Healthcare

Access to healthcare remains deeply unequal worldwide, posing a major human rights challenge. Underfunded systems in low- and middle-income countries leave millions without essential health care services; nearly 140 nations spend less than 5 percent of their GDP on public health. Maternal mortality remains exceptionally high, with women in low-income countries facing a death rate nearly 40 times greater than that in wealthier nations. Globally, maternal deaths have decreased from 328 to 197 per 100,000 births since 2000, but progress is uneven.

The COVID-19 pandemic exposed and deepened many of these inequalities. While wealthy nations administered millions of vaccines, poorer regions were left behind. Vulnerable populations such as refugees, Indigenous communities, and the elderly suffered from inadequate access, misinformation, and systemic neglect.

In conflict zones like Gaza, Sudan, and Ukraine, healthcare systems are under siege. In 2024 alone, an average of 10 attacks per day targeted health facilities in war zones, with over 7,400 attacks documented by the World Health Organization between 2018 and 2024, violations that cripple emergency response and endanger lives.

Across Africa, obstetric violence in particular is a significant concern. Neglect and abuse in healthcare facilities lead to poorer maternal outcomes, including an increased risk of death from pregnancy, childbirth, and postpartum complications; over 200,000 women and girls in Africa have died from pregnancy-related complications.

Meanwhile, in the United States, 25 million people remained uninsured in 2023, and 23 percent of US adults were underinsured, often skipping care due to cost. Despite improvements from Medicaid expansions and the ACA, recent policy shifts could leave millions more without coverage.

Mental health, another significant but often overlooked field of healthcare, receives just two percent of countries’ health budgets on average, despite rising rates of depression, anxiety, and suicide.


Fichte and the Right to Be Well: A Philosophical Case for Universal Healthcare

If there is one thing modern societies have learned from pandemic years and chronic inequality, it is that health is not a private matter. The spread of illness—biological, social, and moral—exposes how deeply our lives are intertwined. Yet we still talk about healthcare as if it were an optional service, a product to be purchased,…

October 27, 2025 Read more

We Already Have Effective Socialized Medicine: Now Universalize It

In the debates we hear about the significance of universal healthcare, there is something frequently left out of the discussion. A universal healthcare system is about providing a just and accessible healthcare system, the resources of which can and should be made universally available. It is also about ending a system which systematically reproduces health…

January 24, 2024 Read more

Autonomy and the Moral Obligation to Get Vaccinated

To date, nearly two hundred million Americans – just over 60 percent of the population – have been fully vaccinated against Covid-19. Recent reports indicate that unvaccinated adults are more than three times as likely to lean Republican. In other words, for every unvaccinated Democrat there are roughly three unvaccinated Republicans. An important question then…

December 14, 2021 Read more

Reflections on the Tuskegee Study and Its Moral Harm

Black History Month challenges all of us to learn, reflect and understand many things about the Black American experience, among them the Tuskegee Syphilis Study. This outrage, perpetrated by the US Public Health Service, was not conducted for a year or even a decade – it went on for forty years. Originally intended to be…

February 15, 2021 Read more