Stephanie Morain is with the Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, TX. Emily Largent is with the Department of Medical Ethics and Health Policy, Perelman School of Medicine, and the Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia.
Am J Public Health. 2019 May;109(5):709-713. doi: 10.2105/AJPH.2018.304908. Epub 2019 Feb 21.
Twenty-nine Americans die in alcohol-impaired driving crashes daily. The National Academies of Sciences, Engineering, and Medicine released a report that identified strategies to reduce alcohol-impaired driving deaths. One strategy suggests amending state laws to reduce the legal blood alcohol concentration (BAC) limit from 0.08 to 0.05. Although BAC 0.05 laws would likely reduce alcohol-related deaths, they are also controversial. Critics object to these laws because they restrict individual liberty and fail to consider that individuals value social drinking. We explored the ethical acceptability of BAC 0.05 laws. We made an ethical argument in support of BAC 0.05 laws, which include preventing harm to both drinking drivers and to others. We then considered and rejected liberty-based objections to BAC 0.05 laws. We concluded that BAC 0.05 laws are not only ethically defensible but desirable. States and Congress should work to promote them.
每天有 29 名美国人死于酒后驾车事故。美国国家科学院、工程院和医学院发布了一份报告,其中确定了减少酒后驾车死亡的策略。其中一项策略建议修订州法律,将法定血液酒精浓度(BAC)限值从 0.08 降低到 0.05。尽管 BAC 0.05 法规可能会减少与酒精相关的死亡人数,但它们也存在争议。批评者反对这些法律,因为它们限制了个人自由,并且没有考虑到个人对社交饮酒的重视。我们探讨了 BAC 0.05 法规的伦理可接受性。我们提出了一个支持 BAC 0.05 法规的伦理论点,其中包括防止饮酒司机和其他人受到伤害。然后,我们考虑并拒绝了基于自由的对 BAC 0.05 法规的反对意见。我们的结论是,BAC 0.05 法规不仅在伦理上是合理的,而且是可取的。各州和国会应努力推动这些法规的实施。