Gostin Lawrence O
Health Aff (Millwood). 2002 Nov-Dec;21(6):79-93. doi: 10.1377/hlthaff.21.6.79.
The balance between individual interests and common goods needs to be recalibrated in an age of terrorism. Public health agencies should have a robust infrastructure to conduct essential public health services at a level of performance that matches evolving threats to the health of the public. This includes a well-trained workforce, electronic information, surveillance, and laboratory capacity. This paper explains modern efforts at public health law reform: a Model Public Health Statute and the Model State Emergency Health Powers Act (MSEHPA), which has been enacted wholly or in part by nineteen states and the District of Columbia. Next, the paper shows why existing public health laws provide a weak foundation for public health practice. Finally, the paper offers a systematic defense of MSEHPA, which has galvanized the public debate around the appropriate balance between public goods and individual rights.
在恐怖主义时代,个人利益与公共利益之间的平衡需要重新校准。公共卫生机构应拥有强大的基础设施,以便以与不断演变的对公众健康的威胁相匹配的绩效水平开展基本公共卫生服务。这包括训练有素的工作人员、电子信息、监测和实验室能力。本文阐述了公共卫生法律改革的现代举措:一部《模范公共卫生法规》以及《模范州紧急卫生权力法》(MSEHPA),该法已被19个州和哥伦比亚特区全部或部分颁布。接下来,本文将说明为何现行公共卫生法律为公共卫生实践提供了薄弱的基础。最后,本文对《模范州紧急卫生权力法》进行了系统辩护,该法激发了围绕公共利益与个人权利之间适当平衡的公众辩论。