The paper surveys the economics literature on equity in health care financing and delivery. The focus is, for the most part, on empirical work, especially that involving intemational and temporal comparisons. There is, however, some discussion of the concept and definition of equity. The empirical sections cover the literature on equity in health care financing (progressivity and horizontal equity of health care financing arrangements), equity in health care delivery (horizontal equity in the sense of treating persons in equal need similarly), ...

Poverty reduction is a central feature of the international development agenda and contemporary poverty reduction strategies increasingly focus on “targeting the poor”, yet poverty and inequality remain intractable foes. Combating Poverty and Inequality argues that this is because many current approaches to reducing poverty and inequality fail to consider key institutional, policy and political dimensions that may be both causes of poverty and inequality, and obstacles to their reduction. Moreover, when a substantial proportion of a country’s ...

Well-being is not just a question of the wealth or pleasure that a person has; it is a question of how people manage to live their lives and the ability they have to do certain things that are important to them. This was the argument put forward by Professor Amartya Sen in 1979. In his seminal Tanner Lecture – ‘Equality of What?’, Sen unites economics and philosophy to explore how a person’s well-being might best be measured. It was the first in a series of writings in which he developed his capability approach. This focuses on the actual capability ...

There is little consensus about the meaning of the terms “health disparities,” “health inequalities,” or “health equity.” The definitions can have important practical consequences, determining the measurements that are monitored by governments and international agencies and the activities that will be supported by resources earmarked to address health disparities/inequalities or health equity. This paper aims to clarify the concepts of health disparities/inequalities (used interchangeably here) and health equity, focusing on the implications of ...

Recently we argued that social justice is concerned with human well-being, which is best understood as involving plural, irreducible dimensions, each of which represents something of independent moral significance. Health is one of these distinct dimensions of well-being, as is personal security, the development and exercise of cognitive capacities for reasoning, living under conditions of social respect, developing and sustaining deep personal attachments, and being able to lead self-determining lives. In this paper, we address why considerations ...

This special issue of the Journal of Human Development and Capabilities focuses on two areas of substantial and growing importance to the human development and capability approach: disability and health. The research on disability, health and the capability approach has been diverse in the topics it covers, and the conceptual frameworks and methodologies it uses, beginning over a decade and a half ago in health (Ruger 1998) and more than a decade ago in disability (Baylies 2002).1 We are pleased to share a set of articles in these two areas. ...