The Pluralist Right to Health Care: A Framework and Case Study

Awards:   Short-listed for The W. Wesley Pue Prize awarded by The Canadian Law and Society Association 2022 (Canada)
Author:   Michael Da Silva
Publisher:   University of Toronto Press
ISBN:  

9781487508722


Pages:   328
Publication Date:   02 December 2021
Format:   Hardback
Availability:   Temporarily unavailable   Availability explained
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The Pluralist Right to Health Care: A Framework and Case Study


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Awards

  • Short-listed for The W. Wesley Pue Prize awarded by The Canadian Law and Society Association 2022 (Canada)

Overview

"Health rights are a common but controversial legal phenomenon. Every country is signatory to a treaty that incorporates health rights, yet existing health rights do not fit easily into the traditional ""claim right"" model, and questions remain over how to theoretically incorporate health rights into domestic systems. The Pluralist Right to Health Care addresses this incongruity between theory and practice with an account of the right to health care that is both philosophically and practically sound. Utilizing a pluralist framework, Michael Da Silva argues that the right to health care is best understood as a set of claims to related ends: the goods necessary for a dignified existence, procedural fairness in determining what other goods to provide and in the provision of goods, and a functioning health care system. Through philosophical reasoning, analysis of relevant international human rights law, and a close study of the Canadian case, The Pluralist Right to Health Care provides crucial insight into the potential of law and policy to improve health care systems in Canada and beyond."

Full Product Details

Author:   Michael Da Silva
Publisher:   University of Toronto Press
Imprint:   University of Toronto Press
Dimensions:   Width: 15.70cm , Height: 2.30cm , Length: 23.90cm
Weight:   0.600kg
ISBN:  

9781487508722


ISBN 10:   1487508727
Pages:   328
Publication Date:   02 December 2021
Audience:   College/higher education ,  Professional and scholarly ,  Tertiary & Higher Education ,  Professional & Vocational
Format:   Hardback
Publisher's Status:   Active
Availability:   Temporarily unavailable   Availability explained
The supplier advises that this item is temporarily unavailable. It will be ordered for you and placed on backorder. Once it does come back in stock, we will ship it out to you.

