27. the content of the human right to health 28. do we have a human right to the political determinants of health

27. the content of the human right to health 28. do we have a human right to the political determinants of health

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時(shí)間:2018-02-09

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1、27TheContentoftheHumanRightto?HealthJonathan?WolffThehumanrighttohealthisattractingincreasingattentionfromphilosophers,andarangeofquestionshasbeenasked.Themostfundamentalone,nodoubt,iswhethertherearegoodreasonsforbelievingthatthereisanysuchthing.I?havedirectlyaddressedthatquestionelsewhere,1buth

2、eremyconcernissomewhatdifferent,andI?addressthefundamentalquestiononlyinmoreindirectfashion.Myaimistocon-sideratypeofcriticismthathastheconclusionthattherecouldnotbe—orperhapsshouldnotbe—ahumanrighttohealth.Thecoreofthatobjectionisthatthereareinsuperabledifficultiesinattemptingtospecifytheconten

3、tofthehumanrighttohealth.Thistypeofobjectionsplitsintotwo.Oneisconceptual;thatthecontentofthehumanrighttohealthcannotbecoherentlyspecified.Thesecondisofamorepracticalnature:?whenspecifiedthehumanrighttohealthleadstounattractive,oratleastsub-optimal,healthpolicies.Answeringtheseobjectionsisthetas

4、kofthispaper,andinfactI?willarguethatthetwoobjectionsneedtobeansweredtogether.Understandingtheconceptualcoreisnecessarytoanswerthepracticalchallengeanddealingwiththepracticalchallengehelpstospecifytheconceptualcore.IfI?amsuc-cessfulthiswouldshowonlythattherecouldbeahumanrighttohealth.Otherargu-m

5、entswouldbeneededtoestablishthat,infact,thereis?one.IninternationallawthehumanrighttohealthmakesarelativelysubduedappearanceintheUniversalDeclarationofHumanRights(UDHR).Humanbeingsaredeclaredtohavearighttoastandardoflivingadequatetohealth,and,insightfully,arighttovariousotherunderlyingdeterminan

6、tsofhealth,suchasfood,clothing,andhous-ing,butalsomedicalcare.However,thedraftersofthelaterInternationalCovenantonEconomic,SocialandCulturalRights(ICESCR)wentmuchfurther,declaringauniversalrighttothehighestattainablestandardofphysicalandmentalhealth.Indoingthisonehastoadmitthattheydidnotmakethin

7、gseasyfortheirdefenders.For,asOnoraO’Neillhaspressed,whatistobemadeoftheideaofthe‘highestattain-ablestandardofhealth’?ConsideralowresourceenvironmentsuchasruralIndiaorsub-SaharanAfrica.Ifwemeanthegloballyhighestattainablesta

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