{"title":"不可接受的损失:风险、预防和正义","authors":"Paul Scherz","doi":"10.1093/cb/cbad013","DOIUrl":null,"url":null,"abstract":"Abstract Beginning in the nineteenth century, social statistics inspired a vision of society as a population characterized by a certain distribution of risks. The introduction of the risk paradigm has deep implications for central concepts in Christian social ethics like distributive justice, with this vision leading to a new concept of distributive justice as the equal distribution of risk. This essay describes tensions that arise due to the risk paradigm in relation to distributive justice: risks can always be further reduced, risk mitigation creates other risks, and there is no inherent rule of justice for balancing risks. While recognition of shared risk can create social cohesion, it also leads to interest groups struggling over which risks to confront. The essay illustrates these problems with two examples from health care: preventive health programs that manage disease risk through medication, and debates over school closures in respond to the Covid pandemic. Christian bioethics, as it wrestles with issues of justice, must address the problems created by the risk paradigm.","PeriodicalId":42894,"journal":{"name":"Christian Bioethics","volume":null,"pages":null},"PeriodicalIF":0.2000,"publicationDate":"2023-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":"{\"title\":\"No Acceptable Losses: Risk, Prevention, and Justice\",\"authors\":\"Paul Scherz\",\"doi\":\"10.1093/cb/cbad013\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Abstract Beginning in the nineteenth century, social statistics inspired a vision of society as a population characterized by a certain distribution of risks. The introduction of the risk paradigm has deep implications for central concepts in Christian social ethics like distributive justice, with this vision leading to a new concept of distributive justice as the equal distribution of risk. This essay describes tensions that arise due to the risk paradigm in relation to distributive justice: risks can always be further reduced, risk mitigation creates other risks, and there is no inherent rule of justice for balancing risks. While recognition of shared risk can create social cohesion, it also leads to interest groups struggling over which risks to confront. The essay illustrates these problems with two examples from health care: preventive health programs that manage disease risk through medication, and debates over school closures in respond to the Covid pandemic. Christian bioethics, as it wrestles with issues of justice, must address the problems created by the risk paradigm.\",\"PeriodicalId\":42894,\"journal\":{\"name\":\"Christian Bioethics\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.2000,\"publicationDate\":\"2023-06-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Christian Bioethics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1093/cb/cbad013\",\"RegionNum\":4,\"RegionCategory\":\"哲学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"0\",\"JCRName\":\"PHILOSOPHY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Christian Bioethics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1093/cb/cbad013","RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"0","JCRName":"PHILOSOPHY","Score":null,"Total":0}
No Acceptable Losses: Risk, Prevention, and Justice
Abstract Beginning in the nineteenth century, social statistics inspired a vision of society as a population characterized by a certain distribution of risks. The introduction of the risk paradigm has deep implications for central concepts in Christian social ethics like distributive justice, with this vision leading to a new concept of distributive justice as the equal distribution of risk. This essay describes tensions that arise due to the risk paradigm in relation to distributive justice: risks can always be further reduced, risk mitigation creates other risks, and there is no inherent rule of justice for balancing risks. While recognition of shared risk can create social cohesion, it also leads to interest groups struggling over which risks to confront. The essay illustrates these problems with two examples from health care: preventive health programs that manage disease risk through medication, and debates over school closures in respond to the Covid pandemic. Christian bioethics, as it wrestles with issues of justice, must address the problems created by the risk paradigm.