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Reasonable disagreement and the generally unacceptable: a philosophical analysis of Making Fair Choices

  • Benedict E. Rumbold (a1) and James Wilson (a2)

In this article we consider the conclusions and recommendations of the World Health Organisation’s report Making Fair Choices from a philosophical perspective. In particular we reflect on the report’s return to substantive claims about justice in the allocation of health care resources and its argument that certain trade-offs are ‘generally unacceptable’.

Corresponding author
*Correspondence to: Benedict E. Rumbold, Department of Political Science, UCL, The Rubin Building, 29/31 Tavistock Square, London, WC1H 9QU, UK. Email:
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Ashcroft, R. (2008), ‘Fair process and the redundancy of bioethics: a polemic’, Public Health Ethics, 1(1): 39.
Daniels, N. (1994), ‘Four unsolved rationing problems: a challenge’, The Hastings Center Report, 24(4): 2729.
Daniels, N. (2008), Just Health: Meeting Health Needs Fairly, Cambridge: Cambridge University Press.
Daniels, N. and Sabin, J. E. (2008), Setting Limits Fairly: Learning to Share Resources for Health, 2nd edn, Oxford: Oxford University Press.
Holm, S. (1998), ‘Goodbye to the simple solutions: the second phase of priority setting in health care’, British Medical Journal, 317: 10001002.
World Health Organisation (WHO) (2014), Making Fair Choices on the Path to Universal Health Coverage, Geneva: World Health Organisation. [27 July 2014].
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Health Economics, Policy and Law
  • ISSN: 1744-1331
  • EISSN: 1744-134X
  • URL: /core/journals/health-economics-policy-and-law
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