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
  • [21] Ethics of kidney care in the era of COVID-19
    Martin, Dominique E.
    Parsons, Jordan A.
    Caskey, Fergus J.
    Harris, David C. H.
    Jha, Vivekanand
    KIDNEY INTERNATIONAL, 2020, 98 (06) : 1424 - 1433
  • [22] Ethics in Emergency Times: The Case of COVID-19
    Semplici, Stefano
    PHILOSOPHIES, 2022, 7 (03)
  • [23] Rethinking the Ethics of the Covid-19 Pandemic Lockdowns
    Miller, Daniel
    Moss, Alvin
    HASTINGS CENTER REPORT, 2023, 53 (04) : 3 - 9
  • [24] Ethics of ICU triage during COVID-19
    Vinay, Rasita
    Baumann, Holger
    Biller-Andorno, Nikola
    BRITISH MEDICAL BULLETIN, 2021, 138 (01) : 5 - 15
  • [25] Rising to the challenge: Pharmacy residents on the front lines during COVID-19 pandemic
    Uchida, Emma
    Long-Fazio, Bianca
    Marshall, John
    Fortier, Christopher
    AMERICAN JOURNAL OF HEALTH-SYSTEM PHARMACY, 2020, 77 (24) : 2101 - 2106
  • [26] Jewish Ethics in COVID-19
    Crane, Jonathan K.
    JOURNAL OF JEWISH ETHICS, 2020, 6 (01) : 1 - 29
  • [27] Crisis in public health protection against the problem of access to COVID-19 vaccines
    Barczewski, Maciej
    Sykuna, Sebastian
    PRZEGLAD SEJMOWY, 2021, (05): : 249 - 265
  • [28] Schools on the Front Lines: School Based Health Centers Amidst COVID-19
    Terepka, Angelica
    Torres-Pagan, Leonell
    De la Fuente, Angelica
    SCHOOL PSYCHOLOGY, 2021, 36 (05) : 398 - 409
  • [29] Public Health After COVID-19
    Cottler, Linda B.
    JOURNAL OF HEALTH RESEARCH, 2023, 37 (05) : 356 - 358
  • [30] Healthcare resource allocation in the COVID-19 pandemic: Ethical considerations from the perspective of distributive justice within public health
    Yip, Jeffrey Yuk-Chiu
    PUBLIC HEALTH IN PRACTICE, 2021, 2