DALYs and the Minimally Good Life

IF 1.4 3区 哲学 Q2 ETHICS Public Health Ethics Pub Date : 2022-09-02 DOI:10.1093/phe/phac012
Tim Campbell
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引用次数: 1

Abstract

Nicole Hassoun’s book Global Health Impact: Extending Access to Essential Medicines has three parts. Part 1 is about the right to health, Part 2 offers a concrete proposal for how to promote the ability of people in the developing world to live minimally good lives and Part 3 is concerned with consumer responsibility as it relates to global health. I argue that there is a philosophical tension between the respective projects of Parts 1 and 2. The project of Part 1 reflects a sufficientarian ideal, namely ensuring that each person in our global community has the ability to live a minimally good life. But, the concrete proposal offered in Part 2 reflects a different ideal, namely maximizing global health benefit. While these two ideals may often converge on a set of feasible health outcomes that we should aim to bring about, they can also diverge. The extent to which they diverge depends on our specification of the minimally good life. It is therefore crucial that we have a criterion for distinguishing lives that are at least minimally good from those that are not. Unfortunately, Hassoun’s proposed criterion is problematic in that no life satisfies it.
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DALY与最低限度的美好生活
Nicole Hassoun的《全球健康影响:扩大基本药物的获取范围》一书由三部分组成。第1部分涉及健康权,第2部分就如何提高发展中国家人民过上最低限度美好生活的能力提出了具体建议,第3部分涉及与全球健康有关的消费者责任。我认为,第1部分和第2部分的各个项目之间存在哲学张力。第1部分的项目反映了一个足够的理想,即确保我们全球社区的每个人都有能力过上最低限度的美好生活。但是,第2部分提出的具体建议反映了一种不同的理想,即最大限度地提高全球健康效益。虽然这两种理想可能往往会汇聚在我们应该致力于实现的一系列可行的健康结果上,但它们也可能会出现分歧。它们的分歧程度取决于我们对最低限度良好生活的规范。因此,至关重要的是,我们要有一个标准来区分那些至少是最低限度好的生活和那些不是的生活。不幸的是,哈苏提出的标准是有问题的,因为没有生命能满足它。
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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来源期刊
Public Health Ethics
Public Health Ethics PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-MEDICAL ETHICS
CiteScore
3.10
自引率
9.50%
发文量
28
审稿时长
>12 weeks
期刊介绍: Public Health Ethics invites submission of papers on any topic that is relevant for ethical reflection about public health practice and theory. Our aim is to publish readable papers of high scientific quality which will stimulate debate and discussion about ethical issues relating to all aspects of public health. Our main criteria for grading manuscripts include originality and potential impact, quality of philosophical analysis, and relevance to debates in public health ethics and practice. Manuscripts are accepted for publication on the understanding that they have been submitted solely to Public Health Ethics and that they have not been previously published either in whole or in part. Authors may not submit papers that are under consideration for publication elsewhere, and, if an author decides to offer a submitted paper to another journal, the paper must be withdrawn from Public Health Ethics before the new submission is made. The editorial office will make every effort to deal with submissions to the journal as quickly as possible. All papers will be acknowledged on receipt by email and will receive preliminary editorial review within 2 weeks. Papers of high interest will be sent out for external review. Authors will normally be notified of acceptance, rejection, or need for revision within 8 weeks of submission. Contributors will be provided with electronic access to their proof via email; corrections should be returned within 48 hours.
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