ALTERNATIVES TO NATIONAL AVERAGE INCOME DATA AS ELIGIBILITY CRITERIA FOR INTERNATIONAL SUBSIDIES: A SOCIAL JUSTICE PERSPECTIVE
Article first published online: 10 NOV 2010
© 2009 Blackwell Publishing Ltd.
Developing World Bioethics
Volume 10, Issue 3, pages 141–149, December 2010
How to Cite
SHEBAYA, S., SUTHERLAND, A., LEVINE, O. and FADEN, R. (2010), ALTERNATIVES TO NATIONAL AVERAGE INCOME DATA AS ELIGIBILITY CRITERIA FOR INTERNATIONAL SUBSIDIES: A SOCIAL JUSTICE PERSPECTIVE. Developing World Bioethics, 10: 141–149. doi: 10.1111/j.1471-8847.2009.00270.x
- Issue published online: 10 NOV 2010
- Article first published online: 10 NOV 2010
- developing world bioethics;
- international justice;
- distributive justice;
- vaccine policy
Current strategies to address global inequities in access to life-saving vaccines use averaged national income data to determine eligibility. While largely successful in the lowest income countries, we argue that this approach could lead to significant inefficiencies from the standpoint of justice if applied to middle-income countries, where income inequalities are large and lead to national averages that obscure truly needy populations. Instead, we suggest alternative indicators more sensitive to social justice concerns that merit consideration by policy-makers developing new initiatives to redress health inequities in middle-income countries.