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Health Inequality In Australia

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Here I argue in favour of the Australian government prioritising the improvement of Aboriginal and Torres Strait Islander health, even if substantial resources are required to do this. This is because:
1. The health inequality between Aboriginal and Torres Strait Islander Australians, and Non-Indigenous Australians is evident, (Empirical)
2. This health inequality is unfair, (Normative)
3. A national government should be an enabler of equality of opportunity, (Normative)
4. A national government should prioritise resources to the most important inequalities. (Normative)
a) Substantial resource allocation is acceptable in this case, (Normative) and 5. The health inequality between Aboriginal and Torres Strait Islander Australians, and Non-Indigenous …show more content…

The bioethicists Madison Powers and Ruth Faden use their model of the six dimensions of well-being to defend this argument (21). They suggest that a sufficient level of health, attachment, respect, self-determination, reasoning and personal security, each equally important and non-exchangeable, is the goal of a just society. Following from this, they state that the deepest of inequalities result from multiple interconnected social determinants which weaken multiple dimensions of well-being. These, they argue, are the most important inequalities to address as they are systematic and the furthest from achieving a just society’s goals. I agree with this reasoning and only add that these most profound of inequalities can, as explained earlier, perpetuate cycles of disadvantage. Social determinants, such as limited education and income, can foster or exacerbate poor health and well-being which can then further limit opportunities for education and employment. Consequently, the earlier we interrupt this cycle, the easier it is to …show more content…

This utilitarian argument stems from the idea that only outcomes, and thus the aggregated health of a population matter; the methods to achieve these outcomes are irrelevant. Consequently, a government with finite resources must allocate resources to maximise utility so that the best health outcomes are achieved by the highest number of people. However, I refute this argument on the basis that the methods and the individuals affected are, indeed, morally relevant. Considering the direct link from health to mortality, a perfect utilitarian society would lead to the most disadvantaged populations being selected out. In the context of this thesis, this may constitute ethnic extinction of Indigenous Australians; a result that would be morally horrific and not endorsed by the majority of the Australian

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