This paper argues that the medical conception of health as absence of disease is a value-free theoretical notion. Its main elements are biological function and statistical normality, in contrast to various other ideas prominent in the literature on health. Apart from universal environmental injuries, diseases are internal states that depress a functional ability below species-typical levels. Health as freedom from disease is then statistical normality of function, i.e., the ability to perform all typical physiological functions with at least typical efficiency. (...) This conception of health is as value-free as statements of biological function. The view that health is essentially value-laden, held by most writers on the topic, seems to have one of two sources: an assumption that health judgments must be practical judgments about the treatment of patients, or a commitment to "positive" health beyond the absence of disease. I suggest that the assumption is mistaken, the commitment possibly misdescribed. (shrink)

Though the Revised Edition of A Theory of Justice, published in 1999, is the definitive statement of Rawlsıs view, so much of the extensive literature on ...

This paper examines the relationship between the development of talented young sports people and conceptions of social justice. It is set within the context of recent policy developments in the United Kingdom that place renewed emphasis on talent development (and wider issues of ?gifted and talented education?), and justifies this with explicit reference to social justice. After providing a summary of relevant policy initiatives and their often-unstated presumptions, the paper goes on to examine the different ways in which philosophers have (...) conceptualised the role of luck in human affairs. Luck is a matter of particular interest to social justice theorists, who often frame their discussions in terms of the neutralisation of luck. This presents something of a problem for policy makers, as talent development seems destined to exaggerate the effects of luck, not neutralise them. In other words, it is suggested here that talent development cannot be justified in terms of social justice ? at least the version of social justice advocated my many of the leading theorists ? because it results in the opposite outcome than would be desired. None of this means that talent development is indefensible; it is just indefensible in the terms used in the UK talent development policy. (shrink)

This book, written by four internationally renowned bioethicists and first published in 2000, was the first systematic treatment of the fundamental ethical issues underlying the application of genetic technologies to human beings. Probing the implications of the remarkable advances in genetics, the authors ask how should these affect our understanding of distributive justice, equality of opportunity, the rights and obligations as parents, the meaning of disability, and the role of the concept of human nature in ethical theory and practice. The (...) book offers a historical context to contemporary debate over the use of these technologies by examining the eugenics movement of the late nineteenth and early twentieth centuries. The questions raised in this book will be of interest to any reflective reader concerned about science and society and the rapid development of biotechnology, as well as to professionals in such areas as philosophy, bioethics, medical ethics, health management, law, and political science. (shrink)