治愈比疾病更糟糕吗?公共卫生中的风险伦理

IF 1.3 Q3 ETHICS
Diego S. Silva, Maxwell J. Smith
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引用次数: 0

摘要

摘要在传染病和非传染病的背景下,改善公共卫生的努力往往包括采取措施,使一些人面临风险,为这些人或其他人带来好处。尽管如此,在公共卫生的背景下,实施这些给一些人带来风险而不是给其他人带来风险的措施的确切理由尚不清楚。在此,我们在现有的基于自主性的道德风险施加解释的基础上,认为在公共卫生中施加风险的考虑应该以关系自主和关系正义的方法为中心。通过探索权力和背景在此类审议中的重要性,这样做可以更好地捕捉到允许一些风险和不允许其他风险的原因。最后,我们在(a)新冠肺炎措施和(b)含糖饮料监管的情况下应用了风险施加的关系描述,以说明其解释力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Is the Cure Worse than the Disease? The Ethics of Imposing Risk in Public Health

Abstract

Efforts to improve public health, both in the context of infectious diseases and non-communicable diseases, will often consist of measures that confer risk on some persons to bring about benefits to those same people or others. Still, it is unclear what exactly justifies implementing such measures that impose risk on some people and not others in the context of public health. Herein, we build on existing autonomy-based accounts of ethical risk imposition by arguing that considerations of imposing risk in public health should be centered on a relational autonomy and relational justice approach. Doing so better captures what makes some risk permissible and others not by exploring the importance of power and context in such deliberations. We conclude the paper by applying a relational account of risk imposition in the cases of (a) COVID-19 measures and (b) the regulation of sugar-sweetened beverages to illustrate its explanatory power.

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来源期刊
CiteScore
6.20
自引率
3.40%
发文量
32
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.
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