Columbia International Affairs Online

CIAO DATE: 10/07

Theoria

Vol. 54, No. 1, Issue 112 (April 2007)

Articles

• Justice, Health, and Status (PDF, 24 pages, 92 KB)
  Andrew M. Courtwright

  Philosophical and political discussions of health inequalities have largely focused on questions of justice. The general strategy employed by philosophers like Norman Daniels is to identify a certain state of affairs—in his case, equality of opportunity—and then argue that health disparities limiting an individual’s or group’s access to that condition are unjust, demanding intervention. Recent work in epidemiology, however, has highlighted the importance of socioeconomic status in creating health inequalities. I explore the ways in which theories of justice have been expanded in light of this data, suggesting that more work is required if such theories are to provide an adequate framework for addressing health disparities. I conclude by sketching an alternative possibility for thinking about health disparities outside of the context of justice.

• Doing Queer Love: Feminism, AIDS, and History
  Lisa Diedrich

  In this essay, I utilize the concept of the echo, as formulated in the historical and methodological work of Michel Foucault and Joan W. Scott, to help theorize the historical relationship between health feminism and AIDS activism. I trace the echoes between health feminism and AIDS activism in order to present a more complex history of both movements, and to try to think through the ways that the coming together of these two struggles in a particular place and time—New York City in the 1980s—created particular practices that might be effective in other times and places. The practice that I focus on here is one that I call ‘doing queer love’. As I hope to show, ‘doing queer love’ both describes a particular history of health activism and opens up the possibility of bringing into being a different future than the one a conventional history of AIDS seems to predict. It is an historical echo that I believe we must try to hear now, not just in order to challenge a particular history of AIDS activism in the United States, but also in order to provide a model that can be useful for addressing the continuing problem of AIDS across the globe.

• The Liberal Grounding of the Right to Health Care: An Egalitarian Critique
  Dani Filc

  The language of rights is increasingly used to regulate access to health care and allocation of resources in the health care field. The right to health has been grounded on different theories of justice. Scholars within the liberal tradition have grounded the right to health care on Rawls’s two principles of justice. Thus, the right to health care has been justified as being one of the basic liberties, as enabling equality of opportunity, or as being justified by the maximin principle. In this article, Filc analyzes—from a radical egalitarian standpoint— the limitations of the different attempts to ground an equal right to health on Rawls’s theory of justice and offers a first approximation to a radical egalitarian formulation of the right to health.

• Needs, Medical Necessity, and the Problem of Helping the Uninsured
  Andrew Ward

  The nature of health care, a multifaceted system of reimbursements, subsidies, levels of care, and trade-offs between economics, values and social goods, makes it both a problematic area of policy and critical to the well-being of society. In the United States, provision of health care is not a right as in some countries, but occurs as a function of a complex set of cross-subsidized mechanisms that, according to some analysts, exclude from coverage those who may be in the most need of it. Accordingly, this article examines some of the issues involved in making decisions on how to justly expand health insurance.

• Normalizing Testing—Normalizing AIDS
  Edwin Cameron

  Judge Edwin Cameron (South African Supreme Court of Appeal) makes a plea for a radical change of approach and of formal health policy in relation to HIV/AIDS in South Africa. Cameron delivered this lecture at the University of KwaZulu-Natal Forum on 4 May 2006 as part of the Ronald Louw Memorial Campaign, ‘Get Tested, Get Treated’. Ronald Louw was a Professor of Law at the University of KwaZulu-Natal, an AIDS treatment activist and co-founder of the Durban Gay and Lesbian Community Centre. He died of AIDS in 2005. Cameron, who was appointed by Nelson Mandela to the high court in 1994, is a high profile AIDS activist and gay rights advocate. He has written about the experience of his decision to make public his own HIV positive status in the book, Witness to AIDS (Tafelberg).