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    The worst-off could reasonably accept some natural inequa... — Carmelics
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    Challenges→Scanlon's reasonable rejectability test applies symmetrically: any principle permitting uncompensated natural disadvantage is rejectable by the worst-off, collapsing into Rawlsian difference-principle egalitarianism.

    The worst-off could reasonably accept some natural inequality if institutional principles ensure adequate minimum provision and fair opportunity, without demanding difference-principle maximization.

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    Key Terms

    adequate minimum provision(as used in discussions of fairness and social welfare)
    Ensuring everyone has enough of the basics they need to live decently—like food, shelter, education, and healthcare—even if some people have much more.
    difference principle(Contrasted with FEO as regulating consumption activities rather than self-realization)
    The Rawlsian principle demanding maximization of the social primary goods holdings of the worst-off members of society.
    fair opportunity(Used to ground justice-based claims for health prioritization in public policy)
    A distributive principle holding that health policy should protect or restore individuals' access to normal opportunity ranges and societal prospects
    institutional principles(as used in theories of justice)
    The basic rules and structures that a society sets up (like laws, schools, and economic systems) to organize how people live together.

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    maximization(Distinguished from optimization in economics literature; Sen 1997, 746; Sen 2000, 486)
    A theory of justified choice requiring only that the chosen alternative is not worse than other available alternatives, without requiring it to be at least as good as all of them.
    natural inequality(as used in political philosophy and justice theory)
    Differences in wealth, abilities, or social status that arise from people's inborn talents, luck, or circumstances—not from unfair rules or discrimination.

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    Scanlon's reasonable rejectability test applies symmetrically: any principle per...

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