 Health care rationing  Inadequacy of theory?  Dimensions of well-being approach  4 tests: substantial moral guidance  Applied to age-rationing

 What does social justice have to say about health care rationing?  Not much?  But some theories are better than others  Narrow theories are inadequate: 1. isolated, 2. singular

 6 dimensions: health, self-determination, reasoning, respect, attachment, personal security  Multiple determinants  Sufficiency at each dimension  Levels of moral urgency  Background justice

 Not comprehensive discussion  Explicit age-based rationing: prioritises health care resources for younger over older because of age  E.g. Age-weighted QALYs  Narrow approach: singular notions, no unifying framework

1. Sufficiency 2. Multiple determinants 3. Multiple dimensions 4. Levels of moral urgency  Constant adjustment and evaluation in framework of background justice

 What does social justice have to say about health care rationing?  More than we think?  Disagreement at another level?  Consensus?