A 'Nudge' for Public Health Ethics: Libertarian Paternalism as a Framework for Ethical Analysis of Public Health Interventions?

2010 ◽  
Vol 3 (3) ◽  
pp. 229-238 ◽  
Author(s):  
J.-F. Menard
2018 ◽  
Vol 5 ◽  
Author(s):  
Anushree Dave ◽  
Julie Cumin ◽  
Ryoa Chung ◽  
Matthew Hunt

On November 7th, 2014 the Humanitarian Health Ethics Workshop was held at McGill University, in Montreal. Co-hosted by the Montreal Health Equity Research Consortium and the Humanitarian Health Ethics Network, the event included six presentations and extensive discussion amongst participants, including researchers from Canada, Haiti, India, Switzerland and the US. Participants had training in disciplines including anthropology, bioethics, medicine, occupational therapy, philosophy, physical therapy, political science, public administration and public health. The objective of the workshop was to create a forum for discussion amongst scholars and practitioners interested in the ethics of healthcare delivery, research and public health interventions during humanitarian crises. This review is a summary of the presentations given, key themes that emerged during the day’s discussions, and avenues for future research that were identified.


2020 ◽  
pp. 233-251
Author(s):  
James F. Childress ◽  
Ruth R. Faden ◽  
Ruth D. Gaare [Bernheim] ◽  
Lawrence O. Gostin ◽  
Jeffrey Kahn ◽  
...  

This chapter, which grew out of a Greenwall Foundation–funded working group of a dozen or so ethicists, lawyers, and public health practitioners, provides a rough conceptual map of the terrain of public health ethics. It examines the nature of public health and public health interventions, and it identifies a number of general moral considerations (principles) relevant to public health policy and practice and often, especially as articulated in basic human rights, promotive of public health. Because these moral considerations are general and broad, they require specification and weighting. In cases of conflict, five “justificatory conditions” need to be met: effectiveness, proportionality, necessity, least infringement, and public justification. These conditions help to determine whether protecting or promoting public health warrants overriding individual liberty in particular situations.


Author(s):  
Tess Johnson

AbstractIndividualist ethical analyses in the enhancement debate have often prioritised or only considered the interests and concerns of parents and the future child. The collectivist critique of the human enhancement debate argues that rather than pure individualism, a focus on collectivist, or group-level ethical considerations is needed for balanced ethical analysis of specific enhancement interventions. Here, I defend this argument for the insufficiency of pure individualism. However, existing collectivist analyses tend to take a negative approach that hinders them from adequately contributing to balanced ethical analysis, and often leads to a prohibitive stance. I argue this is due to two common problems with collectivist analyses: inappropriate acceptance of individualist assumptions, and failure to appropriately weigh individual vs collective ethical considerations. To further develop the collectivist critique in the enhancement debate, I suggest we may look to collectivism in public health ethics, which avoids these problems.


2020 ◽  
pp. 252-271
Author(s):  
James F. Childress

This chapter focuses on public health ethics in a particular context—a liberal, pluralistic, democratic society that embodies explicit commitments to several basic civil liberties: bodily integrity, privacy, freedom of movement, freedom of association, and freedom of religion and conscience. When civil liberties set limits on public health interventions, a presumptivist framework is more defensible and helpful than either an absolutist or a contextualist one for determining appropriate interventions. This framework recognizes several conditions for rebutting the presumption, in certain circumstances, against interventions that infringe civil liberties. Through an exploration of the metaphor of the Intervention Ladder, proposed by the Nuffield Council on Bioethics, this chapter examines several possible ways to secure individuals’ cooperation with public health measures, such as vaccinations, directly observed therapy, and quarantine, without infringing their civil liberties. It is often possible to achieve compliance through expressing rather than imposing community.


Author(s):  
Sian M. Griffiths ◽  
Robyn Martin ◽  
Don Sinclair

This chapter aims to help you understand the language of ethics and the role ethics plays in public health, recognize ways in which public health ethics differ from bioethics, understand the principles of priority-setting within a constrained budget, appreciate how ethics should underpin public health interventions, and appreciate the importance of ethics-based public health policy-making.


Author(s):  
David B. Resnik

This chapter provides an overview of the ethics of environmental health, and it introduces five chapters in the related section of The Oxford Handbook of Public Health Ethics. A wide range of ethical issues arises in managing the relationship between human health and the environment, including regulation of toxic substances, air and water pollution, waste management, agriculture, the built environment, occupational health, energy production and use, environmental justice, population control, and climate change. The values at stake in environmental health ethics include those usually mentioned in ethical debates in biomedicine and public health, such as autonomy, social utility, and justice, as well as values that address environmental concerns, such as animal welfare, stewardship of biological resources, and sustainability. Environmental health ethics, therefore, stands at the crossroads of several disciplines, including public health ethics, environmental ethics, biomedical ethics, and business ethics.


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