Balancing Public Health and Autonomy: Ethical Challenges in Manila’s Health Permit Requirement

IF 1.8 Q3 ETHICS

Asian Bioethics Review Pub Date : 2025-03-26 DOI:10.1007/s41649-025-00366-0

Joshua Cedric A. Gundayao

引用次数: 0

Abstract

This perspective article examines the ethical implications of Manila City Ordinance No. 8793, also known as the “Sanitation and Disinfection Code of Manila.” This ordinance mandates centralizing health screenings through the Manila Health Department for all city employees working in government and private institutions. While the ordinance aims to centralize public health measures to enhance disease control in the city, it raises concerns regarding individual autonomy in relation to public health. In this article, I will highlight how the ordinance’s stringent requirements potentially infringe individual autonomy and, worst of all, disproportionately affect low-income workers. To do this, I will explore the possible tension between public health and the principle of autonomy in enacting this ordinance. This article hopes to contribute to the broader discourse on public health ethics, particularly in contexts where policies set to attain their goals might unintentionally infringe on individual autonomy and exacerbate existing equality.

查看原文本刊更多论文

平衡公共卫生和自治：马尼拉卫生许可要求中的道德挑战

这篇透视文章考察了马尼拉市法令第8793号的伦理含义，也被称为“马尼拉卫生和消毒法典”。该法令要求通过马尼拉卫生局对在政府和私营机构工作的所有城市雇员进行集中健康检查。虽然该条例旨在集中公共卫生措施以加强城市的疾病控制，但它引起了对公共卫生方面个人自主权的关切。在本文中，我将强调条例的严格要求如何可能侵犯个人自主权，最糟糕的是，如何不成比例地影响低收入工人。为此，我将探讨在制定该条例时，公共卫生与自治原则之间可能存在的紧张关系。本文希望有助于更广泛地讨论公共卫生伦理，特别是在为实现其目标而制定的政策可能无意中侵犯个人自主权并加剧现有平等的情况下。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Asian Bioethics Review Multiple-

CiteScore

6.20

自引率

3.40%

发文量

期刊介绍： Asian Bioethics Review (ABR) is an international academic journal, based in Asia, providing a forum to express and exchange original ideas on all aspects of bioethics, especially those relevant to the region. Published quarterly, the journal seeks to promote collaborative research among scholars in Asia or with an interest in Asia, as well as multi-cultural and multi-disciplinary bioethical studies more generally. It will appeal to all working on bioethical issues in biomedicine, healthcare, caregiving and patient support, genetics, law and governance, health systems and policy, science studies and research. ABR provides analyses, perspectives and insights into new approaches in bioethics, recent changes in biomedical law and policy, developments in capacity building and professional training, and voices or essays from a student’s perspective. The journal includes articles, research studies, target articles, case evaluations and commentaries. It also publishes book reviews and correspondence to the editor. ABR welcomes original papers from all countries, particularly those that relate to Asia. ABR is the flagship publication of the Centre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore. The Centre for Biomedical Ethics is a collaborating centre on bioethics of the World Health Organization.