Utilitarianism on the front lines: COVID-19, public ethics, and the "hidden assumption" problem

被引:1
|
作者
Shaw, Charles
Vanadia, Silvio
机构
关键词
utilitarianism; COVID-19; ethical analysis; health resources; health care rationing; public health; public ethics; INTENSIVE-CARE TREATMENTS; ALLOCATION; RECOMMENDATIONS; ECONOMICS;
D O I
10.2478/ebce-2022-0006
中图分类号
B82 [伦理学(道德学)];
学科分类号
摘要
How should we think of the preferences of citizens? Whereas self-optimal policy is relatively straightforward to produce, socially optimal policy often requires a more detailed examination. In this paper, we identify an issue that has received far too little attention in welfarist modelling of public policy, which we name the "hidden assumptions" problem. Hidden assumptions can be deceptive because they are not expressed explicitly and the social planner (e.g. a policy maker, a regulator, a legislator) may not give them the critical attention they need. We argue that ethical expertise has a direct role to play in public discourse because it is hard to adopt a position on major issues like public health policy or healthcare prioritisation without making contentious assumptions about population ethics. We then postulate that ethicists are best situated to critically evaluate these hidden assumptions, and can therefore play a vital role in public policy debates.
引用
收藏
页码:60 / 78
页数:19
相关论文
共 50 条
  • [11] The COVID-19 wicked problem in public health ethics: conflicting evidence, or incommensurable values?
    Federica Angeli
    Silvia Camporesi
    Giorgia Dal Fabbro
    Humanities and Social Sciences Communications, 8
  • [12] Tragic Choices, Revisited: COVID-19 and the Hidden Ethics of Rationing
    Ryan, Maura A.
    CHRISTIAN BIOETHICS, 2022, 28 (01): : 58 - 75
  • [13] The COVID-19 wicked problem in public health ethics: conflicting evidence, or incommensurable values?
    Angeli, Federica
    Camporesi, Silvia
    Dal Fabbro, Giorgia
    HUMANITIES & SOCIAL SCIENCES COMMUNICATIONS, 2021, 8 (01):
  • [14] COVID-19 on the front page: photojournalism ethics on the pandemic in Spain
    Macia-Barber, Carlos
    REVISTA ESPANOLA DE COMUNICACION EN SALUD, 2020, : S42 - S58
  • [15] The public health ethics framework and implications for COVID-19
    Lundgren, A. C.
    Etheredge, H. R.
    SOUTHERN AFRICAN JOURNAL OF ANAESTHESIA AND ANALGESIA, 2020, 26 (06) : S98 - S99
  • [16] Ethics, public health and technology responses to COVID-19
    Miller, Seumas
    Smith, Marcus
    BIOETHICS, 2021, 35 (04) : 364 - 371
  • [17] From the Front Lines of COVID-19 at HSS: An Oral History
    MacKenzie, C. Ronald
    Jacobson, Joy
    HSS JOURNAL, 2020, 16 (1_SUPPL) : 200 - 208
  • [18] Parents on the front lines of COVID-19 face tough choices
    Varner, Catherine
    CANADIAN MEDICAL ASSOCIATION JOURNAL, 2020, 192 (17) : E467 - E468
  • [19] From "exceptional ethics" to public health ethics. Patients and proxies facing COVID-19. Ethics and public health during COVID-19
    Spranzi, Marta
    Foureur, Nicolas
    Faidherbe, Virginie
    SANTE PUBLIQUE, 2024, 36 (01): : 97 - 108
  • [20] The COVID-19 ethics
    Tomasson, Kristinn
    LAEKNABLADID, 2021, 107 (05): : 266 - 266