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Chapter 14 - Allocating Resources in Humanitarian Medicine

from Section 3 - Analyzing Some Reasons for Poor Health and Responsibilities to Address Them

Published online by Cambridge University Press:  04 February 2021

By
Samia A. Hurst ,
Nathalie Mezger  and
Alex Mauron
Edited by
Solomon Benatar  and
Gillian Brock
Solomon Benatar
Affiliation:
Emeritus Professor of Medicine, University of Cape Town
Gillian Brock
Affiliation:
Professor of Philosophy, University of Auckland
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Summary

Allocating resources in humanitarian medicine is a vitally important and cruelly difficult exercise. In the huge disconnect between severe human needs and limited resources, even asking how allocation can be fair can seem harsh. Do those involved in humanitarian medicine not simply do all they can?

Type
Chapter
Information
Global Health
Ethical Challenges
 , pp. 195 - 206
Publisher: Cambridge University Press
Print publication year: 2021

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References

Arrow, K. J. (2001). Uncertainty and the welfare economics of medical care. 1963. Journal of Health Politics, Policy and Law 26(5), 851–883.CrossRefGoogle ScholarPubMed
Asgary, R., & Waldman, R. J. (2017). The elephant in the room: towards a more ethical approach with accountability towards intended beneficiaries in humanitarian aid. International Health 9(6), 343–348Google Scholar
Ashcroft, R. (2008). Fair process and the redundancy of bioethics: a polemic. Public Health Ethics 1(1), 3–9.CrossRefGoogle Scholar
Barnett, D. J., Taylor, H. A., Hodge, J. G., & Links, J. M. (2009). Resource allocation on the frontlines of public health preparedness and response: report of a summit on legal and ethical issues. Public Health Reports 124(2), 295–303.Google Scholar
Bealt, J., & Mansouri, S. A. (2018). From disaster to development: a systematic review of community-driven humanitarian logistics. Disasters 42(1), 124–148CrossRefGoogle ScholarPubMed
Beitz, C. R. (1975). Justice and international relations. Philosophy and Public Affairs 4(4), 360–389, p 388.Google Scholar
Beitz, C. R. (2001). Does global inequality matter? Metaphilosophy 32(1–2), 97–112.Google Scholar
Birch, M., & Miller, S. (2005). Humanitarian assistance: standards, skills, training, and experience. British Medical Journal 330(7501), 1199–1201.CrossRefGoogle ScholarPubMed
Buchanan, A. (1999). The internal legitimacy of humanitarian intervention. Journal of Political Philosophy 7(1), 71–87.Google Scholar
Calmy, A., Klement, E., Teck, R., et al. (2004). Simplifying and adapting antiretroviral treatment in resource- poor settings: a necessary step to scaling-up. AIDS 18, 2353–2360.Google Scholar
Caney, S. (2001). Cosmopolitan justice and equalizing opportunities. Metaphilosophy 32(1–2), 113–134.Google Scholar
Civaner, M. M., Vatansever, K., & Pala, K. (2017). Ethical problems in an era where disasters have become a part of daily life: a qualitative study of healthcare workers in Turkey. PLoS ONE 12(3), e0174162.CrossRefGoogle Scholar
Clarival, C., & Biller-Andorno, N. (2014). Challenging operations: an ethical framwork to assist humanitarian aid workers in their decision-making processes. PLoS Currents 23(6) pii.Google Scholar
Colombo, S., & Checchi, F. (2018). Decision-making in humanitarian crises: politics, and not only evidence, is the problem. Epidemiologia and Prevenzione 42(3–4), 214–225.Google Scholar
Coulter, A., & Ham, C. (2000). The Global Challenge of Health Care Rationing. Maidenhead, UK: Open University Press.Google Scholar
Daniels, N. (1985). Just Health Care. New York: Cambridge University Press.Google Scholar
Daniels, N. (1994). Four unsolved rationing problems: a challenge. Hastings Center Report 24(4), 27–29.Google Scholar
Daniels, N., & Sabin, J. (1997). Limits to health care: fair procedures, democratic deliberation, and the legitimacy problem for insurers. Philosophy and Public Affairs 26(4), 303–350.Google Scholar
Diallo, D. A., Doumbo, O. K., Plowe, C. V., et al. (2005). Community permission for medical research in developing countries. Clinical Infectious Diseases 41(2), 255–259.Google Scholar
Dyer, O. (2004). Bush accused of blocking access to cheap AIDS drugs. British Medical Journal 328, 783.Google Scholar
Forst, R. (2001). Towards a critical theory of transnational justice. Metaphilosophy 32(1–2), 160–179.Google Scholar
Fraser, V., Hunt, M. R., de Laat, S., & Schwartz, L. (2015). The development of a humanitarian health ethics analysis tool. Prehospital and Disaster Medicine 31(4), 412–420.Google Scholar
