George Mason University Department of Philosophy, Fairfax, VA, USA.
J Bioeth Inq. 2020 Dec;17(4):575-580. doi: 10.1007/s11673-020-10039-2. Epub 2020 Nov 9.
COVID 19 has highlighted with lethal force the need to re-imagine and re-design the provisioning of human resources for health, starting from the reality of our radical interdependence and concern for global health and justice. Starting from the structured health injustice suffered by migrant workers during the pandemic and its impact on the health of others in both destination and source countries, I argue here for re-structuring the system for educating and distributing care workers around what I call a global ecological ethic. Rather than rely on a system that privileges nationalism, that is unjust, and that sustains and even worsens injustice, including health injustice, and that has profound consequences for global health, a global ecological ethic would have us see health as interdependent and aim at "ethical place-making" across health ecosystems to enable people everywhere to have the capability to be healthy.
新冠疫情以致命的力量凸显了重新构想和重新设计卫生人力资源供应的必要性，从我们的根本相互依存和对全球健康与正义的关注出发。从大流行期间移民工人遭受的结构性卫生不公及其对目的地和来源国其他人健康的影响出发，我在这里主张对教育和分配护理人员的系统进行重构，围绕我所谓的全球生态伦理。这种伦理不会依赖于一个偏袒民族主义、不公正、甚至加剧不公正的系统，包括卫生不公，这对全球健康有深远的影响，而是让我们将健康视为相互依存的，并旨在通过“道德场所营造”来实现整个卫生生态系统的目标，使各地的人都有能力保持健康。
