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

Human Flourishing

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

Social Determinants of Health

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

Resource Allocation

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