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What is Enough?Sufficiency, Justice, and Health$
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Carina Fourie and Annette Rid

Print publication date: 2016

Print ISBN-13: 9780199385263

Published to Oxford Scholarship Online: November 2016

DOI: 10.1093/acprof:oso/9780199385263.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 19 January 2022

Just Caring

Just Caring

The Insufficiency of the Sufficiency Principle in Health Care

(p.223) 12 Just Caring
What is Enough?

Leonard M. Fleck

Oxford University Press

This chapter argues that sufficientarianism fails to provide us with a morally adequate perspective for addressing contemporary complex problems of health care justice, especially in connection with health care rationing or setting limits. Sufficientarians must answer the following questions: When is enough, enough? What must it be enough for?” and What criteria should be used to determine when someone has had sufficient access to needed health care? This chapter argues that sufficientarianism in its various versions does not have the theoretical or practical capacity to address adequately most problems of health care justice. The same will be true for the various versions of egalitarianism, utilitarianism, and prioritarianism in relation to the complex problems of health care justice (limit-setting) in the real world. Instead, all these theories will have to rely on fair processes of rational democratic deliberation that supplement a pluralist conception of health care justice.

Keywords:   sufficientarianism, egalitarianism, prioritarianism, rational democratic deliberation, health care justice, decent minimum, rationing, cost-effectiveness, ragged edges

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