Display options
Cite
Creary MS. Bounded Justice and the Limits of Health Equity. J Law Med Ethics. 2021;49(2):241-256doi: 10.1017/jme.2021.34.
Creary, M. S. (2021). Bounded Justice and the Limits of Health Equity. The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics, 49(2), 241-256. https://doi.org/10.1017/jme.2021.34
Creary, Melissa S. "Bounded Justice and the Limits of Health Equity." The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics vol. 49,2 (2021): 241-256. doi: https://doi.org/10.1017/jme.2021.34
Creary MS. Bounded Justice and the Limits of Health Equity. J Law Med Ethics. 2021;49(2):241-256. doi: 10.1017/jme.2021.34. PMID: 34924041; PMCID: PMC8245211.
Copy Download .nbib Format: NLM
Share it on

J Law Med Ethics. 2021;49(2):241-256. doi: 10.1017/jme.2021.34.

Bounded Justice and the Limits of Health Equity.

The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics

Melissa S Creary

PMID: 34924041 PMCID: PMC8245211 DOI: 10.1017/jme.2021.34

Abstract

Programs, policies, and technologies - particularly those concerned with health equity - are often designed with justice envisioned as the end goal. These policies or interventions, however, frequently fail to recognize how the beneficiaries have historically embodied the cumulative effects of marginalization, which undermines the effectiveness of the intended justice. These well-meaning attempts at justice are bounded by greater socio-historical constraints. Bounded justice suggests that it is impossible to attend to fairness, entitlement, and equity when the basic social and physical infrastructures underlying them have been eroded by racism and other historically entrenched isms. Using the case of Brazil's National Health Policy for the Black Population, this paper proposes that bounded justice can contribute to justice discourses by serving as a concept, a proffering to a multi-disciplinary conceptual framework, and a potential analytic for those interested in the design of policy, technology, and programmatic interventions towards health equity.

Keywords: Bioethics; Brazil; Health Equity; Justice; Race

References

  1. Health Aff (Millwood). 2009 Jul-Aug;28(4):1103-13 - PubMed
  2. Soc Sci Med. 2015 Oct;143:154-61 - PubMed
  3. Health Aff (Millwood). 2006 Jul-Aug;25(4):1053-60 - PubMed
  4. Am J Public Health. 2011 Dec;101 Suppl 1:S149-55 - PubMed
  5. J Health Care Poor Underserved. 2004 Aug;15(3):319-35 - PubMed
  6. Pediatrics. 2006 May;117(5):1763-70 - PubMed
  7. Proc Natl Acad Sci U S A. 1984 Mar;81(6):1771-3 - PubMed
  8. J Epidemiol Community Health. 2003 Apr;57(4):254-8 - PubMed
  9. Am J Public Health. 2000 Aug;90(8):1212-5 - PubMed
  10. JAMA. 2020 Jun 23;323(24):2458-2459 - PubMed
  11. Ann Emerg Med. 2020 Sep;76(3S):S1-S3 - PubMed
  12. Ann Behav Med. 1999 Spring;21(2):159-70 - PubMed
  13. PLoS Med. 2006 Oct;3(10):e449 - PubMed
  14. Soc Sci Med. 2018 Feb;199:123-131 - PubMed
  15. J Appl Philos. 2001;18(2):159-70 - PubMed
  16. Health Promot Int. 2004 Mar;19(1):115-21 - PubMed
  17. Pediatr Blood Cancer. 2012 Aug;59(2):353-7 - PubMed
  18. Am J Hematol. 2009 Jan;84(1):39-45 - PubMed
  19. N Engl J Med. 1970 Jan 15;282(3):164-5 - PubMed

MeSH terms

Publication Types