Does population health have an intrinsically distributional dimension?

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Resumen

Verweij and Dawson claim that population health has a distributive dimension; Coggon argues that this presupposes a normative commitment to equity in the very definition of population health, which should, rather, be neutral. I describe possible sources of the distributive view, several of which do not presuppose egalitarian commitments. Two relate to the nature of health as a property of individuals (it cannot be aggregated and exploited like wealth; its absence is more significant than its surplus); two relate to the epistemology and pragmatics of public and population health (social justice is an inherent value of public health practice; public health science and intervention rest on the clustering to identify causal factors). A fifth source of the distributive view is a critical stance on the concept of population health; I contrast this with Coggon's account of the public as a shared political imaginary. None of these views is 'neutral': They exhibit several different kinds of normativity and quasi-normativity, but this is not problematic. I argue that the critical stance appropriately distinguishes and relates social justice and public health.

Idioma originalEnglish
Páginas (desde-hasta)24-36
Número de páginas13
PublicaciónPublic Health Ethics
Volumen9
N.º1
DOI
EstadoPublished - abr. 1 2016

Nota bibliográfica

Publisher Copyright:
© The Author 2015.

ASJC Scopus Subject Areas

  • Issues, ethics and legal aspects
  • Health Policy

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