The duty of care and the right to be cared for: is there a duty to treat the unvaccinated?

IF 2.3 2区 哲学 Q1 ETHICS Medicine Health Care and Philosophy Pub Date : 2024-03-01 Epub Date: 2024-01-05 DOI:10.1007/s11019-023-10186-4
Zohar Lederman, Shalom Corcos
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Abstract

Vaccine hesitancy or refusal has been one of the major obstacles to herd immunity against Covid-19 in high-income countries and one of the causes for the emergence of variants. The refusal of people who are eligible for vaccination to receive vaccination creates an ethical dilemma between the duty of healthcare professionals (HCPs) to care for patients and their right to be taken care of. This paper argues for an extended social contract between patients and society wherein vaccination against Covid-19 is conceived as essential for the protection of the right of healthcare providers to be taken care of. Thus, a duty of care is only valid when those who can receive vaccination actually receive it. Whenever that is not the case, the continuing functioning of HCPs can only be perceived as supererogatory and not obligatory.

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照顾的责任和被照顾的权利:是否有责任治疗未接种疫苗的人?
在高收入国家,疫苗接种犹豫不决或拒绝接种一直是实现针对 Covid-19 的群体免疫的主要障碍之一,也是导致变种出现的原因之一。有资格接种疫苗的人拒绝接受疫苗接种,造成了医疗保健专业人员(HCPs)照顾病人的责任与病人被照顾的权利之间的道德困境。本文论证了患者与社会之间的扩展社会契约,其中认为接种 Covid-19 疫苗对于保护医疗保健提供者被照顾的权利至关重要。因此,只有当那些可以接种疫苗的人实际接种了疫苗时,照顾的责任才是有效的。否则,医疗保健提供者的继续工作只能被视为超然而非义务。
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来源期刊
CiteScore
4.30
自引率
4.80%
发文量
64
期刊介绍: Medicine, Health Care and Philosophy: A European Journal is the official journal of the European Society for Philosophy of Medicine and Health Care. It provides a forum for international exchange of research data, theories, reports and opinions in bioethics and philosophy of medicine. The journal promotes interdisciplinary studies, and stimulates philosophical analysis centered on a common object of reflection: health care, the human effort to deal with disease, illness, death as well as health, well-being and life. Particular attention is paid to developing contributions from all European countries, and to making accessible scientific work and reports on the practice of health care ethics, from all nations, cultures and language areas in Europe.
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