The ethical canary: narrow reflective equilibrium as a source of moral justification in healthcare priority-setting
2024

The Ethical Canary in Healthcare Priority-Setting

publication Evidence: moderate

Author Information

Author(s): Victoria Charlton, Michael J DiStefano

Primary Institution: King's College London

Hypothesis

Can narrow reflective equilibrium provide a moral justification for healthcare priority-setting?

Conclusion

Establishing narrow reflective equilibrium is crucial for ensuring that healthcare priority-setting decisions are morally justified.

Supporting Evidence

  • Healthcare priority-setting decisions can create both winners and losers in society.
  • Legitimacy in healthcare decisions is derived from both legal and ethical grounds.
  • Coherence in moral systems can enhance the perceived legitimacy of priority-setting decisions.

Takeaway

This study suggests that healthcare decision-makers should make sure their choices are consistent and support each other, like a team working together, to be seen as fair.

Methodology

The paper proposes a theoretical framework for evaluating coherence in healthcare priority-setting decisions.

Potential Biases

Potential biases may arise if decision-makers lack the qualities of competent moral judges.

Limitations

The study does not claim that achieving narrow reflective equilibrium is sufficient for moral justification.

Digital Object Identifier (DOI)

10.1136/jme-2023-109467

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