title: Alternatives to national average income data as eligibility criteria for international subsidies: a social justice perspective.
abstract: 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.
authors: Berman Institute of Bioethics, Johns Hopkins University – Health, Policy and Management, 624 N.Broadway, Baltimore, MD 21205, United States. sps87@columbia.edu
authors: Sirine
authors: S
authors: Shebaya
authors: Andrea
authors: A
authors: Sutherland
authors: Orin
authors: O
authors: Levine
authors: Ruth
authors: R
authors: Faden
mesh_terms: D019049:Developed Countries; D003906:Developing Countries / Q000191:economics; D004608:Eligibility Determination / Q000941:ethics* / Q000379:methods; D005260:Female; D006291:Health Policy / Q000639:trends*; D006297:Health Services Accessibility / Q000941:ethics* / Q000458:organization & administration; D006301:Health Services Needs and Demand; D006801:Humans; D007182:Income; D007391:International Cooperation; D008297:Male; D012935:Social Justice / Q000941:ethics; D012959:Socioeconomic Factors