Some obstacles to applying the principle of individual responsibility for illness in the rationing of medical services;Câteva obstacole în calea aplicǎrii principiului responsabilitǎţii individuale pentru boalǎ în raţionalizarea serviciilor medicale

Revista Romana de Bioetica

Volumn 8, Issue 2, 2010, Pages

  Huzum, Eugen ^a  

^a Gh Zane Institute of Social and Economic Research   (Romania)

Author keywords

Justice; Medical ethics; Medical services; Moralism; Rationing; Responsibility

Indexed keywords

EID: 77955153038     PISSN: 15835170     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (40)

1. Vezi, spre exemplu, David Brudney, Are Alcoholics Less Deserving of Liver Transplants?", Hastings Center Report, 37 (1), 2007, pp. 41-47
2. Walter Glannon,,, Responsibility, alcoholism and liver transplantation", Journal of Philosophy and Medicine, 23 (1), 1998, pp. 31-49
3. Walter Glannon, .Responsibility and Priority in Liver Transplantation", Cambridge Quarterly of Healthcare Ethics, 18, 2009, pp. 23-35
4. Re'em Segev, Well-being and Fairness in the Distribution of Scarce Health Resources", Journal of Medicine and Philosophy, 30 (3), 2005, pp. 231-260
5. sau Barry Smart, Fault and the Allocation of Spare Organs", Journal of Medical Ethics, 20 (1), 1994, pp. 26-30
6. Frank Dietrich, "Causal Responsibility and Rationing in Medicine", Ethical Theory and Moral Practice, 5, 2002, p. 119
7. Martin Benjamin, Alcoholics and liver transplantation", Journal of the American Medical Association, 265, 1991, pp. 1299-1301
8. Michael R. Lucey, Thomas Beresford, Alcoholic liver disease: to transplant or not to transplant?", Alcohol and alcoholism, 27 (2), 1992, pp. 103-108
9. Thomas Beresford, The limits of philosophy in liver transplantation" , Transplant International, 14 (3), 2001, pp. 176-177
10. sau Dien Ho, When Good Organs Go to Bad People", Bioethics, 22 (2), 2008, pp. 77-83
11. Fie pentru cǎ nu încearcǎ sǎ le schimbe, fie pentru cǎ nu reuşesc, în ciuda eforturilor, în aceastǎ tentativǎ
12. Fapt evidenţiat, spre exemplu, pe urmele lui Robert Crawford, de Charles J. Dougherty, Mike W. Martin sau Daniel Wikler. Vezi Robert Crawford, You are Dangerous to Your Health: The Ideology and Politics of Victim Blaming", International Journal of Health Services, 7 (4), 1977, pp. 663-680
13. Charles J. Dougherty, Bad faith and victim blaming: The limits of health promotion", Health Care Analysis, 1, 1993, pp. 115-116
14. Mike W. Martin, ,,Responsibility for health and blaming victims", Journal of Medical Humanities, 22 (2), 2001, pp. 95-114
15. sau Daniel Wikler, Who should be blamed for being sick?", Health Education and Behavior, 14, 1987, pp. 11-25
16. Am reluat aici, în mare mǎsurǎ, prezentarea formulei roemeriene din Eugen Huzum "Principiul responsabilitǎţii individuale pentru boalǎ şi aplicarea lui în distribuţia serviciilor medicale. O analizǎ criticǎ", în Bogdan Olaru (coord.), Controverse etice in epoca biotehnologiilor. Autonomie individualǎ şi responsabilitate socialǎ, Editura Universitǎţii "Alexandru Ioan Cuza", Iaşi, 2008, pp. 206-207 nota 2
17. Vezi, de asemenea, John E. Roemer, A pragmatic theory of responsibility for egalitarian planner", Philosophy and Public Affairs, 22 (2), 1993, pp. 146-166
18. sau John E. Roemer, Equality and responsibility", Boston Review, 20 (2), 1995, pp. 3-7
19. Vezi, spre exemplu, Richard Epstein et al, Social equality and personal responsibility", Boston Review, 20 (2), 1995 [http://bostonreview.net/ dreader/series/equality.html]
