Why health is not special: Errors in evolved bioethics intuitions
Social Philosophy and Policy, vol. 19, no. 2, 2002, pp. 153–179
Abstract
There is a widespread feeling that health is special; the rules that are usually used in other policy areas are not applied in health policy. Health economists, for example, tend to be reluctant to offer economists’ usual prescription of competition and consumer choice, even though they have largely failed to justify this reluctance by showing that health economics involves special features such as public goods, externalities, adverse selection, poor consumer information, or unusually severe consequences.
Quotes from this work
When large regions of one’s data are suspect and for that reason given less credence, even complex curves will tend to look simpler as they are interpolated across such suspect regions. In general, the more error one expects in one’s intuitions (one’s data, in the curve-fitting context), the more one prefers simpler moral principles (one’s curves) that are less context-dependent. This might, but need not, tip the balance of reflective equilibrium so much that we adopt very simple and general moral principles, such as utilitarianism. This might not be appealing, but if we really distrust some broad set of our moral intuitions, this may be the best that we can do.