Epstein Richard A
University of Chicago Law School, 1111 East 60th Street, Chicago, IL 60637, USA.
Perspect Biol Med. 2003 Summer;46(3 Suppl):S138-59.
The traditional forms of public health law were directed largely toward communicable diseases and other externalities, such as pollution, with negative health impacts. The more modern view treats any health issue that affects large numbers of individuals as one of public health, which would include such problems as obesity and diabetes. This paper examines the constitutional evolution of the public health principle from the narrower to the broader conception. It then argues that the narrower conception better defines the appropriate scope of coercive government intervention than does the broader definition, which could easily authorize interventions in economic affairs whose indirect effects are likely to reduce overall social wealth and freedom, and with it the overall health of the population.
传统的公共卫生法形式主要针对传染病和其他具有负面健康影响的外部因素,如污染。更现代的观点将任何影响大量个体的健康问题都视为公共卫生问题,这包括肥胖症和糖尿病等问题。本文考察了公共卫生原则从狭义概念到广义概念的宪法演变。然后论证,狭义概念比广义概念更能恰当地界定政府强制干预的范围,因为广义概念很容易授权对经济事务进行干预,而这种干预的间接影响可能会减少整体社会财富和自由,进而减少人口的整体健康。