University of Chicago.
J Health Polit Policy Law. 2020 Dec 1;45(6):907-920. doi: 10.1215/03616878-8641457.
The United States is now experiencing public health catastrophe on a scale not seen for more than a century. COVID-19 puts into stark relief the mutual obligations that reflect interdependence among participants in a common society. Drawing on the work of Amartya Sen concerning famine and related challenges, the author discusses the accompanying implications for social justice. Social justice in catastrophe requires strong social insurance structures and legal protections for the most vulnerable people, who would otherwise lack economic resources and political influence to protect their essential interests. Social justice also requires greater and more sustained attention to disaster preparedness and public health infrastructure-both of which are characteristically neglected, in part because the public health enterprise is identified with politically weak and often stigmatized populations.
美国目前正经历着一个多世纪以来未曾有过的公共卫生灾难。COVID-19 凸显了反映共同社会参与者相互依存关系的共同义务。作者借鉴阿玛蒂亚·森（Amartya Sen）有关饥荒和相关挑战的工作，讨论了这对社会正义的影响。灾难中的社会正义需要强大的社会保险结构和对最弱势群体的法律保护，否则他们将缺乏经济资源和政治影响力来保护自己的基本利益。社会正义还需要更多和更持续的关注灾难准备和公共卫生基础设施——这两者都在很大程度上被忽视了，部分原因是公共卫生事业与政治上较弱且经常受到污名化的人群有关。
