Clinical and Experimental Medicine, Brighton and Sussex Medical School, Brighton BN19PX, UK
J Med Ethics. 2021 Feb;47(2):65-68. doi: 10.1136/medethics-2020-106522. Epub 2020 Jul 9.
The role and importance of solidarity for effective health provision is the subject of lengthy and heated debate which has been thrown into even sharper relief by the COVID-19 pandemic. In various ways, and by various authorities we have all been asked, even instructed, to engage in solidarity with one another in order to collectively respond to the current crisis. Under normal circumstances, individuals can engage in solidarity with their compatriots in the context of public health provision in a number of ways, including paying taxes which fund welfare state initiatives, and avoiding others when ill. While there has been significant engagement in solidarity worldwide, there have also been high profile examples of refusals and failures to engage in solidarity, both by individual agents, and governments. In this paper I examine the consequence of these failures with reference to the actions of the current British government, which has failed to deliver an effective response to the crisis. This failure has effectively devolved responsibility for responding to the crisis to people who are simultaneously more vulnerable to infection, and less able to do anything about it. I argue that such responses represent mismanagement of a public health crisis, and a rejection of important democratic and egalitarian norms and values.
团结对于有效提供卫生服务的作用和重要性是一个长期而激烈的争论主题,而 COVID-19 大流行更是使这一问题更加突出。为了共同应对当前的危机,我们以各种方式,通过各种权威机构,都被要求甚至被指示彼此团结。在正常情况下,个人可以通过多种方式在公共卫生服务方面与同胞团结,包括纳税以资助福利国家倡议,并在生病时避免与他人接触。虽然全球范围内已经有了很大程度的团结,但也有一些拒绝和未能团结的突出例子,这些例子既来自个人行为体,也来自政府。本文通过参考当前英国政府的行动,来探讨这些失败的后果,英国政府未能对这场危机做出有效的回应。这种失败实际上将应对危机的责任转嫁给了那些更容易受到感染、且更无力应对危机的人。我认为,这种反应代表了对公共卫生危机的管理不善,也是对重要的民主和平等规范和价值观的拒绝。