Rights, Solidarity and Cost-effectiveness: Ethical Guidelines for Sustaining Global Health

Gunnar Bengtsson

The Geneva Papers on Risk and Insurance - Issues and Practice, 1996, vol. 21, issue 3, 308-323

Abstract: In the long run, governments can only achieve what corresponds to deeply rooted values in their populations. I propose to explore the possibilities for sustainable development that may be offered by a set of values suggested for priority setting in health care in Sweden. These comprise human dignity, solidarity, and cost-effectiveness. Of these, human dignity should be broadened to reflect the rights of all living beings in order to be applicable to sustainable development and the use of natural resources. Solidarity and cost-effectiveness are widely applicable with little modifications.Human dignity and solidarity are already broadly supported by large population groups. Cost-effectiveness is often watched with suspicion. It is an important challenge for governments to demonstrate that adherence to cost-effectiveness works in tandem with solidarity to enhance the possibilities to maintain human dignity and sustainable development.

Date: 1996
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