Department of Political Science

Drinking in the last chance saloon: luck egalitarianism, alcohol consumption, and the organ transplant waiting list

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

Documents

DOI

The scarcity of livers available for transplants forces tough choices upon us. Lives for those not receiving a transplant are likely to be short. One large group of potential recipients needs a new liver because of alcohol consumption, while others suffer for reasons unrelated to their own behaviour. Should the former group receive lower priority when scarce livers are allocated? This discussion connects with one of the most pertinent issues in contemporary political philosophy; the role of personal responsibility in distributive justice. One prominent theory of distributive justice, luck egalitarianism, assesses distributions as just if, and only if, people's relative positions reflect their exercises of responsibility. There is a principled luck egalitarian case for giving lower priority to those who are responsible for their need. Compared to the existing literature favouring such differentiation, luck egalitarianism provides a clearer rationale of fairness, acknowledges the need for individual assessments of responsibility, and requires initiatives both inside and outside of the allocation systems aimed at mitigating the influence from social circumstances. Furthermore, the concrete policies that luck egalitarians can recommend are neither too harsh on those who make imprudent choices nor excessively intrusive towards those whose exercises of responsibility are assessed.
Original languageEnglish
JournalMedicine, Health Care and Philosophy
Volume19
Issue2
Pages (from-to)325-338
Number of pages14
ISSN1386-7423
DOIs
Publication statusPublished - 2016

    Research areas

  • luck egalitarianism, personal responsibility in health, liver transplants, Personal responsibility, alcohol, alcohol consumption, transplantation ethics, ethics, medical ethics

See relations at Aarhus University Citationformats

Activities

  • PGR Seminar

    Activity: Participating in or organising an event typesParticipation in or organisation of workshop, seminar or course

  • ALSP 2013

    Activity: Participating in or organising an event typesParticipation in or organisation af a conference

  • Political Theory Workshop

    Activity: Participating in or organising an event typesParticipation in or organisation of workshop, seminar or course

  • Political Philosophy Group

    Activity: Participating in or organising an event typesParticipation in or organisation of workshop, seminar or course

  • Visiting PhD at University of Glasgow

    Activity: Other activity typesOther (prizes, external teaching and other activities) - Period visiting other institutions

Projects

Download statistics

No data available

ID: 93783071