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The "We" in the "Me

Solidarity and Health Care in the Era of Personalized Medicine

Bibliographic Data

ID5338293
AuthorsBarbara Prainsack (0000-0002-6335-1532, King’s College London, London, UK, corresponding author)
Year2018
Volume43
Issue1
Pages21-44
Publication date2018-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueScience Technology & Human Values (JOURNAL)
Journal identifiersISSN: 0162-2439 • E-ISSN: 1552-8251
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/0162243917736139
OpenAlexW2766976341
LanguageEN
Citations received39
References cited60

This article challenges a key tacit assumption underpinning legal and ethical instruments in health care, namely, that people are ideally bounded, independent, and often also strategically rational individuals. Such an understanding of personhood has been criticized within feminist and other critical scholarship as being unfit to capture the deeply relational nature of human beings. In the field of medicine, however, it also causes tangible problems. I propose that a solidarity-based perspective entails a relational approach and as such helps to formulate new solutions to complex ethical and regulatory questions, ranging from caring for people at the end of their lives to improving policies for organ donation and better governance of health data. It also underscores the importance of universal health care. Although a solidarity-based perspective does not require health to be seen as an individually enforceable right, it does influence our understanding of individual rights: it draws attention to how their meaning is shaped by shared social practices. I conclude by arguing that, in light of current pressures for medicine to become more personalized, using a relational understanding of personhood to shape policies and practices is a much needed endeavor

Business · Corporate governance · Engineering ethics · Environmental ethics · Epistemology · Health care · Law and economics · Personhood · Political science · Public relations · Scholarship · Sociology · Solidarity · Ethics in medical practice · Foucault, Power, and Ethics · Law · Patient Dignity and Privacy

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Unique citing works39
Citations per year4,88
Citation span2018 - 2026 (9)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 36

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