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It is not the case that Public health ethics holds a special and significant position in discussions of global justice and duties to the distant poor
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Reasons For
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Reason for 1 of 2
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1.
Rawlsian justice is fundamentally domestic in scope: the basic structure principle applies only within cooperative schemes bounded by coercive institutions.
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2.
Global health disparities arise from failed state institutions, not from transnational cooperative schemes that could ground robust duties of justice.
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3.
Therefore, public health ethics addresses humanitarian duties of assistance, not justice properly construed, diminishing its claimed special position in global justice discourse.
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Reason for 2 of 2
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1.
Health is not lexically prior to other dimensions of well-being; Norman Daniels' species-typical functioning threshold cannot be derived from Rawls without independent argument.
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2.
If health collapses into general well-being, public health ethics holds no privileged analytical position over other domains of global distributive justice.
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Reasons Against
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Reason against
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1.
Questions about duties of justice across national borders arise frequently in public health contexts
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2.
The global justice challenge in health cannot be separated from the broader global justice challenge in well-being
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