Department of Political Science

Taxing Unhealthy Choices: The complex idea of Liberal Egalitarianism in Health

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Taxing Unhealthy Choices: The complex idea of Liberal Egalitarianism in Health. / Albertsen, Andreas.

In: Health Policy, Vol. 120, No. 5, 2016, p. 561-566.

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@article{eb5d6d8683f6495b9a2543b586f01d65,
title = "Taxing Unhealthy Choices: The complex idea of Liberal Egalitarianism in Health",
abstract = "Under the heading of liberal egalitarianism, Cappelen and Norheim present a novel approach regarding how we are to assess health disadvantages reflecting people's choices. It seeks to uphold a commitment to principles of responsibility and egalitarianism, while avoiding objections that such theories fail for humanitarian, liberal or fairness reasons. The approach draws a line between those of such diseases which are life-threatening, costly to treat relative to income or undermining important political capabilities and those which are not. For the latter kind, their approach allows for co-payment, whereas the former requires a different measure. Here, the authors maintain that unhealthy choices should be taxed and treatment offered equally to everyone without further cost. While this is an interesting approach, it faces important difficulties. It consists of two elements, which can come into tension with each other when concerns for severity of disease and personal responsibility recommend the employment of different elements. Furthermore, as it stands, the approach is incomplete because it seems unable to address important non-monetary shortages, such as the organ shortage. Finally, it is not apparent how the approach is able to address the significant ways in which social circumstances influences people's choices in health and their ability to stay healthy.",
keywords = "held-egalitarisme, personligt ansvar, beskatning af usunde varer, sundhedspolitik, ole norheim, alexander cappelen, liberal egalitarisme, lighed i sundhed, ulighed i sundhed, liberal egalitarism, luck egalitarism, paternalism, organ shortage",
author = "Andreas Albertsen",
year = "2016",
doi = "10.1016/j.healthpol.2016.03.003",
language = "English",
volume = "120",
pages = "561--566",
journal = "Health Policy",
issn = "0168-8510",
publisher = "Elsevier Ireland Ltd.",
number = "5",

}

RIS

TY - JOUR

T1 - Taxing Unhealthy Choices: The complex idea of Liberal Egalitarianism in Health

AU - Albertsen, Andreas

PY - 2016

Y1 - 2016

N2 - Under the heading of liberal egalitarianism, Cappelen and Norheim present a novel approach regarding how we are to assess health disadvantages reflecting people's choices. It seeks to uphold a commitment to principles of responsibility and egalitarianism, while avoiding objections that such theories fail for humanitarian, liberal or fairness reasons. The approach draws a line between those of such diseases which are life-threatening, costly to treat relative to income or undermining important political capabilities and those which are not. For the latter kind, their approach allows for co-payment, whereas the former requires a different measure. Here, the authors maintain that unhealthy choices should be taxed and treatment offered equally to everyone without further cost. While this is an interesting approach, it faces important difficulties. It consists of two elements, which can come into tension with each other when concerns for severity of disease and personal responsibility recommend the employment of different elements. Furthermore, as it stands, the approach is incomplete because it seems unable to address important non-monetary shortages, such as the organ shortage. Finally, it is not apparent how the approach is able to address the significant ways in which social circumstances influences people's choices in health and their ability to stay healthy.

AB - Under the heading of liberal egalitarianism, Cappelen and Norheim present a novel approach regarding how we are to assess health disadvantages reflecting people's choices. It seeks to uphold a commitment to principles of responsibility and egalitarianism, while avoiding objections that such theories fail for humanitarian, liberal or fairness reasons. The approach draws a line between those of such diseases which are life-threatening, costly to treat relative to income or undermining important political capabilities and those which are not. For the latter kind, their approach allows for co-payment, whereas the former requires a different measure. Here, the authors maintain that unhealthy choices should be taxed and treatment offered equally to everyone without further cost. While this is an interesting approach, it faces important difficulties. It consists of two elements, which can come into tension with each other when concerns for severity of disease and personal responsibility recommend the employment of different elements. Furthermore, as it stands, the approach is incomplete because it seems unable to address important non-monetary shortages, such as the organ shortage. Finally, it is not apparent how the approach is able to address the significant ways in which social circumstances influences people's choices in health and their ability to stay healthy.

KW - held-egalitarisme

KW - personligt ansvar

KW - beskatning af usunde varer

KW - sundhedspolitik

KW - ole norheim

KW - alexander cappelen

KW - liberal egalitarisme

KW - lighed i sundhed

KW - ulighed i sundhed

KW - liberal egalitarism

KW - luck egalitarism

KW - paternalism

KW - organ shortage

U2 - 10.1016/j.healthpol.2016.03.003

DO - 10.1016/j.healthpol.2016.03.003

M3 - Journal article

C2 - 27017048

VL - 120

SP - 561

EP - 566

JO - Health Policy

JF - Health Policy

SN - 0168-8510

IS - 5

ER -