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Author: Tom Koch Publisher: Bloomsbury Publishing USA ISBN: 0313390800 Category : Medical Languages : en Pages : 270
Book Description
In 1841 the American sailing ship William Brown struck an iceberg. About half of the passengers and all of the crew were saved in two small, open boats. The next night, half of the passengers in the larger long-boat were thrown overboard because the boat was overfull. This was the first case of lifeboat ethics, of hard choices in the face of scarcity. Since then the question has been who should die so that others, equally needy, might live? Both the case of the William Brown and the ethics it spawned have been used in recent years to describe the problem of health care rationing generally, and organ transplantation specifically. Koch reexamines and reinterpretes the paradigm case of lifeboat ethics, the story of the William Brown, not as an unavoidable tragedy, but as an avoidable series of errors. Its relation to more general issues of distributive justice are then considered. The lessons learned from both the historical review and its application to distributive principles are then applied to the problem of graft organ distribution in the United States. Through the use of maps, the problem of organ distribution is considered at a range of scales, from the international to the urban. The contextual issues become more evident as one moves from international to hemispheric, fron national to regional, and then local systems. Finally, Koch reviews the lessons in light of other problems of distribution in the face of scarcity. The central lesson-that scarcity is exacerbated where it is not in fact created by our distributive programs-is explored thoroughly. The result is no good choices for anyone and the continuation of the scarcity that for most seems inevitable, but, from the evidence provided, is itself an outcome of inequalities of distribution at different scales of society. Of particular interest to students, scholars, and policymakers involved with issues of planning and health care economics, medical geography, and concepts of justice.
Author: Tom Koch Publisher: Bloomsbury Publishing USA ISBN: 0313390800 Category : Medical Languages : en Pages : 270
Book Description
In 1841 the American sailing ship William Brown struck an iceberg. About half of the passengers and all of the crew were saved in two small, open boats. The next night, half of the passengers in the larger long-boat were thrown overboard because the boat was overfull. This was the first case of lifeboat ethics, of hard choices in the face of scarcity. Since then the question has been who should die so that others, equally needy, might live? Both the case of the William Brown and the ethics it spawned have been used in recent years to describe the problem of health care rationing generally, and organ transplantation specifically. Koch reexamines and reinterpretes the paradigm case of lifeboat ethics, the story of the William Brown, not as an unavoidable tragedy, but as an avoidable series of errors. Its relation to more general issues of distributive justice are then considered. The lessons learned from both the historical review and its application to distributive principles are then applied to the problem of graft organ distribution in the United States. Through the use of maps, the problem of organ distribution is considered at a range of scales, from the international to the urban. The contextual issues become more evident as one moves from international to hemispheric, fron national to regional, and then local systems. Finally, Koch reviews the lessons in light of other problems of distribution in the face of scarcity. The central lesson-that scarcity is exacerbated where it is not in fact created by our distributive programs-is explored thoroughly. The result is no good choices for anyone and the continuation of the scarcity that for most seems inevitable, but, from the evidence provided, is itself an outcome of inequalities of distribution at different scales of society. Of particular interest to students, scholars, and policymakers involved with issues of planning and health care economics, medical geography, and concepts of justice.
