Bayer Ronald, Colgrove James
Center for the History and Ethics of Public Health, Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York City, USA.
Health Aff (Millwood). 2002 Nov-Dec;21(6):98-101. doi: 10.1377/hlthaff.21.6.98.
The controversy over the Model State Emergency Health Powers Act has underscored the enduring tension in public health between guarding the common welfare and respecting individual liberty. The current version of the act, crafted in response to extensive public commentary, attempts to strike a balance between these values but has failed to allay the concerns of many civil libertarians and privacy advocates. Although the debates over the model act have been triggered by the threat of bioterrorism, they illustrate broader philosophical differences, with profound implications for all realms of public health policy.
围绕《模范州紧急卫生权力法案》的争议凸显了公共卫生领域在维护公共福利与尊重个人自由之间长期存在的紧张关系。该法案的当前版本是针对大量公众意见制定的,试图在这些价值观之间取得平衡,但未能减轻许多公民自由意志论者和隐私倡导者的担忧。尽管围绕该模范法案的辩论是由生物恐怖主义威胁引发的,但它们体现了更广泛的哲学分歧,对公共卫生政策的所有领域都具有深远影响。