One of the most basic paradoxes of social life is that while we experience ourselves as individuals, we do so only in the context of the pre-existing social environment into which we were born. This environment existed before us and will exist after us . Given this, there are at least two logical ways to study the relationships between the social environment and the individual. On the one hand, you can start at the individual level and analyze how individuals become (...) aggregated to form a social group. But you can also proceed in the opposite direction by asking how the social group creates the individual. Both are valid approaches. The biological sciences .. (shrink)

Una de las cuestiones que debería preocupar más a la teoría de la justicia global es la enorme desigualdad de salud que hay en el mundo. En este artículo, se repasan las causas de la desigualdad global de salud y los argumentos éticos a favor y en contra de la necesidad de tratar dicha desigualdad desde la perspectiva de la justicia global. Tras rechazar los argumentos en contra tanto del libertarismo de derechas como del estatalismo, y tras exponer las críticas (...) tanto al lenguaje de los derechos humanos como a la propuesta poggeana de reducir los deberes de la justicia global a deberes morales negativos, defiendo la necesidad de partir de un criterio de justicia global suficientista y basado en los deberes morales positivos para afrontar la gravedad y la urgencia moral que suponen las desigualdades globales de salud. (shrink)

Considering the urgency of addressing grand challenges that affect human health and achieving the ambitious health targets set by the United Nations’ Sustainable Development Goals, the role of business in improving health has become critical. Yet, our systematic review of the business–health literature reveals that business research focuses primarily on occupational health and safety, health care organizations, and health regulations. To embrace the health externalities generated by business activities, we propose that future research should investigate the conditions under which business (...) articulates and participates in health challenges, engages in multilevel actions toward tackling health challenges, and improves health outcomes and its impact on the health of external stakeholders, including customers and local communities. We also urge business scholars to engage with the public health research community to increase impact. (shrink)

This paper argues that there is a need to move yet further than has already been suggested by some from the individual to the collective as a base for public health. A communitarian approach is one way to achieve this. This has the advantage of allowing not only the community’s voice to have a say in setting the values for public health but also more formally the development of a constitution on which public health might then be built. It also (...) sees public health as a social institution which can be valued in its own right. (shrink)

It often appears that the most appropriate form of addressing disadvantage related to disability is through policies that can be called “status enhancements”: changes to the social, cultural and material environment so that the difficulties experienced by those with impairments are reduced, even eradicated. However, status enhancements can also have their limitations. This paper compares the relative merits of policies of status enhancement and “personal enhancement”: changes to the disabled person. It then takes up the question of how to assess (...) the priority of the claims of disabled people in the face of scarcity of resources for which there can be many competing social claims, arguing for the theory of “declustering disadvantage”. (shrink)

The sustainable development of rural areas involves guaranteeing the quality of life and well-being of people who live in those areas. Existing studies on farmer health and well-being have revealed high levels of stress and low well-being, with government regulations emerging as a key stressor. This ethnographic study takes smallholder farmers in two rural mountain areas of Italy, one in the central Alps and one in the northwest Apennines, as its focus. It asks how and why the current policy and (...) regulatory context of agriculture affects farmer well-being. Interviews and participant observation were conducted with 104 farmers. Three common scenarios emerged that negatively affect farmer well-being. First, policies and regulations designed for lowland areas do not always make sense when applied in the mountains. Second, when subsidies are put into effect at the local level, the reality of their implementation can veer away from the original goals of the funding program and have unintended effects on farmer well-being, agricultural practices, and the environment. Finally, when regulations are implemented on farms in rural mountain areas, the primacy of a techno-scientific knowledge system over other, local and place-based knowledge systems is exposed. These three scenarios affect well-being by eliciting feelings of stress, frustration, and disillusionment; by reducing farmer control over their work; and by fostering the perception that farming is not valued by society. They also create conditions of inequality and insecurity. The ways in which government policies and regulations play out on mountain farms can erode trust in government institutions, lead to an us versus them mentality, and contribute to the further abandonment of agriculture and rural areas. (shrink)

Equality is the central value for egalitarians. It is the value that distinguishes egalitarianism from other political theories. However, if equality is the central value for egalitarians, then why it is of value should be an obvious starting point for any discussion of egalitarianism. This article seeks to clarify the ways in which equality has been valued in philosophical discussion. I discuss the standard ways of valuing equality and argue that an understanding of equality as valuable because it is part (...) of other values offers an important new insight into how we value equality especially in relation to the traditional understanding of equality as either intrinsically or instrumentally valuable. (shrink)

Health care services increasingly face patient populations with high levels of ethnic and cultural diversity. Cultures are associated with distinctive ways of life; concepts of personhood; value systems; and visions of the good that affect illness experience, help seeking, and clinical decision-making. Cultural differences may impede access to health care, accurate diagnosis, and effective treatment. The clinical encounter, therefore, must recognize relevant cultural differences, negotiate common ground in terms of problem definition and potential solutions, accommodate differences that are associated with (...) good clinical outcomes, and manage irresolvable differences. Clinical attention to and respect for cultural difference (a) can provide experiences of recognition that increase trust in and commitment to the institutions of the larger society, (b) can help sustain a cultural community through recognition of its distinct language, knowledge, values, and healing practices, and (c) to the extent that it is institutionalized, can contribute to building a pluralistic civil society. (shrink)

This review article takes up certain key issues that are at stake in the valuable collection of essays edited by Lovell. It considers critically the argument that the adoption of Fraser's perspectival dualism implies regression to a base—superstructure theory of the social. It assesses the advantages of extending the dualism of redistribution and recognition to include also the need for participatory parity in the post-Westphalian political order. It raises again the question of whether Honneth is sociologically more forceful than Fraser (...) in arguing that material inequality is merely a facet of a more profound disrespect (lack of recognition). Lovell's assessment of Honneth's `recognition monism' is commended in that it resurrects an earlier critique of structural-functionalism to make a helpful distinction between social integration and (non-normative) system integration. She addresses these issues in terms of a wider critical realism concerned with disaggregating those social relations which are more causally generative from others: an approach which permits illuminating debates over the degree to which patriarchy and heteronormativity are contingent or necessary to late capitalism. Lovell also introduces Bourdieu into the debate, and especially his conceptions of misrecognition and symbolic violence. Finally, Sayer's vigorous arguments about the moral significance of distribution and class are considered as contributing to the current ethical turn. The article ends with an attempt to defend Bourdieu, whom Sayer sees both as a profound sociologist of class but also a theorist oriented too exclusively to agents' egoistic search for strategic advantage. The author concludes that although Fraser's perspectival trinity (or dualism) approach seems preferable to Honneth's monism, this should not obscure the empirical interweaving of deficiencies of distribution and of recognition in social reality. Indeed, new studies show the far-reaching consequences of this. In those societies where maldistribution is most marked, exposure to certain psychosocial risks such as low status (recognition) and low social capital literally incorporate stress, via biological pathways. Hence unequal health outcomes of a surprising range can also be detected. (shrink)

Introducción al Dossier "Bioética después de la COVID-19. Derecho a la salud y garantía de bienes públicos en el contexto post-pandemia".

This article investigates relationships between countries' legal traditions and their quality of life as measured by a number of widely reported social indicators; in so doing it also offers a critique of a highly influential body of work which is widely cited in the literatures of corporate governance, economics and finance. That body of work has shown, inter alia, statistically significant relationships between legal traditions and various proxies for investor protection. We show statistically significant relationships between legal traditions and various (...) proxies for societal health. Our comparative evidence suggests that the interests of investors are not congruent with the interests of wider society, and that the criteria for judging the effectiveness of approaches to corporate governance should be broadened. (shrink)