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分配正义与伤害抗疫医务人员的行为

Distributive justice and the harm to medical professionals fighting epidemics.

机构信息

Department of Political Science, Aarhus University, , Aarhus , , Denmark.

Department of Learning and Philosophy, Aalborg University, , Aalborg , , Denmark.

出版信息

J Med Ethics. 2017 Dec;43(12):861-864. doi: 10.1136/medethics-2017-104196. Epub 2017 Jul 24.

Abstract

The exposure of doctors, nurses and other medical professionals to risks in the context of epidemics is significant. While traditional medical ethics offers the thought that these dangers may limit the extent to which a duty to care is applicable in such situations, it has less to say about what we might owe to medical professionals who are disadvantaged in these contexts. Luck egalitarianism, a responsibility-sensitive theory of distributive justice, appears to fare particularly badly in that regard. If we want to maintain that medical professionals are responsible for their decisions to help, cure and care for the vulnerable, luck egalitarianism seems to imply that their claim of justice to medical attention in case of infection is weak or non-existent. The article demonstrates how a recent interpretation of luck egalitarianism offers a solution to this problem. Redefining luck egalitarianism as concerned with responsibility for creating disadvantages, rather than for incurring disadvantage as such, makes it possible to maintain that medical professionals are responsible for their choices and that those infected because of their choice to help fight epidemics have a full claim of justice to medical attention.

摘要

医生、护士和其他医疗专业人员在流行病环境下所面临的风险是巨大的。虽然传统的医学伦理认为这些危险可能会限制在这种情况下适用照顾义务的程度,但对于在这些情况下处于不利地位的医疗专业人员,我们可能欠他们什么,传统医学伦理并没有太多的说法。运气平等主义是一种责任敏感的分配正义理论,在这方面似乎表现得尤其糟糕。如果我们坚持认为医疗专业人员有责任决定帮助、治愈和照顾弱势群体,那么运气平等主义似乎意味着他们在感染情况下要求获得医疗关注的正义主张是微弱的或不存在的。本文展示了最近对运气平等主义的一种解释如何为这个问题提供了解决方案。将运气平等主义重新定义为对造成劣势负责,而不是对遭受劣势本身负责,这使得我们能够坚持认为医疗专业人员对自己的选择负责,并且那些因为选择帮助抗击流行病而感染的人完全有权获得医疗关注。

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