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Ethical Principle of Justice

The document discusses the ethical principle of justice, emphasizing the difference between equality and equity in various contexts such as healthcare, education, and social groups. It highlights the importance of fairness and the need to address inequalities based on race, gender, age, and ability. The document also suggests potential solutions for achieving equality and equity, including anti-discrimination legislation and equal opportunities monitoring.

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0% found this document useful (0 votes)
5 views23 pages

Ethical Principle of Justice

The document discusses the ethical principle of justice, emphasizing the difference between equality and equity in various contexts such as healthcare, education, and social groups. It highlights the importance of fairness and the need to address inequalities based on race, gender, age, and ability. The document also suggests potential solutions for achieving equality and equity, including anti-discrimination legislation and equal opportunities monitoring.

Uploaded by

moideenrhifai
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Ethical Principle of

Justice
Dr Poonam R Naik
Professor and Head, Community Medicine
Deputy Director, Rural Health Care and
Development Centre
Faculty, Centre for Ethics
Yenepoya (deemed to be University)
What is the difference ?

Equality vs Equity

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What is the difference ?
• Equality = all • Equity = the
humans having the application of the
same rights and principle of fairness in
status in theory practice

I believe I am going to
everyone make sure I
should be treat everyone
equal the same

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Equality criteria–
what do we mean ?

Race Gender

Country Age
or region

Equality

Religion Ability -
disability

Class/ Wealth
Social Poverty
group

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Inequality

What do these
mean ?

Sexism
Racism

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Inequality – how does it happen?
Majority group Minority

Stereotyping – generalisation – seeing everyone in a group the same way

Prejudice – prejudging someone before you meet them ( in your mind )

Discrimination – treating people from a group differently or unequally

Is there any way to stop this?

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Why equity?
• ‘Health’ = fundamental commodity …..
• Health care important determinant, but
often expensive/unpredictable
• Insurance = imperfect/expensive
• Thus...

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Why equity?
• Healthcare should not be allocated/distributed
according to income/wealth
• Equity main reason government involvement in
health care world-wide

Issues
 concerns with the existing distribution
(determinants of health care)
 income/wealth then why not change this directly?

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Why equity in health care?

“ The social conscience is more offended


by severe inequality in nutrition and
basic shelter, or in access to medical
care, than by the inequality in
automobiles, books, furniture or boats”

Tobin 1970

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School
Is there any inequality in
school ?

Government vs Private

Solutions:
Extended support by
other institutes

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Local community
• Is there any inequality in the local area?
• Is there any inequality in your closest large
town?
• Is there any inequality in the world?

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Race / ethnicity
• Are all races equal ?
• Are all races treated equally ?

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Anti racism
• How can we ensure that different races
and ethnicities are treated equally?
• How can we stop or reduce racism?

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Gender

• Are people belonging to different gender


equal?
• Are they treated equally?
• Household level
• Work environment: Promotion/ additional
responsibility/ extended hours duty

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Can people belonging to different gender
do any of these jobs? Or is it gender
specific
• Sports • Car mechanic
• Doctor • Wrestler / boxer
• Nurse • Prime minister
• Nursery school • Entrepreneur
teacher • Cleaner
• Soldier • Chef
• Pilot
Can you think of any
work that someone can
not do ?

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Social Group / class
Do you think this
What is the Upper is true ?
difference class
between Is this how we
each group ? Middle class are all grouped?

Lower class

Which class are you in?

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Age
• Are all ages treated equally?
• Should all ages be treated equally?
• When should children be treated as
adults? What age?
• Should old people be treated any
differently to younger people?

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Differently abled
• Should differently abled people be treated
the same as able bodied people?
• Are they treated equally?
• Available facilities/ opportunities that are
offered

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Article discussion
• Vulnerable groups
• Equity
• Universal health coverage

Society

• Vulnerable Health System

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Solutions – how can we achieve
equality and equity?

What do you think is the


answer ?

Is there one answer or many ?

What stops us achieving real


equality?

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Possible solutions ????

• Equal opportunities monitoring


• Anti discrimination legislation
• Equal pay laws
• Outlawing racist groups
• Many more

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