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Another ethical approach emphasizes distributional considerations. The Rule of Rescue, coined by A.R. Jonsen (1986), is one way to address distributional issues. This rule specifies that it is 'a perceived duty to save endangered life where possible'.[8] John Rawls ideas on impartial justice is a contractual perspective on distribution. These ideas have been applied by Amartya Sen[9] to address key aspects of health equity. Bioethics research[10] also examines international obligations of justice, in three broadly clustered areas: When are international inequalities in health unjust? Where do international health inequalities come from? How do we meet health needs justly if we can't meet them all?
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