Table of Contents

Chapter 1: Introduction Health Rights: The Phenomenon and the Problem The Existing Literature The Current Project Part I: Conceptualizing and Measuring the Right to Health Care Chapter 2: Health Rights: A Taxonomy Introduction Rights and Duties A Brief Taxonomy of Health Rights (and Health Rights Projects) The Present Project's Place in the Taxonomy Problems Facing Existing Health Rights Conclusion Chapter 3: The Case for a Pluralist Conception of the Right to Health Care Introduction A Pluralist Model is Necessary to Account for the Right's Uncontroversial Features (a) The Goods Necessary for a Dignified Existence Jointly Constitute a Necessary Component of the Right to Health Care (b) The Goods Necessary for a Dignified Existence Alone Do Not Capture All That Should Be Under the Right to Health Care (c) Procedural Fairness in Health Care Allocation is a Necessary Component of the Right to Health Care (d) Procedural Fairness Alone Does Not Capture All That Should Be Under the Right to Health Care (e) A Functioning Health Care System is a Necessary Component of the Right to Health Care (f) A Functioning Health Care System Alone Does Not Capture All That Should Be Under the Right to Health Care The Pluralist Model Has Further Advantages The Pluralist Model Can Withstand (Other) Serious Criticisms One May Raise Against It (a) Objection 1: The Minimum Floor Remains Subject to Problems Plaguing Any Attempt at Specifying Content (b) Objection 2: The Pluralist Model Cannot Identify a Traditional Right (c) Objection 3: Dignity Cannot Form the Basis of a Justiciable Right (d) Objection 4: Health Outcomes Should Be Primary (e) Objection 5: Applying Constitutional Standards is Preferable Conclusion Chapter 4: The Pluralist Right to Health Care and International Human Rights Law Introduction Methodology The Core Components of the International Right to Health Reflect Concerns with Each Element of the Pluralist Right to Health Care and Instantiate the Pluralist Right (a) Universal Access to Health Care (b) Prioritization of Certain Goods and Peoples (c) Progressive Realization of Other Aspects of the Right (d) Modes of Domestic Implementation (e) Remedies (f) Improved Health Outcomes Conclusion Appendix 1: A (Non-Exhaustive) List of Key Sources for Identifying the International Right to Health Care Chapter 5: Metrics for Realization of the Right to Health Care Introduction International Law and Empirical Metrics Metrics for Right to Health Care Realization (A) Health Care System/Policy Markers (B) Self-Defined Benchmarks and Indicators (C) Coverage of and Access to Essential Goods (D) Daniels and Sabin's Fairness Markers (E) Rates of Access to the Goods Selected in the Process from (d) (F) Progressive Realization Dual Application of the Metrics Putting the Metrics to Work Objections and Replies (a) Objection 1: These Metrics Do Not Easily Map onto the Components of the Pluralist Right (b) Objection 2: No State Can or Should Be Expected to Score Well on All These Metrics (c) Objection 3: These Metrics Break with An Important Development in International Law (d) Objection 4: These Metrics Ignore the Perspective of Rights Holders Conclusion Appendix 2: Metrics for Comparative Analysis of Right to Health Care Implementation Part II: The Right to Health Care in Canada: A Case Study in Realization Chapter 6: The Mainstream Canadian Health Care System and the Pluralist Right to Health Care Introduction An Introduction to the Canadian Health Care System The Mainstream Canadian Health Care System Does Not Ensure Access to Many Goods Necessary for a Dignified Existence The Mainstream Canadian Health Care System Fulfills Some, But Not All, Aspects of Accountability for Reasonableness The Mainstream Canadian Health Care System Does Not Have All the Systemic Elements Demanded by the Pluralist Right to Health Care Canada's Progressive Realization of the Right is Difficult to Assess and Substantive Progress Appears Minimal Conclusion Chapter 7: Vulnerable Populations in Canada and the Pluralist Right to Health Care Introduction An Introduction to Two Vulnerable Population-Specific Programs: The IFHP and the NIHBP The IFHP and NIHBP Fill Some Gaps in Essential Goods Coverage for Some Persons, but Barriers to Access Remain The IFHP and NIHBP Do Not Fulfill All Procedural Demands of the Pluralist Right to Health Care The IFHP and NIHBP Help Fill in Some Gaps in Canada's Realization of the Systemic Component of the Pluralist Right to Health Care The NIHBP is Gradually Progressively Realizing the Right The IFHP Required Multiple Interventions to Avoid Serious Deliberate Retrogression in Right to Health Care Realization Conclusion Chapter 8: Tools for Better Realizing the Pluralist Right to Health Care in Canada Introduction Three Branches of Canadian Public Law (a) Constitutional Law (b) Human Rights Law (c) Non-Human Rights-Based Administrative Law Possible Legal Paths Forward (a) Constitutional Law (b) Human Rights Law (b) Non-Human Rights-Based Administrative Law Conclusion Conclusion: Next Steps Chapter 9: Concluding Thoughts and the Path(s) Forward Introduction Summary Directions for Future Research

Reviews

Despite growing constitutional recognition and the calls of individual claimants and organized movements around the world, the human right to health care still attracts sceptics. Michael Da Silva's important book provides an analytical corrective to this scepticism and a basis for engagement that is grounded in both legal and political thought. - Katharine G. Young, Professor of Law, Boston College Michael Da Silva successfully bridges the scholarship on health rights and on the strengths and weaknesses of the Canadian health care system in providing the substance of the content of a right to health care. This book connects theoretical arguments for a right to health care with the field of health system performance metrics, measurement, and evaluation. The scholarship is not only sound but impressive in its breadth. - William Lahey, President and Vice-Chancellor of the University of King's College, and former Professor in the Schulich School of Law, Dalhousie University


Despite growing constitutional recognition and the calls of individual claimants and organized movements around the world, the human right to health care still attracts sceptics. Michael Da Silva's important book provides an analytical corrective to this scepticism and a basis for engagement that is grounded in both legal and political thought. - Katharine G. Young, Professor of Law, Boston College Michael Da Silva successfully bridges the scholarship on health rights and on the strengths and weaknesses of the Canadian health care system in providing the substance of the content of a right to health care. This book connects theoretical arguments for a right to health care with the field of health system performance metrics, measurement, and evaluation. The scholarship is not only sound but impressive in its breadth. - William Lahey, President and Vice-Chancellor of the University of King's College, and former Professor in the Schulich School of Law, Dalhousie University


Author Information

Michael Da Silva is the Alex Trebek Post-Doctoral Fellow in Artificial Intelligence and Healthcare at the University of Ottawa.

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