Health care rationing Inadequacy of theory? Dimensions of well-being approach 4 tests: substantial moral guidance Applied to age-rationing

What does social justice have to say about health care rationing?

Not much? But some theories are better than others Narrow theories are inadequate: 1. isolated, 2.

singular

6 dimensions: health, self-determination, reasoning, respect, attachment, personal security

Multiple determinants Sufficiency at each dimension Levels of moral urgency Background justice

Not comprehensive discussion Explicit age-based rationing: prioritises

health care resources for younger over older because of age

E.g. Age-weighted QALYs Narrow approach: singular notions, no

unifying framework

1. Sufficiency2. Multiple determinants3. Multiple dimensions4. Levels of moral urgency

Constant adjustment and evaluation in framework of background justice

What does social justice have to say about health care rationing?

More than we think? Disagreement at another level? Consensus?