Rejecting relativist approaches, this book argues that physical health and individual autonomy are the necessary preconditions for participation in any society. The authors not only argue that optimal satisfaction of these basic human needs is a fundamental right of all our planet's citizens, but also that not meeting these needs can, and will, lead to moral and political disablement. Integrating theory and practice, the book presents a system for cross-cultural needs measurement, as well as a set of requirements for ameliorating human impoverishment. It then describes an innovative 'dual strategy' which recognizes the economic importance of both market forces and central planning, and the political importance of both state intervention and a flourishing democracy.
A dense and joyless read, but a vital piece of work. Doyal and Gough slowly, painstakingly, diligently establish the basis for and shape of a theory of universal human needs, which prises off the dead hands of both witless libertarianism and confused relativism.
Their thesis is based around the identification of basic needs (health and autonomy) and the means of satisfying them at an existential and, only then, preferential level. Many things, but not anything, goes.
They conclude, "Human need can never be automatically equated with individual wants or particular group interests. The specification of need must always appeal to a higher objectivity standard. While participation and the expression of preference have an indispensable role to play in determining specific need satisfiers, group interests cannot override the best available knowledge about basic and intermediate needs per se. These are central to everyone's ability to participate in their form of life and as such their satisfaction must be guaranteed as a right by a central public authority."
This theory is one that has definitely had a profound impact on the way I view the world. The book is dense, and hard to read at times. Whilst inevitably certain chapters will be more interesting than others, I felt no remorse at having slogged away at the whole thing. I loved the honesty and transparency in the way this was written, and felt the authors to be very modest despite the complexity of the arguments throughout the book. Most of it is now covered with highlights which i know I will be revisiting in the future.