PRINCIPLES
The health capability paradigm is a foundational framework for thinking about and taking action to achieve health and social justice around the world. It seeks to domestically and globally respond to health injustices, while also justifying and specifying substantive end goals and fair processes of global and domestic health. The following are key tenets of the health capability paradigm.
Proceduralist and Consequentialist Components of Justice
Collaborative approach that emphasizes processes and outcomes
Ability to live a good life
Health Capability, Health Agency, and Health Functioning
Importance of agency to functioning and of functioning to agency
Health Capabilities Versus Health Achievements
Optimal environment versus current environment
Central and Non-Central Health Capabilities
Prioritize central health capabilities, then focus on non-central health capabilities
Socially dependent individual health capabilities and collective health capabilities
Wasteless and Corruption-Free Efficiency
Value efficiency where economic solutions follow and complement effective clinical and public health solutions
Joint Scientific and Deliberative Approach
Public scientific process that combines input from experts and from individuals with lived experiences
Moral and Political Legitimacy
Moral and political legitimacy in policy decision-making and implementation realms
Internalized Public Moral Norms
Shared substantive visions and commitments are critical for health reform and implementation
Integrated and Multifaceted System
Individuals, providers, and institutions reinforce each other to expand health capability and effectuate health equity
Incompletely Theorized Agreements
Reach workable consensus in health policy and public health decision-making
Efficient and equitable access to resources are means to good health for all
Health System Financing, Organization, and Delivery
Ensure financing access to medically necessary and medically appropriate care for everyone as efficiently as possible