It is impossible for everyone immediately to attain the “highest attainable standard” of health (as the health rights declaration puts it). So [the question of] which “rights to health” are realised [becomes] a political battle. Political reality is that such a “right” is a trump card to get more resources – and it is rarely the poor who play it most effectively.
The pragmatic approach – directing public resources to where they have the most health benefits for a given cost – [has] historically achieved far more than the moral approach . . .
[The concept of a] “right” [to healthcare] skews public resources towards the most politically effective advocates, who will seldom be the neediest.