流行病伦理和现状风险

IF 1.4 3区 哲学 Q2 ETHICS Public Health Ethics Pub Date : 2022-01-01 DOI:10.1093/phe/phab031
R. Chappell
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引用次数: 0

摘要

在大流行期间,医学伦理的保守假设可能带来巨大危害。公共卫生机构和公共话语都一再倾向于不采取行动,而不是积极的医疗干预措施来应对大流行,这反而增加了全民风险,同时声称以“谨慎”为指导。修辞与现实之间的这种令人困惑的脱节暗示了一种潜在的哲学困惑。在本文中,我认为我们已经被现状偏见所误导——夸大了医疗干预中固有风险的道德意义,而系统地忽视了(客观上更大的)流行病失控的现状前景所固有的风险。通过认识到现状风险的可能性和重要性,我们将更好地做好准备,在下一次大流行来袭时作出适当的反应。
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Pandemic ethics and status quo risk
Conservative assumptions in medical ethics risk immense harms during a pandemic. Public health institutions and public discourse alike have repeatedly privileged inaction over aggressive medical interventions to address the pandemic, perversely increasing population-wide risks while claiming to be guided by 'caution'. This puzzling disconnect between rhetoric and reality is suggestive of an underlying philosophical confusion. In this paper, I argue that we have been misled by status quo bias-exaggerating the moral significance of the risks inherent in medical interventions, while systematically neglecting the (objectively greater) risks inherent in the status quo prospect of an out-of-control pandemic. By coming to appreciate the possibility and significance of status quo risk, we will be better prepared to respond appropriately when the next pandemic strikes.
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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for publication elsewhere, and, if an author decides to offer a submitted paper to another journal, the paper must be withdrawn from Public Health Ethics before the new submission is made.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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