Rethinking Health: Healthy or Healthier than?

Theorists of health have, to this point, focused exclusively on trying to define a state—health—that an organism might be in. I argue that they have overlooked the possibility of a comparativist theory of health, which would begin by defining a relation—healthier than—that holds between two organisms or two possible states of the same organism. I show that a comparativist approach to health has a number of attractive features, and has important implications for philosophers of medicine, bioethicists, health economists, and policy makers. 1 Introduction 2 Comparative and Non-comparative Concepts 3 Traditional Theories of Health 4 An Argument for Comparativism: Intergenerational Assessments of Health 5 Another Reason to be a Comparativist: Functionalist Theories of Health 6 A Non-comparative Alternative? 7 An Objection to Comparativism? 8 Why this Matters: The Consequences of Comparativism