Author: Jon Elster Publisher: Russell Sage Foundation ISBN: 1610441834 Category : Political Science Languages : en Pages : 294
Book Description
The well-being of individuals routinely depends on their success in obtaining goods and avoiding burdens distributed by society. Local Justice offers the first systematic analysis of the principles and procedures used in dispensing "local justice" in situations as varied as the admission of students to college, the choice of patients for organ transplants, the selection of workers for layoffs, and the induction of men into the army. A prominent theorist in the field of rational choice and decision making, Jon Elster develops a rich selection of empirical examples and case studies to demonstrate the diversity of procedures used by institutions that mete out local justice. From this revealing material Elster fashions a conceptual framework for understanding why institutions make these crucial allocations in the ways they do. Elster's investigation discloses the many complex and varied approaches of such decision-making bodies as selective service and adoption agencies, employers and universities, prison and immigration authorities. What are the conflicting demands placed on these institutions by the needs of applicants, the recommendations of external agencies, and their own organizational imperatives? Often, as Elster shows, methods of allocation may actually aggravate social problems. For instance, the likelihood that handicapped or minority infants will be adopted is further decreased when agencies apply the same stringent screening criteria—exclusion of people over forty, single parents, working wives, and low-income families—that they use for more sought-after babies. Elster proposes a classification of the main principles and procedures used to match goods with individuals, charts the interactions among these mechanisms of local justice, and evaluates them in terms of fairness and efficiency. From his empirical groundwork, Elster builds an innovative analysis of the historical processes by which, at given times and under given circumstances, preferences become principles and principles become procedures. Local Justice concludes with a comparison of local justice systems with major contemporary theories of social justice—utilitarianism, John Rawls's A Theory of Justice, Robert Nozick's Anarchy, State, and Utopia—and discusses the "common-sense conception of justice" held by professional decision makers such as lawyers, economists, and politicians. The difference between what we say about justice and how we actually dispense it is the illuminating principle behind Elster's book. A perceptive and cosmopolitan study, Local Justice is a seminal work for all those concerned with the formation of ethical policy and social welfare—philosophers, economists, political scientists, health care professionals, policy makers, and educators.
Author: Jessica Cohn Publisher: Crabtree Publishing Company ISBN: 9780778742562 Category : Juvenile Nonfiction Languages : en Pages : 36
Book Description
Describes economic scarcity and explains how consumers make economic choices concerning the use and distribution of economically scarce items, including capital and natural resources.
Author: Peter Lacy Publisher: Springer ISBN: 1137530707 Category : Business & Economics Languages : en Pages : 265
Book Description
Waste to Wealth proves that 'green' and 'growth' need not be binary alternatives. The book examines five new business models that provide circular growth from deploying sustainable resources to the sharing economy before setting out what business leaders need to do to implement the models successfully.
Author: Edward M. Barbanell Publisher: Bloomsbury Publishing USA ISBN: 0313073511 Category : Political Science Languages : en Pages : 192
Book Description
It is widely held that private ownership is the preferred end state for all scarce resources. Those who hold this view have not looked closely enough at water in the American West, Barbanell contends. Because of water's special attributes, private ownership is an ineffective means for protecting individuals interests. Splitting the various rights of ownership between individual resources users and the community to which they belong can better protect those interests. Barbanell develops a conception of this form of common ownership, a common-property arrangement, and shows that it can function effectively for water in the West. More generally, he offers an expanded framework for analyzing right relationships and examining problems related to resource scarcity. Some economists argue that John Locke's account of property justifies the private ownership of water in the West. Barbanell argues, however, that because Locke did not think carefully enough about the variable nature of resources, his account does not support that conclusion. Although economists recognize that private ownership may not be perfectly suited to all resources, they are nonetheless skeptical about common ownership alternatives. Barbanell shows that this skepticism is unwarranted. When the rights relationship among members of a resource community is based on mutual expectations of reciprocal behavior, then a common-property arrangement can function effectively to control the degradation and depletion of a scarce resource. Barbanell's argument that common ownership is a conceptually sound and politically viable alternative for water will be of particular interest to public policy makers, environmentalists, resource economists, and political philosophers.
Author: Sumita Singha Publisher: Routledge ISBN: 1136483829 Category : Architecture Languages : en Pages : 325
Book Description
Architects, development practitioners and designers are working in a global environment and issues such as environmental and cultural sustainability matter more than ever. Past interactions and interventions between developed and developing countries have often been unequal and inappropriate. We now need to embrace fresh design practices based on respect for diversity and equality, participation and empowerment. This book explores what it means for development activists to practise architecture on a global scale, and provides a blueprint for developing architectural practices based on reciprocal working methods. The content is based on real situations - through extended field research and contacts with architecture schools and architects, as well as participating NGOs. It demonstrates that the ability to produce appropriate and sustainable design is increasingly relevant, whether in the field of disaster relief, longer-term development or wider urban contexts, both in rich countries and poor countries.
Author: Tom Koch
Author: Tom Koch
Author: Edward Russell Hawkins
Author: Jon Elster
Author: Jessica Cohn
Author: Peter Lacy
Author: Edward M. Barbanell
Author: Peter Wallensteen
Author: Edward Russell Hawkins
Author: Sumita Singha
Author: United States. Department of Commerce. Office of Industry Cooperation