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The Future of BioethicsInternational Dialogues$
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Akira Akabayashi

Print publication date: 2014

Print ISBN-13: 9780199682676

Published to Oxford Scholarship Online: January 2014

DOI: 10.1093/acprof:oso/9780199682676.001.0001

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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: 28 October 2021



Justice, Fairness, and Deliberative Democracy in Health Care4

(p.579) 16.4 Commentary
The Future of Bioethics

Akira Inoue

Oxford University Press

First, the author argues that Daniels and Sabin’s way of setting priorities in healthcare is implausible. Daniels and Sanin think there is a lack of consensus on comprehensive principle(s) of justice that can resolve the issue of priority-setting in healthcare. Nevertheless, their argument appeals to the deliberative democracy-based idea of accountability for reasonableness that involve the conception of justice construed naturally as comprehensive. The author then proposes a comprehensive conception of justice, with which the issue of priority-setting, an equal opportunity-based principle of justice, can be resolved. Although Daniels addresses two critical issues on the equal opportunity-based principle of justice, the author contends that it can be defended in ways that overcome these issues while being applicable to priority-setting conditions.

Keywords:   Accountability for reasonableness, equal opportunity-based principle of justice, deliberative democracy, fairness, priority-setting in healthcare

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