Dubois Mikael
Division of Philosophy, Royal Institute of Technology, Teknikringen 78B, Stockholm, Sweden.
J Prim Prev. 2011 Feb;32(1):3-15. doi: 10.1007/s10935-011-0234-z.
In recent decades, prevention policies--i.e., insurance policies constructed to give incentives to investments in prevention and thereby reduce reliance on insurance--have been much discussed both with regard to different kinds of market insurance and, albeit primarily within a European context and in relation to an ongoing discussion about the need for a shift towards an "active" welfare state, with regard to social insurance. The present contribution identifies normative issues that deserve attention in relation to a general introduction of prevention policies in market insurance and social insurance. It is argued that the importance of these normative issues suggests that arguments and distinctions drawn from moral and political philosophy should play a more prominent role both in the debate on the shift towards an active welfare state and the use of prevention policies in market insurance.
近几十年来,预防政策——即旨在激励预防投资从而减少对保险依赖而制定的保险政策——在不同类型的市场保险方面得到了广泛讨论,并且尽管主要是在欧洲背景下以及与关于向“积极”福利国家转变的必要性的持续讨论相关,但在社会保险方面也受到了关注。本文指出了在市场保险和社会保险中普遍引入预防政策时值得关注的规范性问题。有人认为,这些规范性问题的重要性表明,从道德和政治哲学中得出的论点和区分,在关于向积极福利国家转变的辩论以及市场保险中预防政策的使用方面,都应发挥更突出的作用。