In this book Tibor R. Machan analyses the state of the debate on libertarianism post Nozick. Going far beyond the often cursory treatment of libertarianism in major books and other publications he examines closely the alternative non-Nozickian defences of libertarianism that have been advanced and, by applying these arguments to innumerable policy areas in the field, Machan achieves a new visibility and prominence for libertarianism.

In this paper I argue that a narrow view of justice dominates the bioethics literature. I urge a broader view. As bioethicists, we often conceive of justice using a medical model. This model focuses attention at a particular point in time, namely, when someone who is already sick seeks access to scarce or expensive services. A medical model asks how we can fairly distribute those services. The broader view I endorse requires looking upstream, and asking how disease and suffering came (...) about. In contrast to a medical model, a social model of justice considers how social determinants affect the health of a population. For example, social factors such as access to clean drinking water, education, safe workplaces, and police protection, profoundly affect risk for disease and early death. I examine one important social determinant of health, health care coverage, to show the limits of a medical model and the merits of a broader view. (shrink)