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工会的灵感来源:全民医保与团结的必要偏袒性。

Union's inspiration: Universal health care and the essential partiality of solidarity.

作者信息

Derpmann Simon

出版信息

Bioethics. 2018 Nov;32(9):569-576. doi: 10.1111/bioe.12444. Epub 2018 May 9.

Abstract

Solidarity is commonly invoked in the justification of public health care. This is understandable, as calls for and appeals to solidarity are effective in the mobilization of unison action and the willingness to incur sacrifices for others. However, the reference to solidarity as a moral notion requires caution, as there is no agreement on the meaning of solidarity. The article argues that the reference to solidarity as a normative notion is relevant to health-related moral claims, but that it does not provide a convincing foundation of claims to universal health care. References to universal solidarity obliterate an important distinction between those moral demands that are founded on principles like justice, recognition, or humanity, and those demands that stem from partisan relations in communities. While there is no 'separate essence' of solidarity that could be referred to in order to argue for the conceptual necessity of solidarity's partiality, some features may reasonably be stipulated as being essential to solidarity with a view to its systematic function within moral philosophy. The normative and motivational force of the ties invoked by solidarity is particularly relevant when basic moral demands are not met, and societies are in need of significant forms of communal relatedness.

摘要

团结通常被用于为公共医疗保健提供正当理由。这是可以理解的,因为呼吁团结在动员一致行动以及为他人做出牺牲的意愿方面是有效的。然而,将团结作为一种道德观念提及需要谨慎,因为对于团结的含义并没有达成共识。本文认为,将团结作为一种规范性观念与健康相关的道德主张相关,但它并没有为全民医疗保健的主张提供令人信服的基础。提及普遍团结模糊了基于正义、承认或人性等原则的道德要求与源于社区党派关系的要求之间的重要区别。虽然不存在可以用来论证团结偏袒性概念必要性的“独立本质”,但为了团结在道德哲学中的系统功能,可以合理地规定一些特征为团结的本质。当基本道德要求未得到满足且社会需要重要形式的社群关联时,团结所唤起的联系的规范性和激励性力量就尤为重要。

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