Against 'Individual Risk': A Sympathetic Critique of Risk Assessment

IF 2.5 2区 社会学 Q1 Social Sciences
M. Adler
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引用次数: 26

Abstract

"Individual risk" currently plays a major role in risk assessment and in the regulatory practices of the health and safety agencies that employ risk assessment, such as EPA, FDA, OSHA, NRC, CPSC, and others. Risk assessors use the term "population risk" to mean the number of deaths caused by some hazard. By contrast, "individual risk" is the incremental probability of death that the hazard imposes on some particular person. Regulatory decision procedures keyed to individual risk are widespread. This is true both for the regulation of toxic chemicals (the heartland of risk assessment), and for other health hazards, such as radiation and pathogens; and regulatory agencies are now beginning to employ individual risk criteria for evaluating safety threats, such as occupational injuries. Sometimes, agencies look to the risk imposed on the maximally exposed individual; in other contexts, the regulatory focus is on the average individual's risk, or perhaps the risk of a person incurring an above-average but nonmaximal exposure. Sometimes, agencies seek to regulate hazards so as to reduce the individual risk level (to the maximally exposed, high-end, or average individual) below 1 in 1 million. Sometimes, instead, a risk level of 1 in 100,000 or 1 in 10,000 or even 1 in 1000 is seen as de minimis. In short, the construct of individual risk plays a variety of decisional roles, but the construct itself is quite pervasive.This Article launches a systematic critique of agency decisionmaking keyed to individual risk. Part I unpacks the construct, and shows how it invokes a frequentist rather than Bayesian conception of probability. Part II surveys agency practice, describing the wide range of regulatory contexts where individual risk levels are wholly or partly determinative of agency choice: these include most of the EPA's major programs for regulating toxins (air pollutants under the Clean Air Act, water pollutants under the Clean Water Act and Safe Drinking Water Act, toxic waste dumps under the Superfund statute, hazardous wastes under RCRA, and pesticides under FIFRA) as well as the FDA's regulation of food safety, OSHA regulation of workplace health and safety risks, NRC licensing of nuclear reactors, and the CPSC's regulation of risky consumer products.In the remainder of the Article, I demonstrate that frequentist individual risk is a problematic basis for regulatory choice, across a range of moral views. Part III focuses on welfare consequentialism: the moral view underlying welfare economics and cost-benefit analysis. I argue that the sort of risk relevant to welfare consequentialism is Bayesian, not frequentist. Part IV explores the subtle, but crucial difference between frequentist and Bayesian risk. Part V moves beyond cost-benefit analysis and examines nonwelfarist moral views: specifically, safety-focused, deontological, contractualist, and democratic views. Here too, I suggest, regulatory reliance on frequentist individual risk should be seen as problematic. Part VI argues that current practices (as described at length in Part II) are doubly misguided: not only do they focus on frequentist rather than Bayesian risk, but they are also insensitive to population size.In short, the Article provides a wide ranging, critical analysis of contemporary risk assessment and risk regulation. The perspective offered here is that of the sympathetic critic. Risk assessment itself - the enterprise of quantifying health and safety threats - represents a great leap forward for public rationality, and should not be abandoned. Rather, the current conception of risk assessment needs to be reworked. Risk needs to be seen in Bayesian rather than frequentist terms. And regulatory choice procedures must be driven by population risk or some other measure of the seriousness of health and safety hazards that is sensitive to the size of the exposed population - not the risk that some particular person (whatever her place in the exposure distribution) incurs.
反对“个体风险”:对风险评估的同情批评
“个体风险”目前在风险评估和采用风险评估的健康和安全机构(如EPA、FDA、OSHA、NRC、CPSC等)的监管实践中起着主要作用。风险评估人员使用“人口风险”一词来表示某种危害造成的死亡人数。相比之下,“个体风险”指的是风险对某个人造成的增量死亡概率。与个人风险密切相关的监管决策程序非常普遍。对于有毒化学品(风险评估的核心)的监管和其他健康危害,如辐射和病原体,都是如此;监管机构现在开始采用个人风险标准来评估安全威胁,比如职业伤害。有时,机构会关注最大程度暴露于风险的个人所承受的风险;在其他情况下,监管的重点是普通人的风险,或者可能是一个人承受高于平均水平但非最大暴露的风险。有时,各机构寻求对危害进行监管,以便将个人风险水平(对最大暴露、高端或平均个人)降低到百万分之一以下。有时候,10万分之一、1万分之一甚至1千分之一的风险水平被认为是最低的。简而言之,个人风险的结构扮演着各种各样的决策角色,但结构本身是相当普遍的。本文对以个体风险为核心的机构决策进行了系统的批判。第1部分解开了这个结构,并展示了它是如何调用频率论而不是贝叶斯概率概念的。第二部分调查了机构实践,描述了广泛的监管背景,其中个人风险水平完全或部分地决定了机构的选择:其中包括环保局的大部分主要毒素管理项目(《清洁空气法》规定的空气污染物,《清洁水法》和《安全饮用水法》规定的水污染物,《超级基金法》规定的有毒废物倾倒,《RCRA》规定的危险废物,《FIFRA》规定的农药),以及FDA对食品安全的监管,OSHA对工作场所健康和安全风险的监管,美国核管理委员会对核反应堆的许可,以及美国消费品安全委员会对危险消费品的监管。在这篇文章的其余部分,我论证了在一系列道德观点中,频率主义者的个人风险是监管选择的一个有问题的基础。第三部分主要讨论福利结果主义:福利经济学的道德观点和成本效益分析。我认为与福利结果论相关的风险是贝叶斯的,而不是频率论的。第四部分探讨了频率论和贝叶斯风险之间微妙但关键的区别。第五部分超越了成本效益分析,考察了非福利主义的道德观点:具体来说,以安全为中心的、义务论的、契约主义的和民主的观点。我认为,在这方面,监管机构对频繁个人风险的依赖也应被视为有问题。第六部分认为,当前的做法(如第二部分所详细描述的)是双重误导:它们不仅关注频率而不是贝叶斯风险,而且对人口规模也不敏感。简而言之,本文对当代风险评估和风险监管进行了广泛而批判性的分析。这里提供的视角是富有同情心的批评家的视角。风险评估本身——对健康和安全威胁进行量化的工作——代表着公众理性的一大飞跃,不应被抛弃。相反,目前的风险评估概念需要重新设计。风险需要用贝叶斯理论而不是频率理论来看待。监管选择程序必须以人口风险或其他对暴露人口规模敏感的健康和安全危害的严重性衡量标准为依据,而不是以某个特定的人(无论她在暴露分布中的位置如何)所带来的风险为依据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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CiteScore
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