Refers to equals must be treated equally and unequal's must be treated unequally Aristotle Nicomachean ethics Material – principle that specify the relevant characteristics for equal treatment - To each person an equal share - To each person according to need - To each person according to contribution - To each person according to free- market exchanges - To each person according to merit - To each person according to effort Justice as whatever brings about the greatest good of the greater number - John stuart mill Justice is not an independent moral principle, rather it is a principle dependent on the governed by, that sole of morality, the principle of utility • Utilitarian work out all the predictable benefits and all the predictable losses of some proposed change or state of affairs , calculate the net sum of the proposed changes and choose that state of affairs which will bring out about the greatest good for the greatest number , which will turn maximize utility 2 principles criteria for working out one’s utility Quality of life measures Social contributor measures Justice as the equal distribution of good and service - John Rawls • Justice means is essentially considered what is due is what is fair, equal or perhaps fairness 2 principles that lead will towards the exercise of fairness a.) Each person should have the most e x t e n s i ve s y s t e m o f b a s i c l i b e r t i e s compatible with similar liberties for all. b.) Social and economic inequalities should be arranged so that they are to the greatest benef it of the least advantaged and are open to all under conditions of fair equality of opportunity • Justice for john rawls consists in fair equality of opportunity • Each person irrespective of social condition such as poor and the wealthy should be provided with equal fair opportunity to health. Distribution Rawls believed must be on the basis of need which is understood as what is necessary for equality of opportunity. better services should be available for purchase at personal expense by those who are able and wish to do so. Justice as the lack of restraints on individual liberty -Robert Nozick Individual have right such as right to liberty, life, property and others which those individuals are entitled to enjoy and to exercise so long as it is does not interfere into the rights of others. The only Just system allocation of health care is the operation of free-market. Libertarian therefore treats autonomy both the health care professionals and the patient as a central notion of health care and allocating resources health care professionals are obliged to provide care only that health care in keeping their own prior under takings or present choices. thus, they may legitimately d e c id e fo r t he m se lv e s w hat distribution standards to apply to their own practice. Justice is what is due to individuals or groups depend on the community-derived standards - Alasdair Macintyre Justice as Pluralistic Justice derives from as many as different conceptions of the good as there are diverse moral and cultural communities Community as the core of a value system then prioritizing an individual as Libertarian Proposed Communitarian believe that human life will go better if collective and public values guide people’s lives ALLOCATION OF TRIAGE
SCARCE and RESOURCES
MACROALLOCATION Decisions determine the funds to be expended and the goods to be made available Deals with how much of the society’s resources will be used for various needs, including health-related expenditures. MICROALLOCATION