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责任成为良策的阻碍:以生活方式相关疾病为例

Responsibility as an Obstacle to Good Policy: The Case of Lifestyle Related Disease.

作者信息

Levy Neil

机构信息

Department of Philosophy, Monash University, Melbourne, VIC, 3800, Australia.

Uehiro Centre for Practical Ethics, University of Oxford, Oxford, OX1 1PT, UK.

出版信息

J Bioeth Inq. 2018 Sep;15(3):459-468. doi: 10.1007/s11673-018-9860-y. Epub 2018 Jun 6.

DOI:10.1007/s11673-018-9860-y
PMID:29876719
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6209033/
Abstract

There is a lively debate over who is to blame for the harms arising from unhealthy behaviours, like overeating and excessive drinking. In this paper, I argue that given how demanding the conditions required for moral responsibility actually are, we cannot be highly confident that anyone is ever morally responsible. I also adduce evidence that holding people responsible for their unhealthy behaviours has costs: it undermines public support for the measures that are likely to have the most impact on these harms. I claim that these two facts-the fact that we cannot be highly confident that anyone is morally responsible and the fact that holding people responsible for their unhealthy behaviours has costs-interact. Together they give us a powerful reason for believing, or acting as if we believed, that ordinary people are not in fact responsible for their unhealthy behaviours.

摘要

对于诸如暴饮暴食和过度饮酒等不健康行为所造成的危害该归咎于谁,存在着一场激烈的争论。在本文中,我认为鉴于道德责任实际所需的条件是如此苛刻,我们无法非常确信任何人曾负有道德责任。我还举出证据表明,让人们为自己的不健康行为负责是有代价的:它会削弱公众对那些可能对这些危害产生最大影响的措施的支持。我声称这两个事实——我们无法非常确信任何人负有道德责任,以及让人们为自己的不健康行为负责是有代价的——相互作用。它们共同为我们提供了一个有力的理由去相信,或者表现得好像我们相信,普通人实际上并不对自己的不健康行为负责。

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J Pediatr Gastroenterol Nutr. 2017 Oct;65(4):360. doi: 10.1097/MPG.0000000000001622.
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Changes in prices, sales, consumer spending, and beverage consumption one year after a tax on sugar-sweetened beverages in Berkeley, California, US: A before-and-after study.美国加利福尼亚州伯克利市对含糖饮料征税一年后价格、销量、消费者支出及饮料消费的变化:一项前后对照研究
PLoS Med. 2017 Apr 18;14(4):e1002283. doi: 10.1371/journal.pmed.1002283. eCollection 2017 Apr.
4
Tough luck and tough choices: applying luck egalitarianism to oral health.运气不佳与艰难抉择:将运气平等主义应用于口腔健康
J Med Philos. 2015 Jun;40(3):342-62. doi: 10.1093/jmp/jhv001. Epub 2015 Apr 13.
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The role of parents in public views of strategies to address childhood obesity in the United States.在美国公众对解决儿童肥胖问题策略的看法中父母所起的作用。
Milbank Q. 2015 Mar;93(1):73-111. doi: 10.1111/1468-0009.12106.
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