没有预期的老龄化--盲目性

IF 1.4 3区 哲学 Q2 ETHICS Public Health Ethics Pub Date : 2023-12-09 DOI:10.1093/phe/phad023
Martin Marchman Andersen, Lasse Nielsen
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引用次数: 0

摘要

老龄歧视是一种观点,认为将医疗资源分配给年轻人比分配给老年人更具道德价值。在医学伦理学中,众所周知,对功利主义和平等主义等分配原则的标准解释意味着某种形式的年龄歧视。有时,伦理学家会争辩说,似乎实际问题是不遵守年龄歧视的唯一或主要原因。在本文中,我们认为,从这种分配原则推断出老龄歧视,往往会犯我们所说的 "预期盲目 "谬误:过于狭隘地关注医疗保健治疗对生命质量的益处,使我们倾向于忽视医疗保健安全对生命质量益处的重要性,即仅仅是对年老时得到治疗和护理的信任和期望。这是一个关键的疏忽,因为医疗安全对更多的人和更长的时间都有价值。因此,将医疗安全纳入考虑范围对于我们应该如何对待老龄问题具有重要意义。
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Ageism Without Anticipation-Blindness
Ageism is the view that it is of greater moral value to allocate health care resources to younger people than to older people. In medical ethics, it is well-known that standard interpretations of distributive principles such as utilitarianism and egalitarianism imply some form of ageism. At times, ethicists argue as if practical complications are the only or main reason for not abiding to ageism. In this article, we argue that inferences to ageism from such distributive principles tend to commit what we call the anticipation-blindness fallacy: A much too narrow focus on life quality benefits of health care treatments inclines us to overlook the importance of life quality benefits of health care safety, that is the mere trust in and expectation of being treated and cared for as one grows old. This is a key omission because health safety has value for a much larger population and for much longer time. Taking health safety into account therefore has important implications as for how ageist we ought to be.
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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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