Tisch College of Civic Life, Tufts University, Medford, MA, USA.
J Public Health Policy. 2021 Mar;42(1):154-159. doi: 10.1057/s41271-020-00263-w. Epub 2021 Jan 18.
During a public health emergency, a government must balance public welfare, equity, individual rights, and democratic processes and norms. These goods may conflict. Although science has a role in informing wise policy, no empirical evidence or algorithm can determine how to balance competing goods under conditions of uncertainty. Especially in a crisis, it is crucial to have a broad and free conversation about public policy. Many countries are moving in the opposite direction. Sixty-one percent of governments have imposed at least some problematic restrictions on individual rights or democratic processes during the COVID-19 pandemic, and 17 have made substantial negative changes. The policies of Poland and Hungary reflect these global trends and continue these countries' recent histories of democratic erosion. The expertise of public health should be deployed in defense of civil liberties.
在公共卫生紧急情况下,政府必须平衡公共福利、公平、个人权利以及民主程序和规范。这些利益可能会发生冲突。尽管科学在为明智的政策提供信息方面发挥了作用,但没有任何经验证据或算法可以确定如何在不确定的情况下平衡相互竞争的利益。特别是在危机时期,广泛而自由地讨论公共政策至关重要。许多国家正在朝着相反的方向发展。在 COVID-19 大流行期间,61%的政府对个人权利或民主程序至少实施了一些有问题的限制,17 个国家做出了重大的负面改变。波兰和匈牙利的政策反映了这些全球趋势,并延续了这两个国家最近民主侵蚀的历史。公共卫生专业知识应该用于捍卫公民自由。