{"title":"Public Health as a Constitutional Principle.","authors":"Alvin Chen","doi":"10.1093/phe/phaf007","DOIUrl":null,"url":null,"abstract":"<p><p>Public health is commonly regarded as a branch of public policy. While few governments would dispute that public health should be a core responsibility of the state, in practice, it is frequently reduced to a branch of administration, in competition with other branches over annual budget distributions and policy priority. This paper advances the argument that the state should prioritize public health for one crucial reason: public health is a normative principle that constitutes the modern state. As a constitutional principle, it demands the state to promote and preserve public health. The paper examines first what makes public health a normative principle, and then examines why it is a normative principle that makes demands on the state. In so doing, the paper distinguishes public health as a constitutional principle from the constitutional right to health. The paper concludes with a reflection on the urgency to prioritize public health, not merely because of policy needs, but on the ground that it is a foundational normative principle of the modern state.</p>","PeriodicalId":49136,"journal":{"name":"Public Health Ethics","volume":"18 2","pages":"phaf007"},"PeriodicalIF":2.0000,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12242155/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Public Health Ethics","FirstCategoryId":"98","ListUrlMain":"https://doi.org/10.1093/phe/phaf007","RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"ETHICS","Score":null,"Total":0}
引用次数: 0
Abstract
Public health is commonly regarded as a branch of public policy. While few governments would dispute that public health should be a core responsibility of the state, in practice, it is frequently reduced to a branch of administration, in competition with other branches over annual budget distributions and policy priority. This paper advances the argument that the state should prioritize public health for one crucial reason: public health is a normative principle that constitutes the modern state. As a constitutional principle, it demands the state to promote and preserve public health. The paper examines first what makes public health a normative principle, and then examines why it is a normative principle that makes demands on the state. In so doing, the paper distinguishes public health as a constitutional principle from the constitutional right to health. The paper concludes with a reflection on the urgency to prioritize public health, not merely because of policy needs, but on the ground that it is a foundational normative principle of the modern state.
期刊介绍:
Public Health Ethics invites submission of papers on any topic that is relevant for ethical reflection about public health practice and theory. Our aim is to publish readable papers of high scientific quality which will stimulate debate and discussion about ethical issues relating to all aspects of public health. Our main criteria for grading manuscripts include originality and potential impact, quality of philosophical analysis, and relevance to debates in public health ethics and practice. Manuscripts are accepted for publication on the understanding that they have been submitted solely to Public Health Ethics and that they have not been previously published either in whole or in part. Authors may not submit papers that are under consideration for publication elsewhere, and, if an author decides to offer a submitted paper to another journal, the paper must be withdrawn from Public Health Ethics before the new submission is made.
The editorial office will make every effort to deal with submissions to the journal as quickly as possible. All papers will be acknowledged on receipt by email and will receive preliminary editorial review within 2 weeks. Papers of high interest will be sent out for external review. Authors will normally be notified of acceptance, rejection, or need for revision within 8 weeks of submission. Contributors will be provided with electronic access to their proof via email; corrections should be returned within 48 hours.