土著居民健康的集体责任:哲学探究

X. Hou, R. Bainbridge
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引用次数: 0

摘要

从各种哲学角度来看,改善土著人民的健康和缩小与非土著人民的差距是一个社会的集体责任。边沁的功利主义将优先采取行动,通过分配资源和干预措施,为最多的人带来最大的整体利益,从而最大限度地提高整体健康结果,这可能会以牺牲土著等少数群体为代价。康德的道德责任和绝对命令哲学认识到每个人固有的价值和尊严。原则是将人视为目的,而不仅仅是达到目的的手段。它呼吁在医疗决策中尊重土著自治、文化价值观和自决权。亚里士多德的美德伦理学注重道德品质的培养和对共同利益的追求。社会的美德包括社会正义、同情和团结。迈克尔·桑德尔的道德推理通过强调社会正义的重要性,强化了对土著健康的集体责任理念。桑德尔表示,一个公正的社会确保商品和服务的公平分配,包括医疗保健,并积极努力纠正不公平现象。
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Collective Responsibility for Indigenous Health: A Philosophical Inquiry
The improvement of Indigenous people’s health and the closing of the gap with non-Indigenous peoples is a collective responsibility of a society, drawing from various philosophical perspectives. Bentham’s utilitarianism will prioritise actions that maximise overall health outcomes via allocating resources and interventions in a way that produces the greatest overall benefit for the largest number of people, which could be at the expense of minority groups, such as Indigenous people. Kant’s philosophy of moral duty and categorical imperative recognise the inherent worth and dignity of every individual. The principle is treating people as ends in themselves, rather than mere means to an end. It calls for respecting Indigenous autonomy, cultural values, and right to self-determination in healthcare decision-making. Aristotle’s virtue ethics focuses on the cultivation of virtuous character and the pursuit of the common good. The society’s virtues include social justice, compassion and solidarity. Michael Sandel’s moral reasoning reinforces the idea of collective responsibility for Indigenous health by highlighting the importance of social justice. A just society, according to Sandel, ensures fair distribution of goods and services, including healthcare, and actively works to rectify inequities.
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