Philosophy, University of Louisville, Louisville, KY 40292, USA
J Med Ethics. 2021 Feb;47(2):122-128. doi: 10.1136/medethics-2019-106040. Epub 2020 Jul 3.
Bioethical work on solidarity has yielded an array of divergent conceptions. But what do these accounts add to normative bioethics? What is solidarity's distinctive social normative role? Prainsack and Buyx suggest that solidarity be understood as the 'putty' of justice. I argue here that the putty metaphor is deeply insightful and-when spelled out in detail-successfully explicates solidarity's social normative function. Unfortunately, Prainsack and Buyx's own account cannot play this role. I propose instead that the putty metaphor supports a conception of solidarity as equity. This proposal enables us to answer whether and when we should act in solidarity, and with whom, while also capturing the putty metaphor and hence answering a basic question: what is solidarity for?
团结的生物伦理学研究产生了一系列不同的概念。但是,这些解释对规范的生物伦理学有何贡献?团结的独特社会规范作用是什么?Prainsack 和 Buyx 认为,团结可以理解为正义的“腻子”。我在这里认为,腻子隐喻具有深刻的洞察力,并且——在详细阐述时——成功地解释了团结的社会规范功能。不幸的是,Prainsack 和 Buyx 自己的解释不能发挥这种作用。我建议用团结作为公平的概念来替代腻子隐喻。这个提议使我们能够回答我们是否应该以及何时应该团结一致,以及与谁团结一致,同时也抓住了腻子隐喻,从而回答了一个基本问题:团结是为了什么?