Fuller, L. (2006). Justified commitments? Considering resource allocation and fairness in Médecins Sans Frontières Holland. Developing World Bioethics 6(2), 59–70.Google Scholar
Granich, R., Gupta, S., & Williams, B. G. (2018). HIV, 95-95-95 and the allocative efficiency fallacy: why treating everyone makes sense from a humanitarian, clinical, economic and disease control perspective. Journal of the International AIDS Society 21(10), e25191.Google Scholar
Harding-Pink, D. (2004). Humanitarian medicine: up the garden path and down the slippery slope. British Medical Journal 329(7462), 398–399.Google Scholar
Hendrickson, D. (1998). Humanitarian action in protracted crisis: an overview of the debates and dilemmas. Disasters 22(4), 283–287.Google Scholar
Hendriks, A., & Toebes, B. (1998). Towards a universal definition of the right to health? Medical Law 17(3), 319–332.Google ScholarPubMed
Hinsch, W. (2001). Global distributive justice. Metaphilosophy 32(1–2), 58–78.Google Scholar
Hodge, J. G., Hanfling, D., & Powell, T. P. (2013) Practical, ethical, and legal challenges underlying crisis standards of care. Journal of Law and Medical Ethics 41(Suppl 1), 50–55.Google Scholar
Hurst, S. A., & Danis, M. (2007). A framework for rationing by clinical judgment. Kennedy Institute of Ethics Journal 17(3), 247–266.CrossRefGoogle ScholarPubMed
Jonsen, A. R. (1986). Bentham in a box: technology assessment and health care allocation. Law, Medicine and Health Care 14(3–4), 172–174.Google Scholar
Katz, A. (2004). The Sachs report: investing in health for economic development – or increasing the size of the crumbs from the rich man’s table? International Journal of Health Services 34(4), 751–773.Google Scholar
Laurent, C., Kouanfack, C., Koulla-Shiro, S., et al. (2004). Effectiveness and safety of a generic fixed-dose combination of nevirapine, stavudine, and lamivudine in HIV-1-infected adults in Cameroon: open-label multicentre trial. Lancet 364(9428), 29–34.CrossRefGoogle ScholarPubMed
Leider, J. P., DeBruin, D., Reynolds, N., et al. (2018). Ethical guidance for disaster response, specifically around crisis standards of care: a systematic review. American Journal of Public Health 107(9), e1–e9.Google Scholar
Macklin, R. (2003). Ethics and equity in access to HIV treatment: “3 by 5”initiative. WHO. Available at www.who.int/ethics/en/background-macklin.pdf.Google Scholar
McIntyre, A. (1994). Guilty bystanders? On the legitimacy of duty to rescue statutes. Philosophy and Public Affairs 23, 157–191.CrossRefGoogle Scholar
McKie, J., & Richardson, J. (2003). The rule of rescue. Social Science and Medicine 56(12), 2407–2419.CrossRefGoogle ScholarPubMed
Michael, M., & Zwi, A. B. (2002). Oceans of need in the desert: ethical issues identified while researching humanitarian agency response in Afghanistan. Developing World Bioethics 2(2), 109–130, p109.Google Scholar
Murphy, L. B. (2000). Moral Demands in Non-ideal Theory. Oxford, UK: Oxford University Press.CrossRefGoogle Scholar
Nagel, T. (2005). The problem of global justice. Philosophy and Public Affairs 33(2), 113–147.Google Scholar
O’Neill, O. (2001). Agents of justice. Metaphilosophy 32(1–2), 181–195.Google Scholar
Palmer, C. A. (1999). Rapid appraisal of needs in reproductive health care in southern Sudan: qualitative study. British Medical Journal 319(7212), 743–748.CrossRefGoogle ScholarPubMed
Pogge, T. W. (2002). Responsibilities for poverty-related ill health. Ethics and International Affairs 16(2), 71–79.CrossRefGoogle ScholarPubMed
Pogge, T. W. (2005). Real World Justice. Journal of Ethics 9, 29–53.Google Scholar
Redmond, A. D. (2005). Needs assessment of humanitarian crises. British Medical Journal 330(7503), 1320–1322.Google Scholar
Rougemont, A. (1995). From humanitarian action to international health. Soz Praventivmed 40(1), 3–10.Google Scholar
Ryus, C., & Baruch, J. (2018). The duty of mind: ethical cpacity in a time of crisis. Disaster Medicine and Public Health Preparedness 12(5):657–662.Google Scholar
Scarnecchia, D. P., Reymond, N. A., Greenwood, F., et al. (2017). A rights-based approach to information in humanitarian assistance. PLoS Current 20(9), pii.Google Scholar
Scheffler, S. (1992). Human Morality. Oxford, UK: Oxford University Press.Google Scholar
Timble, J. W., Ringel, J. S., Fox, D. S., et al. (2013). Systematic review of strategies to manage and allocate scarce resources during mass casualty events. Annals of Emergency Medicine 61(6), 477–689.Google Scholar
United Nations (1948). Universal Declaration of Human Rights, Article 25. Available at www.un.org/Overview/rights.html.Google Scholar
Wikler, D. (2003). Why prioritize when there isn’t enough money? Cost Effective Resource Allocation 1(1), 5.Google Scholar

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