- Theoretical Strategies to Define Disability
- Disability, Health, and Difference
- Philosophy and the Apparatus of Disability
- What’s Wrong with “You Say You’re Happy, but … ” Reasoning?
- Epistemic Exclusion, Injustice, and Disability
- Cognitive Disability and Embodied, Extended Minds
- Disabilities and Well-Being: The Bad and the Neutral
- Habilitative Health and Disability
- The Visible and the Invisible: Disability, Assistive Technology, and Stigma
- Contractualism, Disability, and Inclusion
- Civic Republican Disability Justice
- Reproductive Choice in Context: Avoiding Excess and Deficiency?
- The Limiting Role of Respect
- Respect, Identification, and Profound Cognitive Impairment
- A Dignitarian Approach to Disability: From Moral Status to Social Status
- Dignity, Respect, and Cognitive Disability
- Disability, Rationality, and Justice: Disambiguating Adaptive Preferences
- Educational Justice for Students with Intellectual Disabilities
- Neurotechnologies and Justice by, with, and for Disabled People
- Second Thoughts on Enhancement and Disability
- Cost-Effectiveness Analysis and Disability Discrimination
- The Disability Case Against Assisted Dying
- Prioritization and Parity: Which Disabled Newborn Infants Should Be Candidates for Scarce Life-Saving Treatment?
- On Moral Status and Intellectual Disability: Challenging and Expanding the Debates
- Cognitive Disability and Moral Status
- Bioethics, Disability, and Selective Reproductive Technology: Taking Intersectionality Seriously
- Procreation and Intellectual Disability: A Kantian Approach
- Parental Autonomy, Children with Disabilities, and Horizontal Identities
- Why People with Cognitive Disabilities Are Justified in Feeling Disquieted by Prenatal Testing and Selective Termination
- Ideals of Appreciation and Expressions of Respect
Abstract and Keywords
Cost-effectiveness analysis (CEA) is an analytical tool in health economics. One of the most important objections to it is that its use can lead to unjust discrimination against people with disabilities. This chapter evaluates this objection. It begins by clarifying its nature, then it examines some alleged forms of discrimination. It argues that they are either not cases of unjust discrimination, or they are based on misunderstandings of CEA. However, the chapter does point out that there is one case in which the use of CEA may disadvantage people with disabilities. It goes on to consider several proposals for explaining the wrongness of discrimination but argues that none of them accommodates this case. It concludes that the case should not be thought as a matter of unjust discrimination; rather, it should be thought of as raising an issue for justice in the allocation of health-care resources.
Greg Bognar is Senior Lecturer in Practical Philosophy at Stockholm University and Senior Researcher at the Stockholm Centre for Healthcare Ethics (CHE). His research is in normative and applied ethics, especially bioethics and politics, philosophy, and economics (PPE). He is the author, with Iwao Hirose, of The Ethics of Health Care Rationing: An Introduction (Routledge, 2014).
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