Chen Alvin
Center for Political Thought, RCHSS, Academia Sinica, Taipei, Taiwan.
Public Health Ethics. 2025 Jul 10;18(2):phaf007. doi: 10.1093/phe/phaf007. eCollection 2025 Jul.
Public health is commonly regarded as a branch of public policy. While few governments would dispute that public health should be a core responsibility of the state, in practice, it is frequently reduced to a branch of administration, in competition with other branches over annual budget distributions and policy priority. This paper advances the argument that the state should prioritize public health for one crucial reason: public health is a normative principle that constitutes the modern state. As a constitutional principle, it demands the state to promote and preserve public health. The paper examines first what makes public health a normative principle, and then examines why it is a normative principle that makes demands on the state. In so doing, the paper distinguishes public health as a constitutional principle from the constitutional right to health. The paper concludes with a reflection on the urgency to prioritize public health, not merely because of policy needs, but on the ground that it is a foundational normative principle of the modern state.
公共卫生通常被视为公共政策的一个分支。虽然很少有政府会质疑公共卫生应是国家的核心责任,但在实践中,它常常沦为行政的一个分支,与其他分支在年度预算分配和政策优先级上展开竞争。本文提出一个观点,即国家应将公共卫生置于优先地位,原因至关重要:公共卫生是构成现代国家的一项规范性原则。作为一项宪法原则,它要求国家促进和保护公共卫生。本文首先探讨是什么使公共卫生成为一项规范性原则,然后考察为何它是一项对国家提出要求的规范性原则。在此过程中,本文将作为宪法原则的公共卫生与健康宪法权利区分开来。本文最后反思了将公共卫生置于优先地位的紧迫性,这不仅是出于政策需求,更是基于它是现代国家的一项基础性规范性原则。