PT - JOURNAL ARTICLE AU - Anthony J Culyer TI - Equity - some theory and its policy implications AID - 10.1136/jme.27.4.275 DP - 2001 Aug 01 TA - Journal of Medical Ethics PG - 275--283 VI - 27 IP - 4 4099 - http://jme.bmj.com/content/27/4/275.short 4100 - http://jme.bmj.com/content/27/4/275.full SO - J Med Ethics2001 Aug 01; 27 AB - This essay seeks to characterise the essential features of an equitable health care system in terms of the classical Aristotelian concepts of horizontal and vertical equity, the common (but ill-defined) language of “need” and the economic notion of cost-effectiveness as a prelude to identifying some of the more important issues of value that policy-makers will have to decide for themselves; the characteristics of health (and what determines it) that can cause policy to be ineffective (or have undesired consequences); the information base that is required to support a policy directed at securing greater equity, and the kinds of research (theoretical and empirical) that are needed to underpin such a policy.