Diversity Reading List

Analytic philosophy has largely neglected the topic of homelessness.
The few notable exceptions, including work by Jeremy Waldron and Christopher
Essert, focus on our interests in shelter, housing, and property rights, but ignore the
key social functions that a home performs as a place in which we are welcomed,
accepted, and respected. This paper identifies a ladder of home-related concepts
which begins with the minimal notion of temporary shelter, then moves to persistent
shelter and housing, and finally to the rich notion of a home which focuses on meeting
our social needs including, specifically, our needs to belong and to have meaningful
control over our social environment. This concept-ladder enables us to distinguish
the shelterless from the sheltered; the unhoused from the housed; and the unhomed
from the homed. It also enables us to decouple the concept of a home from property
rights, which reveals potential complications in people’s living arrangements. For
instance, a person could be sheltered but unhoused, housed but homeless, or, indeed,
unhoused but homed. We show that we should reserve the concept of home to
capture the rich idea of a place of belonging in which our core social needs are met.

BACKGROUND: The governments and citizens of the developed nations are increasingly called upon to contribute financially to health initiatives outside their borders. Although international development assistance for health has grown rapidly over the last two decades, austerity measures related to the 2008 and 2011 global financial crises may impact negatively on aid expenditures. The competition between national priorities and foreign aid commitments raises important ethical questions for donor nations. This paper aims to foster individual reflection and public debate on donor responsibilities for global health. METHODS: We undertook a critical review of contemporary accounts of justice. We selected theories that: (i) articulate important and widely held moral intuitions; (ii) have had extensive impact on debates about global justice; (iii) represent diverse approaches to moral reasoning; and (iv) present distinct stances on the normative importance of national borders. Due to space limitations we limit the discussion to four frameworks. RESULTS: Consequentialist, relational, human rights, and social contract approaches were considered. Responsibilities to provide international assistance were seen as significant by all four theories and place limits on the scope of acceptable national autonomy. Among the range of potential aid foci, interventions for health enjoyed consistent prominence. The four theories concur that there are important ethical responsibilities to support initiatives to improve the health of the worst off worldwide, but offer different rationales for intervention and suggest different implicit limits on responsibilities. CONCLUSIONS: Despite significant theoretical disagreements, four influential accounts of justice offer important reasons to support many current initiatives to promote global health. Ethical argumentation can complement pragmatic reasons to support global health interventions and provide an important foundation to strengthen collective action.