Solidarity and Health: A Public Goods Justification

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Patricia Illingworth
Wendy E. Parmet


This comment on Professor ter Meulen's paper, "Solidarity and Justice in Health Care," offers additional perspectives on  solidarity's importance for health. Noting the findings of social epidemiology, the paper explains that health has important public good dimensions. It is both non-rivlalrous because one person's health does not diminish another's, and it is largely determined by non-excludable access goods, including social networks, social determinants, and public health efforts. The public good dimension of health underscores the mutual dependence and shared stake that people have with respect to health, and highlights the importance of coming together in solidarity for the sake of health. This is not to say that solidarity cannot also foster exclusionary tendencies; however, the recognition of mutual dependency with respect to health can foster an inclusive solidarity for the health of all people.
Author Biographies

Patricia Illingworth, Northeastern University

Patricia Illingworth, JD, PhD
Professor of Philosophy
Department of Philosophy and Religion
Northeastern University
360 Huntington Ave.
Boston, MA 02115


Wendy E. Parmet, Northeastern University School of Law

Wendy E. Parmet
Dir. Program on Health Policy & Law and
Matthews Distinguished University
Professor of Law
Northeastern University School of Law
400 Huntington Ave.
Boston, MA 02115



Baumesiter, Leary [1995] – R.F. Baumeister, M.R. Leary, “The Need to Belong: Desire for Interpersonal Attachments as a Fundamental Motivation,” Psychological Bulletin (117) 1995, p. 497–529.

Christakis [2011] – N.A. Christakis, Connected: The Surprising Power of Our Social Networks and How They Shape Our Lives – How Your Friends’ Friends’ Friends Affect Everything You Feel, Think, and Do, Little Brown and Company, New York 2011.

Collier [2013] – P. Collier, Exodus: How Migration is Changing Our World, Oxford University Press, Oxford 2013.

Daniels [2007] – N. Daniels, Just Health, Meeting Health Needs Fairly, Cambridge University Press, Cambridge 2007.

Fried [2011] – L.P. Fried, “Longevity and Ageing: The Success of Global Public Health,” [in:] R. Parker, M. Sommer (eds.) The Routledge Handbook of Global Public Health. Routledge, New York 2011, p. 208–226.

Institute of Medicine [1988] – Institute of Medicine, Committee for the Study of the Future of Public Health,The Future of Public Health, National Academy Press, Washington, DC 1988.

Meulen [2015] – R. ter Meulen, “Solidarity and Justice in Health Care. A Critical Analysis of their Relationship,” Diametros (43) 2015, p. 1–20.

Putnam [2007] – R. Putman, ”E Pluribus Unum: Diversity and Community in the Twenty- first Century,” Scandinavian Political Studies (30) 2007, p. 137–174.

Venkatapuram [2011] – S. Venkatapuram, Health Justice, Polity Press, Cambridge 2011.

Wilkinson, Pickett [2009] – R. Wilkinson, K. Pickett, The Spirit Level, Bloomsbury Press, New York 2009.

World Health Organization [2014] – WHO, Social determinants of health, URL =


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How to Cite
ILLINGWORTH, P.; PARMET, W. Solidarity and Health: A Public Goods Justification. Diametros, n. 43, p. 65-71, 14 mar. 2015.
Special Topic - Solidarity and Justice in Health Care