The vast improvements in medical technology reviled the crucial role of social determinants of health for the etiology, prevalence and prognosis of diseases. This changed the content of the right to health concept from a demand of health services, to a claim of having access to all social determinants of health. Thus, the just allocation of scarce resources of health and social determinants of health became an issue of ethical theories. John Rawls developed a theory of justice. His theory suggests that the principles of justice should be determined by individuals in a hypothetic initial position. In the initial position, individuals agree on principles of justice. Rawls puts forth that the institutions of the society should be structured in compliance with these principles to reach a fair social system. Although Rawls did not justify right to health in his theory, the efforts to enlarge the theory to cover right to health flourished quite fast. In this paper first the basic components of Rawls theory is explained. Then the most outstanding approaches to enlarge his theory to cover right to health is introduced and discussed within the discourse of Rawls theory of justice.

中文翻译：

---

增强约翰·罗尔斯的正义论以涵盖健康和健康的社会决定因素。

医疗技术的巨大进步使健康的社会决定因素对于疾病的病因，患病率和预后起着至关重要的作用。这将健康权概念的内容从对医疗服务的需求变为对所有健康的社会决定因素都可以使用的主张。因此，合理分配健康的稀缺资源和健康的社会决定因素成为道德理论的问题。约翰·罗尔斯（John Rawls）发展了正义理论。他的理论表明，正义原则应由处于假设初始位置的个人决定。在最初的立场上，个人同意正义原则。罗尔斯提出，社会机构的结构应遵循这些原则，以建立一个公平的社会制度。尽管罗尔斯没有在他的理论中为健康权辩护，但为扩大该理论以涵盖健康权所做的努力却非常迅速。本文首先解释了罗尔斯理论的基本组成部分。然后在罗尔斯司法理论的论述中介绍和讨论了扩大他的理论以涵盖健康权的最杰出方法。