The Maximin/Leximin Theory

T. Tännsjö
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Abstract

The maximin/leximin theory is applied in real medical life. The general result, in relation to any welfare state assuming its global obligations, is that more resources ought to be directed to the care and cure of people suffering from mental illness; less should be spent on marginal life extension (especially among elderly patients).The urgency of mental health, when the matter is assessed from the point of view of the maximin/leximin theory, has to do with the fact that people often suffer for very long time from mental disease rendering it plausible to assume that many people in this category garner throughout their lives a net deficit in terms of happiness. Hence they are the patients who are worst off. The problem with marginal life extension among elderly patients has to do with the fact that many among them have throughout their long lives already garnered a lot of happiness. Now these people have to stand back when there is fierce competition for available medical resources.
maximin/leximin理论在实际医疗生活中得到了应用。与任何承担全球义务的福利国家相关的总体结果是,应该将更多资源用于照顾和治疗患有精神疾病的人;应该减少在边际延长寿命上的花费(尤其是在老年患者中)。从最大化/leximin理论的角度来看,心理健康问题的紧迫性与人们经常长期遭受精神疾病的折磨这一事实有关,这一事实使人们有理由认为,这一类人的许多人一生中在幸福方面都有净赤字。因此,他们是病情最严重的病人。老年患者边际寿命延长的问题在于,他们中的许多人在漫长的生命中已经获得了很多幸福。现在,当现有医疗资源面临激烈竞争时,这些人不得不退居二线。
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