. M. (1978). The definition and identification of need for health care. Journal of Epidemiology and Community Health, 32(1), 10–15.
Anderson, E. (1999). What is the point of equality. Ethics, 109, 287–336.
Arras, J. D., & Fenton, E. M. (2009). Bioethics & human rights: Access to health-related goods. The Hastings Center Report, 39(5), 27–38.
Beck, U. (1998). Was ist Globalisierung? Suhrkamp: Frankfurt a.M.
Cohen, A. I. (2004). Must rights impose enforceable positive duties. Journal of Social Philosophy, 35, 264–276.
Frankfurt, H. (1997). Equality and respect. Social Research, 64, 3–15.
Fuenzalida-Puelma, H. L., & Connor, S. S. (1989). The right to health in the Americas. Washington: Panamerican Health Organization.
Gable, L. (2007). The proliferation of human rights in global health governance. The Journal of Law, Medicine & Ethics, 35(4), 534–544. 511.
Gostin, L. O., & Archer, R. (2007). The duty of States to assist other States in need: Ethics, human rights, and international law. The Journal of Law, Medicine & Ethics, 35(4), 526–533. 511.
Gostin, L. O., & Mok, E. A. (2010). Innovative solutions to closing the health gap between rich and poor: A special symposium on global health governance. The Journal of Law, Medicine & Ethics, 38(3), 451–458.
Heller, A. (1993). A theory of needs revisited. Thesis Eleven, 35, 18–35.
Honneth, A. (1997). Recognition and moral obligation. Social Research, 64, 16–35.
MacIntre, A. (1984). After virtue. Notre Dame: University of Notre Dame.
MacIntyre, A. (1988). Whose justice? Which rationality? London: Duckworth.
Margalit, A. (1997). Decent equality and freedom: A postscript. Social Research, 64, 147–160.
Marlier, E., & Atkinson, A. B. (2010). Indicators of poverty and social exclusion in a global context. Journal of Policy Analysis and Management, 29, 285–304.
Miller, D. (1994). Virtues, practices, and justice. Cambridge, London: Harvard University Press.
Miller, D. (1999). Principles of social justice. Cambridge, London: Harvard University Press.
Nadakavukaren, A. (1984). Our global environment. Longrove: Harvard University Press.
Nussbaum, M. C. (2006). Frontiers of justice. Cambridge, London: TheBelknap Press of Harvard University Press.
O’Neill, O. (1998). Towards justice and virtue. Cambridge: Cambridge University Press.
O’Neill, O. (2004). Autonomy and trust in bioethics. Cambridge New York: Cambridge University Press.
Pesce, J. E., Kpaduwa, C. S., & Danis, M. (2011). Deliberation to enhance awareness of and prioritize socioeconomic interventions for health. Social Science & Medicine, 72(5), 789–797.
Rancière, J. (1998). Aux bords du politique. Paris: La Fabrique-Éditions.
Rawls, J. (1996). Political liberalism. New York: Columbia University Press.
Ricoeur, P. (1992). Oneself as another. Chicago, London: The University of Chicago Press.
Sen, A. (2000). Development as freedom. New York: Alfred A. Knopf.
Townsend, P. (2010). The meaning of poverty. The British Journal of Sociology, 61(Suppl. s1), 85–102.
Weinstock, D. M. (2006). The real world of (global) democracy. Journal of Social Philosophy, 37, 6–20.
Williamson, D. L., & Reutter, L. (1999). Defining and measuring poverty: Implications for the health of Canadians. Health Promotion International, 4, 355–364.
Young, I. M. (2011). Responsibility for justice. Oxford, New York: Oxford University Press.
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© 2012 Miguel Kottow
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Kottow, M. (2012). Rights and Duties, Needs, and Merits. In: From Justice to Protection. SpringerBriefs in Public Health, vol 1. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-2026-2_2
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