Staff Publications

Staff Publications

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    'Staff publications' is the digital repository of Wageningen University & Research

    'Staff publications' contains references to publications authored by Wageningen University staff from 1976 onward.

    Publications authored by the staff of the Research Institutes are available from 1995 onwards.

    Full text documents are added when available. The database is updated daily and currently holds about 240,000 items, of which 72,000 in open access.

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Record number 559831
Title Why Socio-Economic Inequalities in Health Threaten Relational Justice. A Proposal for an Instrumental Evaluation
Author(s) Haverkamp, B.; Verweij, M.F.; Stronks, K.
Source Public Health Ethics 11 (2018)3. - ISSN 1754-9973 - p. 311 - 324.
Department(s) Philosophy
Publication type Refereed Article in a scientific journal
Publication year 2018
Abstract In this article, we argue that apart from evaluating the causes and the social determinants of health inequalities, an evaluation of the effects of health inequalities is due. For this, we propose the ideal of relational equality as an evaluative framework, and test to what extent health inequalities threaten this ideal of a society of equals. We identify three ways in which they do (i.e. via unequal risks to stigmatization, unequal risks to unemployment and unequal risks to unequal pension enjoyments) and argue that these risks are especially great for those lower down the socio-economic strata. We thus conclude that equality in health is instrumental to social justice, and that socio-economic inequalities in health are not only unjust due to their causes but also due to their consequences. We continue to argue that our instrumental approach opens a perspective to mitigate the identified injustices by changing society, rather than reducing inequalities in health, and argue that this is an advantage in the light of the realistic assumption that (part) of the socio-economic health inequalities will persist. The article thus offers a complementary approach to both the evaluation and the mitigation of the injustice of socio-economic inequalities in health.
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