Institute of Ethics, History and Theory of Medicine, Ludwig-Maximilians-University Munich, Lessingstr. 2, D - 80336 Munich, Germany.
Sydney Health Ethics, School of Public Health, The University of Sydney, Australia.
Public Health. 2018 May;158:66-70. doi: 10.1016/j.puhe.2018.02.023. Epub 2018 Mar 30.
In this article, we outline the link between migration, public health and ethics.
Discussing relevant arguments about migration from the perspective of public health and public health ethics.
Critical review of theories and frameworks, case-based analysis and systematic identification and discussion of challenges.
Migration is a core issue of public health ethics and must take a case-based approach: seeking to identify the specific ethical dimensions and vulnerabilities in each particular context. Public health as a practice, built upon the core value of justice, requires the protection and promotion of migrants' well-being (even if this produces tension with immigration services). Ethical analysis should take all phases of migration into account: before, during and after transit. We argue that migration policies, at least as they relate to migrants' well-being, should be founded upon a shared humanity, respect for human rights and on the idea that effective public health cannot and should not be confined within the borders and to the citizens of any host country.
We make the case for migration to be seen as a core issue of public health ethics.
本文概述了移民、公共卫生和伦理学之间的联系。
从公共卫生和公共卫生伦理学的角度讨论有关移民的相关论点。
对理论和框架进行批判性审查、基于案例的分析以及系统地识别和讨论挑战。
移民是公共卫生伦理学的核心问题,必须采用基于案例的方法:力求在每个特定背景下确定具体的伦理维度和脆弱性。公共卫生作为一种实践,建立在正义的核心价值之上,需要保护和促进移民的福祉(即使这与移民服务产生紧张关系)。伦理分析应考虑移民的所有阶段:过境前、过境期间和过境后。我们认为,移民政策,至少就其与移民福祉的关系而言,应该建立在共同人性、尊重人权的基础上,并认为有效的公共卫生不能也不应该局限于任何东道国的边界和公民。
我们主张将移民视为公共卫生伦理学的核心问题。