Bognar Greg
Camb Q Healthc Ethics. 2020 Apr;29(2):196-204. doi: 10.1017/S0963180119000999.
This paper begins with a simple illustration of the choice between individual and population strategies in population health policy. It describes the traditional approach on which the choice is to be made on the relative merits of the two strategies in each case. It continues by identifying two factors-our knowledge of the consequences of the epidemiological transition and the prevalence of responsibility-sensitive theories of distributive justice-that may distort our moral intuitions when we deliberate about the choice of appropriate risk-management strategies in population health. It argues that the confluence of these two factors may lead us to place too much emphasis on personal responsibility in health policy.
本文开篇简单阐述了群体健康政策中个体策略与群体策略之间的选择。它描述了传统方法，即依据两种策略在每种情况下的相对优点来做出选择。接着，文章指出了两个因素——我们对流行病学转变后果的认知以及责任敏感型分配正义理论的盛行——在我们思考群体健康中适当风险管理策略的选择时，可能会扭曲我们的道德直觉。文章认为，这两个因素的共同作用可能导致我们在健康政策中过度强调个人责任。
