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Shared Health Governance

American Journal of Bioethics, Vol. 11, No. 7, pp. 32-45, 2011

14 Pages Posted: 1 Feb 2011 Last revised: 28 Jun 2011

Jennifer Prah Ruger

University of Pennsylvania

Date Written: June 27, 2011


Health and Social Justice (Ruger 2009a) developed the “health capability paradigm,” a conception of justice and health in domestic societies. This idea undergirds an alternative framework of social cooperation called “shared health governance” (SHG). SHG puts forth a set of moral responsibilities, motivational aspirations, and institutional arrangements, and apportions roles for implementation in striving for health justice. This article develops further the SHG framework and explains its importance and implications for governing health domestically.

Keywords: health governance, health ethics, social cooperation, self-interest, shared health governance

JEL Classification: I10

Suggested Citation

Prah Ruger, Jennifer, Shared Health Governance (June 27, 2011). American Journal of Bioethics, Vol. 11, No. 7, pp. 32-45, 2011. Available at SSRN:

Jennifer Prah Ruger (Contact Author)

University of Pennsylvania ( email )

Philadelphia, PA 19104
United States

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