Universal Health Coverage, Priority Setting and the Human Right to Health
10 Pages Posted: 6 Aug 2021
Date Written: 2017
As health policy-makers around the world seek to make progress towards universal health coverage they must navigate between two important ethical imperatives: to set national spending priorities fairly and efficiently; and to safeguard the right to health. These imperatives can conflict, leading some to conclude that rights-based approaches present a disruptive influence on health policy, hindering states’ efforts to set priorities fairly and efficiently. Here, we challenge this perception. We argue first that these points of tension stem largely from inadequate interpretations of the aims of priority setting as well as the right to health. We then discuss various ways in which the right to health complements traditional concerns of priority setting and vice versa. Finally, we set out a three-step process by which policy-makers may navigate the ethical and legal considerations at play.
Note: Funding: The roundtable was funded by the Wellcome Trust Ethics and Society Panel and held at University College London on 25th-26th June, 2015. Ole Frithjof Norheim’s participation was funded by NORAD through the grant Priorities in Global Health 2020.
Declaration of Interests: There are no conflicts of interest.
Keywords: human rights, right to health, priority setting in health care
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