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  1. Developing an Ethical Evaluation Framework for Coercive Antimicrobial Stewardship Policies.Tess Johnson - 2024 - Public Health Ethics 17 (1-2):11-23.
    Antimicrobial resistance (AMR) has been declared one of the top ten global public health threats facing humanity. To address AMR, coercive antimicrobial stewardship policies are being enacted in some settings. These policies, like all in public health, require ethical justification. Here, I introduce a framework for ethically evaluating coercive antimicrobial stewardship policies on the basis of ethical justifications (and their limitations). I consider arguments from effectiveness; duty of easy rescue; tragedy of the commons; responsibility-tracking; the harm principle; paternalism; justice and (...)
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  • Can Relational Egalitarians Supply Both an Account of Justice and an Account of the Value of Democracy or Must They Choose Which?Andreas Bengtson & Kasper Lippert-Rasmussen - forthcoming - Ergo: An Open Access Journal of Philosophy.
    Construed as a theory of justice, relational egalitarianism says that justice requires that people relate as equals. Construed as a theory of what makes democracy valuable, it says that democracy is a necessary, or constituent, part of the value of relating as equals. Typically, relational egalitarians want their theory to provide both an account of what justice requires and an account of what makes democracy valuable. We argue that relational egalitarians with this dual ambition face the justice-democracy dilemma: Understanding social (...)
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  • Am I Socially Related to Myself?Andreas Bengtson - forthcoming - Erkenntnis:1-18.
    According to relational egalitarianism, justice requires equal relations. The theory applies to those who stand in the relevant social relations. In this paper, I distinguish four different accounts of what it means to be socially related and argue that in all of them, self-relations—how a person relates to themselves—fall within the scope of relational egalitarianism. I also point to how this constrains what a person is allowed to do to themselves.
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  • Designing a just soda tax.Douglas MacKay & Alexandria Huber-Disla - 2024 - Economics and Philosophy 40 (2):353-373.
    Soda taxes are controversial. While proponents point to their potential health benefits and the public projects that could be funded with their revenue, critics argue that they are paternalistic and regressive. In this paper, we explore the prospects for designing a just soda tax, one that appropriately balances the often-competing ethical considerations of promoting social welfare, respecting people’s autonomy and ensuring distributive fairness. We argue that policymakers have several paths forward for designing a just soda tax, but that the considerations (...)
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  • Relational egalitarianism and moral unequals.Andreas Bengtson & Kasper Lippert-Rasmussen - 2023 - Journal of Political Philosophy:1-24.
    Relational egalitarianism says that moral equals should relate as equals. We explore how moral unequals should relate.
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  • I Have Got a Personal Non-identity Problem: On What We Owe Our Future Selves.Didde Boisen Andersen - 2020 - Res Publica 27 (1):129-144.
    The idea that people’s numerical identity may sometimes be discontinuous over time initially appears to provide useful material for defending restrictions on putatively self-harming behaviour in a non-paternalistic manner. According to this line of thinking, sometimes a putatively self-harming act is, in fact, a matter of ‘harm to others’. Yet, in this paper I argue that if we, as we ought to do, take into consideration the non-identity problem, this challenges the notion that the agent at T1 is in fact (...)
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  • Welfare paternalism and objections from equality.Emma Saunders-Hastings - forthcoming - Critical Review of International Social and Political Philosophy.
    Informed by behavioral science research, recent defenses of paternalism point to people’s need for help in making and carrying out good decisions. Authors in this literature typically focus on defending paternalist policies against objections that frame them as threats to autonomy. But they often neglect a second category of objections to paternalism. Paternalism expresses disrespect not only for the target’s autonomy but also for her equal status. I argue that this second kind of wrong is more independent of autonomy-based objections (...)
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  • Mandatory vaccination and the ‘seat belt analogy’ argument: a critical analysis in the context of the Covid-19 pandemic.Iñigo de Miguel Beriain - 2022 - Medicine, Health Care and Philosophy 25 (2):219-224.
    The seat belt analogy argument is aimed at furthering the success of coercive vaccination efforts on the basis that the latter is similar to compulsory use of seat belts. However, this article demonstrated that this argument does not work so well in practice due to several reasons. The possibility of saving resources in health care does not usually apply in our societies, and the paternalist mentality that contributed to the implementation of seat belt–wearing obligation was predominant 30 years ago, but (...)
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  • Please wear a mask: a systematic case for mask wearing mandates.Roberto Fumagalli - 2024 - Journal of Medical Ethics 50 (7):501-510.
    This paper combines considerations from ethics, medicine and public health policy to articulate and defend a systematic case for mask wearing mandates (MWM). The paper argues for two main claims of general interest in favour of MWM. First, MWM provide a more effective, just and fair way to tackle the ongoing COVID-19 pandemic than policy alternatives such as laissez-faire approaches, mask wearing recommendations and physical distancing measures. And second, the proffered objections against MWM may justify some exemptions for specific categories (...)
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  • Vaccination, Risks, and Freedom: The Seat Belt Analogy.Alberto Giubilini & Julian Savulescu - 2019 - Public Health Ethics 12 (3):237-249.
    We argue that, from the point of view public health ethics, vaccination is significantly analogous to seat belt use in motor vehicles and that coercive vaccination policies are ethically justified for the same reasons why coercive seat belt laws are ethically justified. We start by taking seriously the small risk of vaccines’ side effects and the fact that such risks might need to be coercively imposed on individuals. If millions of individuals are vaccinated, even a very small risk of serious (...)
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  • Relational Egalitarianism, Paternalism, Adults and Children: A Puzzle.Bengtson Andreas - 2022 - Ergo: An Open Access Journal of Philosophy 9.
    Relational egalitarianism is a theory of justice according to which people must relate as equals. However, not just any inegalitarian relation is unjust, i.e., the fact that parents do not relate as equals to their children is not unjust. Whereas an adult treating another adult paternalistically is objectionable from the point of view of relational egalitarianism, parent-child paternalism is not. What may explain this difference in judgment? I refer to this as the Puzzle. I discuss four justifications of the Puzzle (...)
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  • Why Paternalists Must Endorse Epistocracy.Jason Brennan & Christopher Freiman - 2022 - Journal of Ethics and Social Philosophy 21 (3).
    Recent findings from psychology and behavioral economics suggest that we are “predictably irrational” in the pursuit of our interests. Paternalists from both the social sciences and philosophy use these findings to defend interfering with people's consumption choices for their own good. We should tax soda, ban cigarettes, and mandate retirement savings to make people healthier and wealthier than they’d be on their own. Our thesis is that the standard arguments offered in support of restricting people’s consumption choices for their own (...)
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  • Paternalism in Historical Context: Helmet and Seatbelt Legislation in the UK.Janet Weston - 2023 - Public Health Ethics 16 (1):64-76.
    Paternalism is a frequent source of anxiety and scholarly enquiry within public health. This article examines debate in the UK from the 1950s to the early 1980s about two quintessentially paternalistic laws: those making it compulsory to use a motorcycle helmet, and a car seatbelt. This kind of historical analysis, looking at change over time and the circumstances that prevent or enable such change, draws attention to two significant features: the contingent nature of that which is perceived as paternalistic and (...)
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