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议程设定公共卫生政策的家长式正当理由分析:以烟草平装包装为例。

Analysis of the Paternalistic Justification of an Agenda Setting Public Health Policy: The Case of Tobacco Plain Packaging.

作者信息

Anker Thomas Boysen

机构信息

University of Glasgow.

出版信息

Public Health Ethics. 2016 Jul;9(2):208-228. doi: 10.1093/phe/phw007. Epub 2016 May 30.

Abstract

This article analyses the paternalistic justification of the world's first mandatory tobacco plain packaging policy, which came into force in Australia in 2012. The policy is setting international precedence, with a range of developed and developing countries planning and implementing similar policies. Understanding the paternalistic dimension of the policy is therefore of imminent international importance. The policy meets important ethical benchmarks such as respect for citizens' self-interests and protection of others against harm. However, plain packaging faces a number of ethical challenges: the policy is a controversial type of paternalism; it runs partially against the harm principle; and it fails to meet key operational criteria.

摘要

本文分析了世界上首个强制性烟草平装政策的家长式理由,该政策于2012年在澳大利亚生效。该政策正在树立国际先例,一系列发达国家和发展中国家正在规划和实施类似政策。因此,了解该政策的家长式维度具有迫在眉睫的国际重要性。该政策符合一些重要的伦理基准,如尊重公民的自身利益以及保护他人免受伤害。然而,平装政策面临一些伦理挑战:该政策是一种有争议的家长式做法;它部分违背了伤害原则;并且它未能满足关键的操作标准。

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本文引用的文献

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Against autonomy: justifying coercive paternalism.反对自主性:为强制性家长主义辩护。
J Med Ethics. 2014 May;40(5):349. doi: 10.1136/medethics-2013-101444. Epub 2013 Dec 12.

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