Gostin Lawrence O, Powers Madison
Georgetown University Law Center, Washington, DC, USA.
Health Aff (Millwood). 2006 Jul-Aug;25(4):1053-60. doi: 10.1377/hlthaff.25.4.1053.
Justice is so central to the mission of public health that it has been described as the field's core value. This account of justice stresses the fair disbursement of common advantages and the sharing of common burdens. It captures the twin moral impulses that animate public health: to advance human well-being by improving health and to do so particularly by focusing on the needs of the most disadvantaged. This Commentary explores how social justice sheds light on major ongoing controversies in the field, and it provides examples of the kinds of policies that public health agencies, guided by a robust conception of justice, would adopt.
正义对于公共卫生使命至关重要,以至于它被视为该领域的核心价值。这种正义观强调共同利益的公平分配和共同负担的分担。它抓住了推动公共卫生的双重道德冲动:通过改善健康来增进人类福祉,尤其是通过关注最弱势群体的需求来实现这一目标。本评论探讨了社会正义如何阐明该领域当前的重大争议,并提供了在强有力的正义观念指导下公共卫生机构会采取的各类政策示例。