Moral Right to Healthcare and COVID-19 Challenges

Article Details

Napoleon M. Mabaquiao, Jr, napoleon.mabaquiao@dlsu.edu.ph, De La Salle University, Manila, Philippines
Mark Anthony L. Dacela, , De La Salle University, Manila, Philippines

Journal: The Asia-Pacific Social Science Review
Volume 22 Issue 1 (Published: 2022-03-01)

Abstract

One fundamental healthcare issue brought to the fore by the current COVID-19 pandemic concerns the scope and nature of the right to healthcare. Given our increasing need for the usually limited healthcare resources, to what extent can we demand provision of these resources as a matter of right? One philosophical way of handling this issue is to clarify the nature of this right. Using the challenges of COVID-19 in the Philippines as the context of analysis, we argue for the view that regards the right to healthcare as fundamentally moral in kind, which should thereby guide its legal and contractual appropriations. In particular, we respond to objections against this view stemming from issues concerning the universality and satisfiability of the right’s correlative duty. We deal with such issues by invoking the relative degree of incumbency of moral rights and the capability-relativity of positive duties. We further contend that as these factors define the scope of the moral right to healthcare, they thus constrain what we can demand as a matter of right to meet our healthcare needs in this time of the pandemic.

Keywords: right to health, right to healthcare, pandemic, COVID-19, health ethics

DOI: https://www.dlsu.edu.ph/wp-content/uploads/pdf/research/journals/apssr/2022-March-vol22-1/8-moral-right-to-healthcare-and-covid-19-challenges
  References:

Justice in Healthcare: Welfare and Equal Opportunity

Amnesty International. (2021, 26 April). Philippines: Country faces health and human rights crisis one year into the COVID-19 pandemic. (26 April 2021). https://www.amnesty.org/en/latest/news/2021/04/philippines-faces-health-human-rights-crisis-covid/

Batino, C., & Jiao, C. (2020, March 10). The Philippines Has Just 2,000 Virus Testing Kits and Cases Are Rising. Bloomberg. https://www.bloomberg.com/news/articles/2020-03-10/philippines-has-just-2-000-virus-testing-kits-as-cases-rise

BMPlus. (2021, February 23). Advocates push for healthcare act programs amid pandemic. Business Mirror. https://businessmirror.com.ph/2021/02/23/advocates-push-for-healthcare-act-programs-amid-pandemic/

Calonzo, A., & Jiao, Claire. (2020, August 7). Philippines Now Has Worst Covid Outbreak in Southeast Asia. Bloomberg Quint. https://www.bloombergquint.com/onweb/philippines-passes-indonesia-as-worst-southeast-asia-outbreak

Carlsten, C., Gulati, M., Hines, S., Rose, C., Scott, K., Tarlo, S. M., ... & de la Hoz, R. E. (2021). COVID‐19 as an occupational disease. . American Journal of Industrial Medicine, , 64(4), 227-–237.

Cepeda, M. (2020, April 16). Duque admits health workers die in line of duty due to lack of PPEs, dishonest patients. Rappler. https://www.rappler.com/nation/duque-admits-health-workers-die-lack-ppes-dishonest-patients

Daniels, N. (2009). Is There a Right to Health Care and, Iif Sso, What Does It Encompass?. In (H. Kuhse & P. Singer, (Eds.), A Companion to Bioethics (H. Kuhse & P. Singer, Eds.). https://doi.org/10.1002/9781444307818.ch31

Evangelista, J., & Mabaquiao, N. (2020). Ethics: Theories and Applications. Anvil Publishing, Inc.

Ford, M., & Ward, K. (2021). COVID-19 in Southeast Asia: Implications for workers and unions. . Journal of Industrial Relations, 00221856211000097.

Gomez, J. (2021, March 1). Philippines launches virus vaccinations amid supply problems. StarTribune. https://www.startribune.com/philippines-launches-virus-vaccinations-amid-supply-problems/600028771/

Hague, O. S., & Stein, M. A. (2020). COVID-19 Clinical bias, persons with disabilities, and human rights. Health and Human Rights Journal.https://www.hhrjournal.org/2020/11/covid-19-clinical-bias-persons-with-disabilities-and-human-rights/

Hapal, K. (2021). The Philippines’ COVID-19 Response: Securitising the Pandemic and Disciplining the Pasaway. . Journal of Current Southeast Asian Affairs, 1868103421994261.

