Disagreement, Unenforceability, and Harm Reduction.

IF 1.8 3区 哲学 Q2 ETHICS Health Care Analysis Pub Date : 2020-12-01 Epub Date: 2020-10-24 DOI:10.1007/s10728-020-00409-7
Daniel M Weinstock
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Abstract

Talk of harm reduction has expanded horizontally, to apply to an ever-widening range of policy domains, and vertically, becoming part of official legal and political discourse. This expansion calls for philosophical theorization. What is the best way in which to characterize harm reduction? Does it represent a distinctive ethical position? How is it best morally justified, and what are its moral limits? I distinguish two varieties of harm reduction. One of them, technocratic harm reduction, is premised on the fact of non-enforceability of prohibitionist policies. The second, deliberative harm reduction, is premised on the fact of reasonable disagreement, grounded in the fact that reasonable persons disagree about a range of controversial behaviours. I argue that deliberative harm reduction better accounts for some of harm reduction's most attractive features, and provides a plausible way of accounting for harm reductions's justificatory grounds and limits.

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分歧、不可执行性和减少危害。
关于减少危害的讨论已经横向扩展,适用于越来越广泛的政策领域,并纵向扩展,成为官方法律和政治话语的一部分。这种扩展需要哲学理论化。什么是描述减低危害的最佳方式?它是否代表了一种独特的伦理立场?它在道德上的最佳理由是什么?我将减低伤害分为两类。其一,技术官僚式减害,其前提是禁酒政策的不可执行性。第二种是慎思减害法,其前提是合理的分歧,其基础是有理性的人对一系列有争议的行为存在分歧。我认为,慎思减害更好地解释了减害最吸引人的一些特征,并为减害的正当理由和限制提供了一种合理的解释方式。
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来源期刊
CiteScore
4.20
自引率
0.00%
发文量
3
期刊介绍: Health Care Analysis is a journal that promotes dialogue and debate about conceptual and normative issues related to health and health care, including health systems, healthcare provision, health law, public policy and health, professional health practice, health services organization and decision-making, and health-related education at all levels of clinical medicine, public health and global health. Health Care Analysis seeks to support the conversation between philosophy and policy, in particular illustrating the importance of conceptual and normative analysis to health policy, practice and research. As such, papers accepted for publication are likely to analyse philosophical questions related to health, health care or health policy that focus on one or more of the following: aims or ends, theories, frameworks, concepts, principles, values or ideology. All styles of theoretical analysis are welcome providing that they illuminate conceptual or normative issues and encourage debate between those interested in health, philosophy and policy. Papers must be rigorous, but should strive for accessibility – with care being taken to ensure that their arguments and implications are plain to a broad academic and international audience. In addition to purely theoretical papers, papers grounded in empirical research or case-studies are very welcome so long as they explore the conceptual or normative implications of such work. Authors are encouraged, where possible, to have regard to the social contexts of the issues they are discussing, and all authors should ensure that they indicate the ‘real world’ implications of their work. Health Care Analysis publishes contributions from philosophers, lawyers, social scientists, healthcare educators, healthcare professionals and administrators, and other health-related academics and policy analysts.
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