a. Argues that a just society will not permit insurance companies will not deny
people the most basic healthcare regardless of genetic conditions; health care is a
basic need, but what is it needed for?
i. When people with serious genetic conditions are denied health care, their
autonomy (appeal to this value), their ability to plan their life, is destroyed
or seriously impeded.
ii. Democratic values of autonomy generate a universal right to basic health
care, thus a duty of society to insure that everyone has healthcare they
need (hence the affordable healthcare act today). These rights are allowed
for people to fashion their own lives, so long as it does not infringe on
1. These values take precedence than the insurance company’s desire
to increase profit or the consumer’s desire to pay less for premiums
or market freedoms.
2. When these rights are violated, society has a duty to protect those
iii. Believes people are not responsible for these genetic conditions that limit
autonomy, as opposed to smoking and overeating, things which people are
morally responsible for.
1. Believes genetic conditions are a draw of luck and we are all
equally susceptible to genetic diseases, a genetic lottery, that are
pure chance that people have worse genes, creating a sense that
we are all in the same boat. Thus, we must ensure that everyone
has ACCESS to the same basic healthcare insurance.
2. Basic healthcare does not include cosmetic surgery, and are
considered treatment luxuries for Kitcher.
iv. Ex:Awoman is born with a mutant allele that confirms a high risk of
cancer. She should not be declared uninsurable, for whatever she does, she
carries the genetic risk.As a society, we a have a duty to protect her, and
thus enforce equal healthcare, an opportunity that greatly increases her
chances of a longer life. She should not be charged a higher premium if it
undermines coverage for people like