Harris, R. C., Chen, Y., Côte, P., Ardillon, A., Nievera, M. C., Ong-Lim, A., ... & Nageshwaran, G. (2021). Impact of COVID-19 on routine immunization in South-East Asia and Western Pacific: dDisruptions and solutions. The Lancet Regional Health-Western Pacific, 100140.

Haqqi, A., Zahoor, S., Aftab, M. N., Tipu, I., Rehman, Y., Ahmed, H., & Afzal, M. S. (2021). COVID‐19 in Pakistan: Impact on global polio eradication initiative. Journal of Medical

Hunt, L. (2021, May 28). Amid Cases Surge, Malaysia’s COVID-19 Iinfection Rrate Ssurpasses India’s. The Diplomat. https://thediplomat.com/2021/05/amid-case-surge-malaysias-covid-19-infection-rate-surpasses-indias/

Jalea, G. (2021, February 7). EXPLAINER: What you need to know about the PH COVID-19 vaccine drive. CNN Philippines. https://cnnphilippines.com/news/2021/2/7/EXPLAINER--What-you-need-to-know-about-the-PH-COVID-19-vaccine-drive.html

Lasco, G. (2020). Medical populism and the COVID-19 pandemic. Global Public Health, 15(10), 1417-–1429.

Madarang, C. (2021, March 16). Philippines makes it to int’l headlines with anniversary of ‘one of world’s longest lockdowns.’. Interaksyon. https://interaksyon.philstar.com/trends spotlights/2021/03/16/187709/philippines-makes-it-to-intl-headlines-with-anniversary-of-one-of-worlds-longest-lockdowns/

Magtulis, P. (2020, March 9). With only 250 people tested a day, Philippine health sector appears ill-prepared for COVID-19. Philstar. https://www.philstar.com/business/2020/03/09/1999444/only-250-people-tested-day-philippine-health-sector-appears-ill-prepared-covid-19

Marschke, M., Vandergeest, P., Havice, E., Kadak, A., Duker, P., Isopescu, I., & MacDonnell, M. (2021). COVID-19, instability and migrant fish workers in Asia. Maritime Studies, 20(1), 87–-99.

Mendez, Christina. (2021, June 6). The government needs additional P25 B to buy vaccines. Philippine Star, p. 1.

Punongbayan, J. C. (2019, Feb. ruary 21). [Analysis] Universal healthcare: Why we’re still not quite there yet. Rappler. https://www.rappler.com/voices/thought-leaders/analysis-reasons-philippines-universal-health-care-still-not-quite-there-yet

OECD. . (2020, May 19. ). SME Policy Responses-OECD. . Organization for Economic Co-operation and Development. May 19. https://read.oecd-ilibrary.org/view/?ref=119_119680-di6h3qgi4x&title=Covid 19_SME_Policy_Responses.

Official Gazette of the Republic of the Philippines. (2021a). Republic Act No. 11223 (Universal Health Care Act). https://www.officialgazette.gov.ph/constitutions/the-1987-constitution- of-the-republic-of-the-philippines/the-1987-constitution-of-the-republic-of-the-philippines-article-iii/

Official Gazette of the Republic of the Philippines. (2021b). The 1987 Constitution of the Republic of the Philippines—Article XIII (Social Justice and Human Rights). https://www.officialgazette.gov.ph/constitutions/the-1987-constitution-of-the-republic- of-the-philippines/the-1987-constitution-of-the-republic-of-the-philippines-article-xiii/

O’Neill, O. (2005). The dark side of human rights. International Affairs, 81(2): ), 425-–439.

Pavel, C. (2019). Healthcare: Between a human and a conventional right. Economics and Philosophy, 35: 499-–520. https://doi:.org/10.1017/S0266267118000366

Rappler. (2021, January 4). LIST: Local governments` plans, deals, and budget for COVID-19 vaccines. https://www.rappler.com/nation/list-local-government-units-rolling-out-plans-free-covid-19-vaccines

Rappler. (2021, May 30). Over 7,000 new Covid-19 cases in PH for 3rd straight day. https://www.rappler.com/nation/coronavirus-cases-philippines-may-30-2021

Reuters. (2021, June 1). Covid-19 Tracker. https://graphics.reuters.com/world-coronavirus- tracker-and-maps/countries-and-territories/philippines/

Robles, A., & Robles, R. (2021, February 21). Philippines approves Sinovac vaccine but roll-out stalls on Western drug makers’ liability fears. South China Morning Post. https://www.scmp.com/week-asia/politics/article/3122693/philippines-approves-sinovac-vaccine-roll-out-stalls-western

Ross, W. D. (1930). The Right and the good. Hackett.