20. Andrew Mason, Equality, personal responsibility, and gender socialization", Proceedings of the Aristotelian Society, 100, 2000, pp. 235-239
21. Susan Hurley, Roemer on responsibility and equality", Law and Philosophy, 21(1), 2002, pp. 39-64
22. sau Mathias Risse, What equality of opportunity could not be", Ethics, 112 (44), 2002, pp. 720-747
23. Norman Daniels, Just Health: Meeting Health Care Needs Fairly, Cambridge University Press, New York, 2008, p. 77
24. Nici economistul Robert M. Solow nu crede în fezabilitatea formulei roemeriene. Pentru argumentele sale vezi intervenţia din Richard Epstein et al, Social equality and personal responsibility
25. Frank Dietrich, Causal Responsibility and Rationing in Medicine", p. 120
26. Spre exemplu, Hugh V. McLachlan. Vezi Hugh V. McLachlan, Smokers, virgins, equity and health care costs", Journal of Medical Ethics, 21,1995, pp. 209-213
27. Inclusiv ideea aplicǎrii formulei roemeriene în evaluarea îndreptǎţirii sau a meritului unui individ de a primi serviciile medicale - limitate sau nu - de care are nevoie a fost atacatǎ dintr-un motiv similar. Vezi Elizabeth Anderson, What is the point of equality?", Ethics, 109(2), 1999, p. 310
28. De altfel, multe dintre "argumentǎrile" în favoarea principiului responsabilitǎţii individuale pentru boalǎ sunt, de fapt, în întregime sau parţial, discursuri moralizatoare la adresa persoanelor cu stiluri de viaţǎ riscante pentru sǎnǎtate în general şi a alcoolicilor în special. Vezi, spre exemplu, Eike-Henner Kluge, Drawing the ethical line between organ transplantation and lyfestyle abuse", Canadian Medical Association Journal, 150 (5), 1994, pp. 745-746
29. sau Gregory Tetrault, The Morality of Transplantation", Journal of the American Medical Association, 266 (2), 1991, pp. 213-214
30. John Harris, The Value of Life. An Introduction to Medical Ethics, Routledge, London, 1985, pp. 108-109
31. Ţin sǎ precizez şi cǎ, pe lângǎ argumentul lui Harris, teza inacceptabilitǎţii adoptǎrii moralismului în distribuţia serviciilor medicale este susţinutǎ şi de faptul cǎ moralismul este, în sine, un fenomen inacceptabil. Aşa cum s-a observat, departe de a reprezenta o cerinţǎ a moralitǎţii, moralismul reprezintǎ, dimpotrivǎ, o pervertire a acesteia. Pentru câteva dintre cele mai importante argumente care justificǎ aceastǎ tezǎ vezi excelenta lucrare coordonatǎ
32. de C.A.J. Coady, What's Wrong With Moralism?, Blackwell, Maiden, 2006
33. Vezi Alvin H. Moss, Mark Siegler, Should Alcoholics Compete Equally for Liver Transplantation?", în Helga Kuhse, Peter Singer (ed.), Bioethics: An Anthology, 2nd ed., Blackwell, Oxford, 2006, pp. 421-427
34. sau Gregory Tetrault, The Morality of Transplantation"
35. Vezi Kevin Schwartzmann, In vino Veritas? Alcoholics and liver transplantation", Canadian Medical Association Journal, 141, 1989, pp. 1262-1265
36. Suzanne Van Der Vathorst, Carlos Alvarez-Dardet, Doctors as judges: the verdict on responsibility for health", Journal of Epidemiology and Community Health, 54, 2000, pp. 162-164
37. sau Dien Ho, When Good Organs Go to Bad People", pp. 80-82
38. Printre alţii, de cǎtre Einer R. Elhauge (în .Allocating health care morally", California Law Review, 92, 1994, pp. 1449-1554
39. Dien Ho (în "When Good Organs Go to Bad People", p. 81
40. sau Bruce N. Waller (în .Responsibility and health", Cambridge Quarterly of Healthcare Ethics, 34, 2005, p. 186