This article aims to clarify the moral underpinning of the policy framework of Healthy Ageing. It is a policy adopted by the World Health Organization designed to operate in alignment with the United Nations (UN) framework of the Sustainable Development Goals (SDGs) and the urgency given for the achievement of Universal Health Coverage (UHC). It particularly reflects on what, if anything, justifies protecting the most basic rights to health and well-being of older adults from possible policy trade-offs on the path to UHC.It argues that the dignity of older adults-under which are nested more specific ideas of self-respect, respect for autonomy, as well as the ethical priority for living well-underpins a categorical moral injunction against imposing the familiar utilitarian calculus as the default criterion for policy trade-offs across age groups. Respect for the dignity of older persons marks the moral threshold that every society ought to uphold even under conditions of relative resource scarcity.The moral constraint on permissible policy trade-offs relating to the health of older adults must reflect an understanding of older persons as active agents in the social structure of (their) well-being, not merely as passive vessels through which a good healthy life may or may not occur. We argue that there are three main domains where trade-offs are unacceptable from the moral point of view: it is impermissible (1) to prioritise key service(s) across different (vulnerable) age groups on the basis of actual or future contribution to society, (2) to prioritise across different age groups when co-prioritisation is warranted by the ethical theory, and (3), to always prioritise (by default) services that improve well-being over those that foster respect for dignity and autonomy.

中文翻译：

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关于健康老龄化的伦理：在全民健康覆盖的道路上，对老年人的健康和福祉进行不允许的权衡。

本文旨在阐明健康老龄化政策框架的道德基础。这是世界卫生组织采取的一项政策，旨在与联合国 (UN) 可持续发展目标 (SDG) 框架以及实现全民健康覆盖 (UHC) 的紧迫性保持一致。它特别反思了保护老年人最基本的健康和福祉权利的合理性（如果有的话），使其免受全民健康覆盖道路上可能的政策权衡的影响。自尊、尊重自主权以及良好生活的道德优先等具体理念支撑着明确的道德禁令，反对将熟悉的功利主义计算作为跨年龄组政策权衡的默认标准。尊重老年人的尊严是每个社会即使在资源相对匮乏的情况下也应该坚持的道德门槛。对与老年人健康有关的允许的政策权衡的道德约束必须反映对老年人作为积极主动者的理解。 （他们的）福祉的社会结构中的代理人，而不仅仅是作为可能或可能不会发生良好健康生活的被动容器。我们认为，从道德角度来看，在三个主要领域中的权衡是不可接受的： (1) 根据实际或未来对不同（弱势）年龄组的关键服务的贡献来优先考虑关键服务是不允许的。社会，(2) 当道德理论保证共同优先时，优先考虑不同年龄组的人，(3) 始终优先（默认）改善福祉的服务，而不是促进尊重尊严和自主的服务。