caa a22 4500 445359404 CHVBK 20180317142910.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s10892-011-9109-z doi (NATIONALLICENCE)springer-10.1007/s10892-011-9109-z Cavallero Eric Southern Connecticut State University, 06515, New Haven, CT, USA aut Health, Luck and Moral Fallacies of the Second Best [Elektronische Daten] [Eric Cavallero] Individuals who become ill as a result of personal lifestyle choices often shift the monetary costs of their healthcare needs to the taxpaying public or to fellow members of a private insurance pool. Some argue that policies permitting such cost shifting are unfair. Arguments for this view may seem to draw support from luck egalitarian accounts of distributive justice. This essay argues that the luck egalitarian framework provides no such support. To allocate healthcare costs on the basis of personal responsibility would arbitrarily and publicly burden socially detectable risk-takers while undetectable risk-takers continue to get a free ride. That problem is unavoidable even on the assumption that distributive institutions outside the healthcare sector are fully just. In actual, farfrom-just societies, imposing personal liability for the costs of voluntary risk taking would be wrong for an additional reason. Doing so would tend to magnify existing distributive injustices. These conclusions draw attention to two common ‘moral fallacies of the second best' that can arise when applying ideal normative theory to matters of institutional design and in real-world policy contexts. Springer Science+Business Media B.V., 2011 Egalitarianism nationallicence Health nationallicence Healthcare nationallicence Luck nationallicence Luck egalitaianism nationallicence Personal responsibility nationallicence Responsibility nationallicence The Journal of Ethics Springer Netherlands 15/4(2011-12-01), 387-403 1382-4554 15:4<387 2011 15 10892 https://doi.org/10.1007/s10892-011-9109-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10892-011-9109-z text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Cavallero Eric Southern Connecticut State University, 06515, New Haven, CT, USA aut NATIONALLICENCE 773 0- The Journal of Ethics Springer Netherlands 15/4(2011-12-01), 387-403 1382-4554 15:4<387 2011 15 10892 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer