I suggest contacting author for article...

Lancet 2004; 364: 1092–97
Department of Epidemiology and Public Health, School of Medicine, Yale
University,
New Haven, CT 06520, USA (J P Ruger PhD)
Correspondence to: Dr Jennifer Prah Ruger [log in to unmask]

Public Health
Research over several decades has identifed social
inequalities in health, both between and within
countries.1–3 This research has prompted some countries
to pursue strategies to reduce socioeconomic
inequalities in health,4–7 although these initiatives have
not been without controversy.8–11 Such efforts have
fuelled the debate over the relative contributions of
health determinants and how to weight and direct public
policies that affect health.12–17 The debate centres on the
tension between the need to account for the impact of
health determinants outside the health-care system
(social determinants of health) and the need to balance
health as an objective with other valuable social ends (in
other policy domains).

This essay focuses more
speci.cally on the application of John Rawls’ theory of
justice to the social determinants of health and then
proposes an alternative philosophical framework,
rooted in Amartya Sen’s capability approach and
Aristotle’s political theory, for thinking about such
inequalities.

... SNIP

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