中国伦理学会会刊
国家社科基金资助期刊
中文社会科学引文索引(CSSCI)来源期刊
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伦理学研究

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美国老龄化社会卫生资源分配正义理论争鸣及启示

刘玮玮   

  1. 天津医科大学医学人文学院
  • 收稿日期:2014-12-16 修回日期:2014-10-19 发布日期:2015-04-01
  • 通讯作者: 刘玮玮

The Debate and Implication of Distributive Justice Theory on Health Resources in American Aging Society

  • Received:2014-12-16 Revised:2014-10-19 Published:2015-04-01

摘要: 对于步入老龄化社会的美国,如何在卫生资源有限的情况下既能满足老年人的医疗卫生需求又能不损代际公正,美国学者Lamm、Daniels、Callahan和Churchill分别提出了功利主义、罗尔斯式的自由主义、社群主义、出自同情的正义这四种分配正义观。这四种分配正义观各有其理论得失,它们对于同样步入老龄化社会的当今中国有着深刻的现实启示,即老龄化社会卫生资源分配正义应秉持尊重老年人的基本立场、保持同一性正义与差异性正义的协同、诉诸相关制度安排的合理性以及个人的道德理性。

关键词: 美国, 老龄化社会, 老年人, 卫生资源, 分配正义

Abstract: How to meet the elder’s health demand but not to damage the intergenerational justice in the case of the limited health resources in American aging society, American scholars including Lamm, Daniels, Callahan and Churchill proposed utilitarianism distributive justice theory, Rawlsian liberalism distributive justice theory, communitarianism distributive justice theory and justice-by-sympathy distributive justice theory respectively. These four kinds of distributive justice theory have their own merits and inadequacies, which have profound implications to China aging society,that is we should respect the elderly, keep the harmony of identity justice and diversity justice and depend on the reasonable arrangement of relevant institutions and the moral reason of individuality in order to realize the distributive justice on health resources in aging society.

Key words: America, Aging society, the Elderly, Health resource, Distributive justice