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Public value, maximisation and health policy: an examination of Hausman's Restricted Consequentialism

Wilson, JGS; (2017) Public value, maximisation and health policy: an examination of Hausman's Restricted Consequentialism. Public Health Ethics , 10 (2) pp. 157-163. 10.1093/phe/phw020. Green open access

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Abstract

In the book Valuing Health, Daniel Hausman sets out a normative framework for assessing social policy, which he calls restricted consequentialism. For the restricted consequentialist, government policy-making not only is, but ought to be, largely siloed in individual government departments. Each department has its own goal linked to a fundamental public value, which it should pursue in a maximizing way (subject to constraint by other non-consequentialist values). I argue that, first, Hausman’s argument appears to be internally inconsistent: his case for thinking that health policy should default to a form of maximization is plausible only if a much narrower vision of the goals of policy is adopted than Hausman thinks appropriate in the case of education. Secondly, it turns out that none of Hausman’s analysis helps us with the crucial question of how maximization should be constrained by other values—a question that even on Hausman’s account looks to be crucial, and that will be even more important if adopt a broader perspective on the purposes of health policy than Hausman allows.

Type: Article
Title: Public value, maximisation and health policy: an examination of Hausman's Restricted Consequentialism
Open access status: An open access version is available from UCL Discovery
DOI: 10.1093/phe/phw020
Publisher version: http://dx.doi.org/10.1093/phe/phw020
Language: English
Additional information: This is a pre-copyedited, author-produced PDF of an article accepted for publication in Public Health Ethics following peer review. The version of record, Wilson, JGS; (2016) Public value, maximisation and health policy: an examination of Hausman's Restricted Consequentialism. Public Health Ethics, is available online at: http://dx.doi.org/10.1093/phe/phw020.
Keywords: Cost-effectiveness analysis, Consequentialism, Public Policy, Health Policy
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > UCL SLASH
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of Arts and Humanities > Dept of Philosophy
URI: http://discovery.ucl.ac.uk/id/eprint/1478127
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