Towards a globalisation of solidarity?

Fenger, Menno; Paridon, Kees van

doi:10.2307/j.ctt9qgs60.9

Cited by 1 publication

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…5. For instance, Fenger and van Paridon (2012: 51–2) distinguish between ‘individual’ and ‘institutional’ solidarity (in Reinventing Social Solidarity Across Europe), the latter of which ‘involves a certain amount of pressure, a certain degree of organisation and the presence of a set of formal or informal rules’. See also Prainsack and Buyx’s discussion of different ‘tiers’ of solidarity, the most general sometimes involving state coercion to implement solidary practices (2017: 54–7).…”

Section: Footnotesmentioning

confidence: 99%

Solidarity and Responsibility in Health Care

Davies

Savulescu²

2019

Public Health Ethics

View full text Add to dashboard Cite

Some healthcare systems are said to be grounded in solidarity because healthcare is funded as a form of mutual support. This article argues that health care systems that are grounded in solidarity have the right to penalise some users who are responsible for their poor health. This derives from the fact that solidary systems involve both rights and obligations and, in some cases, those who avoidably incur health burdens violate obligations of solidarity. Penalties warranted include direct patient contribution to costs, and lower priority treatment, but not typically full exclusion from the healthcare system. We also note two important restrictions on this argument. First, failures of solidary obligations can only be assumed under conditions that are conducive to sufficiently autonomous choice, which occur when patients are given ‘Golden Opportunities’ to improve their health. Second, because poor health does not occur in a social vacuum, an insistence on solidarity as part of healthcare is legitimate only if all members of society are held to similar standards of solidarity. We cannot insist upon, and penalise failures of, solidarity only for those who are unwell, and who cannot afford to evade the terms of public health.

show abstract

Section: Footnotesmentioning

confidence: 99%