Philo Flashcards
Common ground restriction
Ethical recommendations for pandemic response should be acceptable by at least two major ethical theories.
2 reasons for accepting the CGR:
1) We’re interested in the general ethical problems that arise in pandemics
2) Gives us more room to evaluate the policies recommended by public health authorities.
Hirose on pandemics
The justifiability of a policy partly depends on its effectiveness
No golden rule to public health interventions
5 challenges of pandemics?
1) Scarcities in health care resources, need to ration
2) Extraordinary measures become necessary, causing restric. on people’s freedoms
3) Uncertainty
4) Balance long and short term perspectives
5) Problems occur at a global level
SEUPP (soup) means we need to consider ethics.
Lives: who should be saved first?
Healthcare workers on the frontline are first priority
Second priority group should be patients with a greater chance of survival as this allows for redistribution of resources and maximization of lives saved
Doctrine of Doing and Allowing
Big distinction between doing harm and allowing harm to occur.
Non-consequentialists agree with this: there are cases where the rightness or wrongness of an action also depends on whether the agent does harm or just allows it to happen..
Consequentialists don’t think it is worse to do harm than to allow it to occur; no difference between killing someone and letting someone die.
Who is priority for getting hospital beds? (LIVES)
Higher priority given to those with high risk of death.
1) Old patients
2) Patients w/ health conditions (asthma, pregnant, heart diseases)
LIVES vs YEARS vs FAIR on hospital beds
LIVES: give very old patients second priority because they face higher risk of death
YEARS; not right to give old patients second priority because even if they survive the pandemic, they’ll still soon die due to other causes
FAIR: give second priority to younger patients over very old ones
What distinguished vaccines from other types of health care resources being rationed?
1) Vaccines are preventative, not a cure
2) Unlike therapeutic care, vaccine supply will increase over time, making rationing vaccines a matter of order priority
3) The scale of vaccination efforts is enormous
LIVES: who gets vaccines
1) Health care prof.
2) People at higher risk of severe conditions and death
3) Essential workers exposed to the disease
4) People 70 - 79
5) 60- 69
Social Gradient in Health
People in the best-off group tend to have better health outcomes than people in the second best-off group and so one.
Gives rise to concerns on injustice.
Vaccine nationalism
When a country focuses on getting vaccines for its own people first, rather than working with other countries to ensure everyone gets vaccinated.
Compatible w the duties toward people in other countries
Encompasses any national gov, rich or poor
Is vaccine nationalism wrong?
1) No country can avoid the charge of VN
a) a gov is meant to protect the lives of its citizens
2) Not wrong as a country keeps a sufficient number of vaccines for its population
Siracusa Principles
Specify conditions under which we can restrict rights and freedoms.
Must be
a) in accordance w law
b) based on an objective
c) necessary in a democratic society
d) the least restrictive/intrusive means avail.
e) not unreasonable or discriminatory
LONRU
Harm principle
You can restrict people’s freedom ONLY if it prevents harm to another
Paternalism
You can restrict people’s freedom ONLY if it prevents harm to themselves (self-harm)