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
  • [31] Few Insights on the problem of COVID-19
    El Hassoun, O.
    Valaskova, Z.
    Polak, S.
    Hulin, I
    BRATISLAVA MEDICAL JOURNAL-BRATISLAVSKE LEKARSKE LISTY, 2020, 121 (07): : 471 - 474
  • [32] Public Value and Ethical Challenges in the COVID-19 Pandemic Response
    Liou, Kuotsai Tom
    Liou, Alex K.
    PUBLIC INTEGRITY, 2024, 26 (01) : 1 - 22
  • [33] Ethics and informatics in the age of COVID-19: challenges and recommendations for public health organization and public policy
    Subbian, Vignesh
    Solomonides, Anthony
    Clarkson, Melissa
    Rahimzadeh, Vasiliki Nataly
    Petersen, Carolyn
    Schreiber, Richard
    DeMuro, Paul R.
    Dua, Prerna
    Goodman, Kenneth W.
    Kaplan, Bonnie
    Koppel, Ross
    Lehmann, Christoph U.
    Pan, Eric
    Senathirajah, Yalini
    JOURNAL OF THE AMERICAN MEDICAL INFORMATICS ASSOCIATION, 2021, 28 (01) : 184 - 189
  • [34] On the Front Lines: Nonprofits in the Homeless-Serving Sector During the COVID-19 Pandemic
    Leviten-Reid, Catherine
    Karabanow, Jeff
    Doll, Kaitrin
    Hughes, Jean
    Wu, Haorui
    CANADIAN JOURNAL OF NONPROFIT AND SOCIAL ECONOMY RESEARCH, 2022, 13 (02) : 1 - 16
  • [35] Editorial: Ethics and COVID-19: The bioethics of a "job well done" in public health
    Tambone, Vittoradolfo
    De Benedictis, Anna
    Wathuta, Jane
    Lopez Guzman, Jose
    De Micco, Francesco
    FRONTIERS IN MEDICINE, 2022, 9
  • [36] "No Matter What, I Will Not Give Up": Community Practice on the Front Lines of COVID-19
    Itzhaki-Braun, Yael
    Feldman, Guy
    Frankenburg, Ruth
    Tene, Bar
    AMERICAN JOURNAL OF ORTHOPSYCHIATRY, 2023, 93 (01) : 17 - 26
  • [37] Research ethics and public trust in vaccines: the case of COVID-19 challenge trials
    Eyal, Nir
    JOURNAL OF MEDICAL ETHICS, 2024, 50 (04) : 278 - 284
  • [38] Solitary death and new lifestyles during and after COVID-19: wearable devices and public health ethics
    Eisuke Nakazawa
    Keiichiro Yamamoto
    Alex John London
    Akira Akabayashi
    BMC Medical Ethics, 22
  • [39] Solitary death and new lifestyles during and after COVID-19: wearable devices and public health ethics
    Nakazawa, Eisuke
    Yamamoto, Keiichiro
    London, Alex John
    Akabayashi, Akira
    BMC MEDICAL ETHICS, 2021, 22 (01)
  • [40] Ethics committees in the time of COVID-19
    Monaco, Eleonora
    Pisano, Lorenza
    Nasato, Laura
    Lorenzoni, Giulia
    Gregorio, Dario
    Martinato, Matteo
    EPIDEMIOLOGIA & PREVENZIONE, 2020, 44 (5-6): : 113 - 118