Winsberg Eric, Harvard Stephanie
Department of Philosophy, University of South Florida, Tampa, Florida, USA
Faculty of Pharmaceutical Sciences, The University of British Columbia, Vancouver, British Columbia, Canada.
J Epidemiol Community Health. 2022 Jan 13. doi: 10.1136/jech-2021-217666.
More people than ever are paying attention to philosophical questions about epidemiological models, including their susceptibility to the influence of social and ethical values, sufficiency to inform policy decisions under certain conditions, and even their fundamental nature. One important question pertains to the purposes of epidemiological models, for example, are COVID-19 models for 'prediction' or 'projection'? Are they adequate for making causal inferences? Is one of their goals, or virtues, to change individual responses to the pandemic? In this essay, we offer our perspective on these questions and place them in the context of other recent philosophical arguments about epidemiological models. We argue that clarifying the intended purpose of a model, and assessing its adequacy for that purpose, are moral-epistemic duties, responsibilities which pertain to knowledge but have moral significance nonetheless. This moral significance, we argue, stems from the inherent value-ladenness of models, along with the potential for models to be used in political decision making in ways that conflict with liberal values and which could lead to downstream harms. Increasing conversation about the moral significance of modelling, we argue, could help us to resist further eroding our standards of democratic scrutiny in the COVID-19 era.
比以往任何时候都更多的人开始关注有关流行病学模型的哲学问题,包括它们对社会和伦理价值影响的敏感性、在某些条件下为政策决策提供信息的充分性,甚至它们的基本性质。一个重要的问题涉及流行病学模型的目的,例如,新冠疫情模型是用于“预测”还是“推算”?它们是否足以进行因果推断?改变个人对疫情的反应是它们的目标之一或优点之一吗?在本文中,我们就这些问题提出我们的观点,并将它们置于近期关于流行病学模型的其他哲学论证的背景中。我们认为,阐明模型的预期目的并评估其对该目的的充分性是道德认知义务,这些与知识相关的责任仍然具有道德意义。我们认为,这种道德意义源于模型固有的价值负载性,以及模型在政治决策中以与自由主义价值观相冲突并可能导致下游危害的方式被使用的可能性。我们认为,增加关于建模道德意义的讨论,可以帮助我们在新冠疫情时代抵制进一步侵蚀我们的民主审查标准。