Browsing by Author "Horn, L."
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- ItemPayment of clinical trial participants(Health and Medical Publishing Group (HMPG), 2008) Horn, L.[No abstract available]
- ItemPublic health and social justice : forging the links(Health & Medical Publishing Group, 2015-11) Horn, L.The purpose of this article is to explore the concept and scope of public health and to argue that particularly in low income contexts, where social injustice and poverty often impact significantly on the overall health of the population, the link between public health and social justice should be a very firm one. Furthermore, social justice in these contexts must be understood as not simply a matter for local communities and nation-states, but in so far as public health is concerned, as a matter of global concern and responsibility. The interpretation of the scope of public health by any particular nation is I believe contingent on the current socio-political context and the conception of social or distributive justice that underpins this context. Furthermore I will argue here that the link between public health and social justice ought to be founded on a conception of social justice that adequately addresses issues of social injustice and patterns of systematic disadvantage that contribute to ill health and that so commonly prevail in many low and middle income social contexts.
- ItemPublic health, beneficence and cosmopolitan justice(Health & Medical Publishing Group, 2015-11-26) Horn, L.This article proposes that, in line with moral-cosmopolitan theorists, affluent nations have an obligation, founded in justice and not merely altruism or beneficence, to share the responsibility of the burden of public health implementation in low income contexts. The current Ebola epidemic highlights the fact that countries with under-developed health systems and limited resources cannot cope with a significant and sudden health threat. The link between burden of disease, adverse factors in the social environment and poverty is well established and confirmed by the 2008 World Health Organization’s (WHO) Social Determinants of Health Commission report. Well-resourced nations generally consider that they have some humanitarian obligation do assist where possible, but this obligation is limited. The following questions are considered: Is reliance on the principle of beneficence to address the global disparities in the social determinants of health and life expectancy at birth good enough? Do well-resourced nations have some obligation from justice, which is stronger than from beneficence, and which cannot be as easily cast aside or diminished, to address these issues? In a globalised world, shaped by centuries of historical injustice and where first world economies are now so intertwined and reliant on third-world labour, beneficence is not a strong enough principle to base an obligation to achieve the WHO vision of ‘health equity through action on the social determinants of health’.