Department of Bioethics, Faculty of Medicine, Dalhousie University, Halifax, Nova ScotiaB3H 4R2, Canada.
Camb Q Healthc Ethics. 2022 Oct;31(4):518-529. doi: 10.1017/S0963180122000044.
One health suggests that human and animal health are comparable, but in practice, the concept aligns with the principles of public health ethics. One health ethics, as such, appears to eschew connotations of equality for the natural world. A theory of agency revises that anthropocentric assumption. This article begins with a critique of environmental dualism: the idea that human culture and nature are separate social realms, thus justifying public health as a (unifying) purpose. In response, this article argues that, first, a neuroethics of one health might equally regard humans and (some) animals, which have comparable mental states, as rational agents. Second, rational agency should ground our moral connections to nature in terms of the egalitarian interests we have (as coinhabitants) in the health of the planet. While this article makes a moderate case for interspecific rights (as the first argument asserts), neuroscience is unlikely for now to change how most public institutions regard nonhuman animals in practice. However, the second argument asserts that rational agency is also grounds for philosophical environmentalism. One health ethics, therefore, is a theory of equality and connects culture to nature, and, as such, is a separate, but coextensive approach to that of public health.
“同一健康”理念表明人类健康与动物健康同等重要,但实际上,该理念与公共卫生伦理原则一致。因此,“同一健康”伦理似乎回避了自然世界平等的概念。代理理论修正了这种人类中心主义的假设。本文首先对环境二元论进行了批判:这种观点认为,人类文化和自然是两个相互分离的社会领域,因此可以将公共卫生视为(统一的)目的。对此,本文认为,首先,同一健康的神经伦理学可能同样将具有类似精神状态的人类和(某些)动物视为理性主体。其次,理性代理应该使我们与自然的道德联系建立在我们作为(共同居住者)在地球健康方面的平等利益之上。虽然本文为种间权利提出了一个适度的案例(正如第一个论点所主张的那样),但神经科学目前不太可能改变大多数公共机构在实践中对非人类动物的看法。然而,第二个论点主张,理性代理也是哲学环境主义的基础。因此,同一健康伦理是一种平等理论,将文化与自然联系起来,因此是一种与公共卫生理论既独立又广泛相关的理论。