新冠肺炎大流行期间政府对公共卫生系统和个人自由的干预程度:理论分析。

Pub Date : 2023-07-18 eCollection Date: 2023-01-01 DOI:10.18502/jmehm.v16i4.13232
Vahid Moazzen, Ehsan Shamsi Gooshki
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引用次数: 0

摘要

个人自由的概念具有复杂和多方面的层面,严重影响了旨在限制这种自由和维护公共健康的政府干预措施的限度。因此,必须认真厘清个人自由与政府社会义务之间的界限。在新冠肺炎大流行期间,对此类澄清的需求明显增加。本研究旨在根据主要理论研究自由的概念,并观察其在分析卫生系统中个人与政府之间的关系,特别是在突发公共卫生事件中的应用。研究结果表明,“基于司法”、“基于发展”和“基于责任”的自由概念为卫生当局在包括新冠肺炎等流行病在内的传染病爆发期间实施公共卫生限制措施提供了更适当的理由。即使在建立在自由市场体系和不受限制的个人自由概念基础上的最低限度的政府中,鉴于公民健康面临极端风险的“灾难性道德恐怖”,这种公共卫生干预也是合理的。
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The extent of government intervention in the public health system and individual freedoms during the Covid-19 pandemic: a theoretical analysis.

The concept of individual freedom has complex and multifaceted dimensions that significantly affect the limits of permissible government interventions aimed at restricting such freedoms and maintaining public health. Therefore, the boundary between individual freedom and the social obligations of the government must be carefully clarified. During the Covid-19 pandemic, the need for such clarifications clearly increased. This study intended to investigate the concept of freedom according to major theories and to observe their application in analyzing the relations between individuals and the government in the health system, particularly during public health emergencies. The findings revealed that "justice-based", "development-based" and "accountability-based" conceptions of freedom provide a more appropriate rationale for implementation of public health restrictive measures by health authorities during infectious disease outbreaks including pandemics such as COVID-19. Even in minimal governments that are built upon a free-market system and unrestricted conception of individuals' freedom, such public health interventions are justifiable in the light of the 'Catastrophic Moral Horror' where there is an extreme risk to the health of citizens.

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