PRINCIPLES
Shared Health Governance (SHG) offers a strategy to better organize ourselves for the common good of health for all by focusing on the cooperative potential of human beings and establishing the conditions for everyone to cooperate effectively. SHG achieves this by employing social motivations, such as moral norms and legitimacy, and enforcement when necessary. The following principles are fundamental tenets of SHG, necessary for flourishing global and domestic health systems.
Promotion of Health Capability for All
Promoting the optimal possible health and flourishing of all
Establishing the right conditions to make cooperation the status quo
Joint Enterprise of Diverse Actors
Inclusion of all relevant individuals and groups
Shared Values, Principles, and Norms
Overlapping voluntary consensus of all actors under incompletely theorized agreement
Public Moral Norm Internalization
Actors internalizing public moral norms as their action maxims
Mutual Collective Accountability
Mutual accountability to ensure the collective progress towards common goals
Shared resources managed fairly regarding contribution, benefit, and prudential use
Optimal Allocation of Roles and Responsibilities
Allocating roles and responsibilities to actors best situated to realize health capabilities for all without unnecessary coercion
All actors sharing responsibilities necessary to achieve common goals
Legitimate Authority through Shared Sovereignty
Legitimate authority rooted in the commitment to the common good and the voluntary participation in governance (shared sovereignty)
Complementary Social Sanctions and Enforcement
Social sanctions and enforcement as negative motivations to complement the positive force of public moral norms
Continuous Evaluation of Contribution to Health
Establishing key outcomes and indicators to continually evaluate whether actions and policies contribute to the health capabilities for all