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  1. Age and Illness Severity: A Case of Irrelevant Utilities?Borgar Jølstad & Niklas Juth - 2022 - Utilitas 34 (2):209-224.
    Illness severity is a priority setting criterion in several countries. Age seems to matter when considering severity, but perhaps not small age differences. In the following article we consider Small Differences : small differences in age are not relevant when considering differential illness severity. We show that SD cannot be accommodated within utilitarian, prioritarian or egalitarian theories. Attempting to accommodate SD by postulating a threshold model becomes exceedingly complex and self-defeating. The only way to accommodate SD seems to be to (...)
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  • Should Rare Diseases Get Special Treatment?Monica Magalhaes - 2022 - Journal of Medical Ethics 48 (2):86-92.
    Orphan drug policy often gives ‘special treatment’ to rare diseases, by giving additional priority or making exceptions to specific drugs, based on the rarity of the conditions they aim to treat. This essay argues that the goal of orphan drug policy should be to make prevalence irrelevant to funding decisions. It aims to demonstrate that it is severity, not prevalence, which drives our judgments that important claims are being overlooked when treatments for severe rare diseases are not funded. It shows (...)
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  • Bør vi diskontere fremtidige helsegevinster?Carl Tollef Solberg, Mathias Barra & Bjarne Robberstad - 2020 - Norsk Filosofisk Tidsskrift 55 (2-03):170-184.
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  • Public Health Priority Setting: A Case for Priority to the Worse Off in Well-Being During the COVID-19 Pandemic.Sindre August Horn, Mathias Barra, Ole Frithjof Norheim & Carl Tollef Solberg - 2021 - Etikk I Praksis - Nordic Journal of Applied Ethics 2:5-15.
    In Norway, priority for health interventions is assigned on the basis of three official criteria: health benefit, resources, and severity. Responses to the COVID-19 pandemic have mainly happened through intersectoral public health efforts such as lockdowns, quarantines, information campaigns, social distancing and, more recently, vaccine distribution. The aim of this article is to evaluate potential priority setting criteria for public health interventions. We argue in favour of the following three criteria for public health priority setting: benefit, resources and improving the (...)
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  • Responsibility for Funding Refractive Correction in Publicly Funded Health Care Systems: An Ethical Analysis.Joakim Färdow, Linus Broström & Mats Johansson - 2021 - Health Care Analysis 29 (1):59-77.
    Allocating on the basis of need is a distinguishing principle in publicly funded health care systems. Resources ought to be directed to patients, or the health program, where the need is considered greatest. In Sweden support of this principle can be found in health care legislation. Today however some domains of what appear to be health care needs are excluded from the responsibilities of the publicly funded health care system. Corrections of eye disorders known as refractive errors is one such (...)
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  • Hope or Despair: A Response to ‘Do Not Despair About Severity—Yet’.Daniel Hausman - 2020 - Journal of Medical Ethics 46 (8):559-559.
    This is a brief response to ‘Do not despair about severity—yet’ by Barra et al. It argues that they have no serious criticisms of Daniel Hausman’s essay, ‘The Significance of Severity’” and that indeed their work lends further support to his view that there is no justification for prioritising severity. As policy-akers, Barra and his coauthors are more constrained by popular attitudes, which apparently favour prioritising severity.
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