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Equity, Participation, and Power

Achieving Health Justice Through Deep Democracy

Published online by Cambridge University Press:  01 January 2021

Abstract

This article explores how health governance has evolved into an enormously complicated—and inequitable and exclusionary—system of privatized, fragmented bureaucracy, and argues for addressing these deficiencies and promoting health justice by radically deepening democratic participation to rebalance decision-making power. It presents a framework for promoting four primary outcomes from health governance: universality, equity, democratic control, and accountability, which together define health justice through deep democracy. It highlights five mechanisms that hold potential to bring this empowered participatory mode of governance into health policy: participatory needs assessments, participatory human rights budgeting, participatory monitoring, public health care advocates, and citizen juries.

Type
Symposium Articles
Copyright
Copyright © American Society of Law, Medicine and Ethics 2020

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