Sabillo, K. (2021, January 26). COVID-related deaths among health workers reach 78; total cases at 14,286. ABS-CBN News. https://news.abs-cbn.com/news/01/26/21/covid-related- deaths-among-health-workers-reach-78-total-cases-at-14286

Sreenivasan, G. (2012). A human right to health? Some inconclusive skepticism. Proceedings of The Aristotelian Society Supplementary Volume, LXXXVI86, pp. 239-–265. https://DOI:doi.org/10.1111/j.1467-8349.2012.00216.x

Timmis, K., & Brüssow, H. (2020). The COVID‐19 pandemic: sSome lessons learned about crisis preparedness and management, and the need for international benchmarking to reduce deficits. . Environmental mMicrobiology.

Tomacruz, S. (2021, March 18). Metro Manila’s ICU bed capacity at ‘alarming’ 64.5% as COovid-19 cases roar. Rappler. https://www.rappler.com/nation/metro-manila-icu-beds-alarming-capacity-march-2021

Tomacruz, S., & Rey, A. (2021, February 18). Here’s why COVID-19 vaccines haven’t arrived in the Philippines yet. Rappler. https://www.rappler.com/newsbreak/explainers/why-covid-19-vaccines-not-arrive-philippines

Tomacruz, S. (2021, March 18). Metro Manila’s ICU bed capacity at ‘alarming’ 64.5% as COvid-19 cases roar. Rappler. https://www.rappler.com/nation/metro-manila-icu-beds-alarming-capacity-march-2021

Torres, S. A. (2021, February 20). Gordon calls for resumption of Senate probe into PhilHealth over alleged anomalies at regional hospitals. ABS-CBN News. https://news.abs-cbn.com/news/02/20/21/gordon-calls-for-resumption-of-senate-probe-into-philhealth-over-alleged-anomalies-at-regional-hospitals

Tostevin, M., & Aravindan, A. (2021, May 31). Southeast Asia’s coronavirus surge prompts shutdowns and alarms. Reuters. https://www.reuters.com/world/asia-pacific/southeast-asias-coronavirus-surge-prompts-shutdowns-alarm-2021-05-31/

Twohey, M., Collins, K., & Thomas, K. (2020, December 18). With First Dibs on Vaccines, Rich Countries Have `Cleared the Shelves.’. The New York Times. https://www.nytimes.com/2020/12/15/us/coronavirus-vaccine-doses-reserved.html

UP COVID-19 Pandemic Response Team. (2020, April 20). Estimating Llocal Hhealthcare Ccapacity to Ddeal with COVID-19 Ccase Ssurge: Analysis and Rrecommendations. University of the Philippines System. https://www.up.edu.ph/estimating-local-healthcare-capacity-to-deal-with-covid-19-case-surge-analysis-and-recommendations/

Velasquez, M. (2014). Business eEthics: Concepts and cCases: International Eedition (7th edition.). Pearson Education Limited.

Vranas, Peter. (2018). “Ought” implies “can” but does not imply “must”: An asymmetry between becoming infeasible and becoming overridden. Philosophical Review, 127 (4): ), 487-–514. https:// DOI: doi.org/10.1215/00318108-6973023

Velasquez, M. (2014). Business Ethics: Concepts and Cases: International Edition (7th edition). Pearson Education Limited.

Wolff, J. (2012). Global Justice and Health: The Basis of the Global Health Dduty. In J. Millum & E. Emanuel (Eds.), Global Justice and Bioethics (pp. 78-–101). Oxford University Press

Yap, C., & Calonzo, A. (2021, April 6). Worst Covid Surge in Southeast Asia. Bloomberg. https://www.bloomberg.com/news/newsletters/2021-04-10/the-philippines-hammered-by-worst-covid-surge-in-southeast-asia

  Cited by:
     None...