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Continuous Glucose Monitoring as a Matter of Justice
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<blockquote data-quote="esarkaye" data-source="post: 2264627" data-attributes="member: 524063"><p>Hi [USER=372207]@Antje77[/USER], thanks for your response. I don't know how the forum works well enough to be able to respond to individual parts of your message (sorry). Regarding the goals of the article: my main purpose was to examine why access to CGM might be a matter of justice, or, more specifically, which justice-based arguments might hold for providing access to all people with T1D, or at least not systematically excluding anyone. Clearly, there are many expensive medicines, devices, and so on that might make people's lives better, which cannot all be funded within any given health care system. Also, some countries have fewer resources to spend on health care than others, so that in some countries even quite basic health needs cannot be met. Any argument about why CGM must be publicly funded needs to be sensitive to this. This is the main reason for focusing on the Netherlands, although another reason was that I know this health care system best. The main arguments about justice will hold generally, I think; they are reasons to take providing CGM seriously, even if resource constraints, for instance, may ultimately outweigh those arguments. The goal is thus twofold: 1) general, theoretical arguments, and 2) specific all-things-considered application to the Netherlands and an appeal to the government. I hope that this helps to clarifies things somewhat.</p><p></p><p>Thanks for sharing those documents! I already knew about the petition, and have actually gotten in touch with the petitioners earlier today. These developments are great. Perhaps this is my own bias, being an academic, but I feel like a scientific article published in an academic journal can (and hopefully will) add additional weight to the discussion.</p><p></p><p>Finally: I'm glad you get to use the Libre now! <img src="data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7" class="smilie smilie--sprite smilie--sprite1" alt=":)" title="Smile :)" loading="lazy" data-shortname=":)" /></p></blockquote><p></p>
[QUOTE="esarkaye, post: 2264627, member: 524063"] Hi [USER=372207]@Antje77[/USER], thanks for your response. I don't know how the forum works well enough to be able to respond to individual parts of your message (sorry). Regarding the goals of the article: my main purpose was to examine why access to CGM might be a matter of justice, or, more specifically, which justice-based arguments might hold for providing access to all people with T1D, or at least not systematically excluding anyone. Clearly, there are many expensive medicines, devices, and so on that might make people's lives better, which cannot all be funded within any given health care system. Also, some countries have fewer resources to spend on health care than others, so that in some countries even quite basic health needs cannot be met. Any argument about why CGM must be publicly funded needs to be sensitive to this. This is the main reason for focusing on the Netherlands, although another reason was that I know this health care system best. The main arguments about justice will hold generally, I think; they are reasons to take providing CGM seriously, even if resource constraints, for instance, may ultimately outweigh those arguments. The goal is thus twofold: 1) general, theoretical arguments, and 2) specific all-things-considered application to the Netherlands and an appeal to the government. I hope that this helps to clarifies things somewhat. Thanks for sharing those documents! I already knew about the petition, and have actually gotten in touch with the petitioners earlier today. These developments are great. Perhaps this is my own bias, being an academic, but I feel like a scientific article published in an academic journal can (and hopefully will) add additional weight to the discussion. Finally: I'm glad you get to use the Libre now! :) [/QUOTE]
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