Interrogating scarcity: how to think about ‘resource-scarce settings’

dc.contributor.authorSchrecker, Ted
dc.description.abstractThe idea of resource scarcity permeates health ethics and health policy analysis in various contexts. However, health ethics inquiry seldom asks—as it should—why some settings are ‘resource-scarce’ and others not. In this article I describe interrogating scarcity as a strategy for inquiry into questions of resource allocation within a single political jurisdiction and, in particular, as an approach to the issue of global health justice in an interconnected world. I demonstrate its relevance to the situation of low- and middle-income countries (LMICs) with brief descriptions of four elements of contemporary globalization: trade agreements; the worldwide financial marketplace and capital flight; structural adjustment; imperial geopolitics and foreign policy. This demonstration involves not only health care, but also social determinants of health. Finally, I argue that interrogating scarcity provides the basis for a new, critical approach to health policy at the interface of ethics and the social sciences, with specific reference to market fundamentalism as the value system underlying contemporary globalization.
dc.subjectResource allocation
dc.subjecthealth ethics
dc.titleInterrogating scarcity: how to think about ‘resource-scarce settings’
CollectionEpidemiology and Public Health
Publications en libre accès financées par uOttawa // uOttawa financed open access publications