Distributive justice and the harm to medical professionals fighting epidemics
The exposure of doctors, nurses and other medical professionals to risks in the context of epidemics is significant. While traditional medical ethics offers the thought that these dangers may limit the extent to which a duty to care is applicable in such situations, it has less to say about what we...
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Veröffentlicht in: | Journal of medical ethics 2017-12, Vol.43 (12), p.861-864 |
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description | The exposure of doctors, nurses and other medical professionals to risks in the context of epidemics is significant. While traditional medical ethics offers the thought that these dangers may limit the extent to which a duty to care is applicable in such situations, it has less to say about what we might owe to medical professionals who are disadvantaged in these contexts. Luck egalitarianism, a responsibility-sensitive theory of distributive justice, appears to fare particularly badly in that regard. If we want to maintain that medical professionals are responsible for their decisions to help, cure and care for the vulnerable, luck egalitarianism seems to imply that their claim of justice to medical attention in case of infection is weak or non-existent. The article demonstrates how a recent interpretation of luck egalitarianism offers a solution to this problem. Redefining luck egalitarianism as concerned with responsibility for creating disadvantages, rather than for incurring disadvantage as such, makes it possible to maintain that medical professionals are responsible for their choices and that those infected because of their choice to help fight epidemics have a full claim of justice to medical attention. |
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While traditional medical ethics offers the thought that these dangers may limit the extent to which a duty to care is applicable in such situations, it has less to say about what we might owe to medical professionals who are disadvantaged in these contexts. Luck egalitarianism, a responsibility-sensitive theory of distributive justice, appears to fare particularly badly in that regard. If we want to maintain that medical professionals are responsible for their decisions to help, cure and care for the vulnerable, luck egalitarianism seems to imply that their claim of justice to medical attention in case of infection is weak or non-existent. The article demonstrates how a recent interpretation of luck egalitarianism offers a solution to this problem. Redefining luck egalitarianism as concerned with responsibility for creating disadvantages, rather than for incurring disadvantage as such, makes it possible to maintain that medical professionals are responsible for their choices and that those infected because of their choice to help fight epidemics have a full claim of justice to medical attention.</description><identifier>ISSN: 0306-6800</identifier><identifier>EISSN: 1473-4257</identifier><identifier>DOI: 10.1136/medethics-2017-104196</identifier><identifier>PMID: 28739637</identifier><language>eng</language><publisher>England: BMJ</publisher><subject>Bioethics ; Choice Behavior ; Delivery of Health Care ; Distributive justice ; Ebola virus ; Egalitarianism ; Epidemics ; Ethics ; Evaluation ; Health Behavior ; Health Care Rationing - ethics ; Health Personnel ; Helping Behavior ; Humans ; Infection - epidemiology ; Infection - therapy ; Infection - transmission ; Infections ; Medical ethics ; Medical personnel ; Nurses ; Occupational Exposure ; Prevention ; Public health ; Public health administration ; Safety and security measures ; Social Justice</subject><ispartof>Journal of medical ethics, 2017-12, Vol.43 (12), p.861-864</ispartof><rights>Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><rights>Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017</rights><rights>Copyright: 2017 © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b485t-727bde617ceb99108e5cbab71828a3f7c09cfee369b6557942c078098dbd80a13</citedby><cites>FETCH-LOGICAL-b485t-727bde617ceb99108e5cbab71828a3f7c09cfee369b6557942c078098dbd80a13</cites><orcidid>0000-0001-7528-2493</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/26879636$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/26879636$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,27903,27904,57995,58228</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28739637$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Albertsen, Andreas</creatorcontrib><creatorcontrib>Thaysen, Jens Damgaard</creatorcontrib><creatorcontrib>Albertsen, Andreas</creatorcontrib><title>Distributive justice and the harm to medical professionals fighting epidemics</title><title>Journal of medical ethics</title><addtitle>J Med Ethics</addtitle><description>The exposure of doctors, nurses and other medical professionals to risks in the context of epidemics is significant. While traditional medical ethics offers the thought that these dangers may limit the extent to which a duty to care is applicable in such situations, it has less to say about what we might owe to medical professionals who are disadvantaged in these contexts. Luck egalitarianism, a responsibility-sensitive theory of distributive justice, appears to fare particularly badly in that regard. If we want to maintain that medical professionals are responsible for their decisions to help, cure and care for the vulnerable, luck egalitarianism seems to imply that their claim of justice to medical attention in case of infection is weak or non-existent. The article demonstrates how a recent interpretation of luck egalitarianism offers a solution to this problem. Redefining luck egalitarianism as concerned with responsibility for creating disadvantages, rather than for incurring disadvantage as such, makes it possible to maintain that medical professionals are responsible for their choices and that those infected because of their choice to help fight epidemics have a full claim of justice to medical attention.</description><subject>Bioethics</subject><subject>Choice Behavior</subject><subject>Delivery of Health Care</subject><subject>Distributive justice</subject><subject>Ebola virus</subject><subject>Egalitarianism</subject><subject>Epidemics</subject><subject>Ethics</subject><subject>Evaluation</subject><subject>Health Behavior</subject><subject>Health Care Rationing - ethics</subject><subject>Health Personnel</subject><subject>Helping Behavior</subject><subject>Humans</subject><subject>Infection - epidemiology</subject><subject>Infection - therapy</subject><subject>Infection - transmission</subject><subject>Infections</subject><subject>Medical ethics</subject><subject>Medical personnel</subject><subject>Nurses</subject><subject>Occupational Exposure</subject><subject>Prevention</subject><subject>Public health</subject><subject>Public health administration</subject><subject>Safety and security measures</subject><subject>Social Justice</subject><issn>0306-6800</issn><issn>1473-4257</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>AVQMV</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>K50</sourceid><sourceid>M1D</sourceid><sourceid>M2O</sourceid><recordid>eNqNkUtv1DAUhS1ERaeFn1AUiQ2bUD_i17IanlKrbsrasp2bGUdJPMQOKv8eRylFYoU3Xpzvnnt0D0JXBH8ghInrEVrIx-BTTTGRNcEN0eIF2pFGsrqhXL5EO8ywqIXC-BxdpNTj8qjSr9A5VZJpweQO3X0MKc_BLTn8hKpfUg4eKju1VT5CdbTzWOVYlWXB26E6zbGDlEKc7JCqLhyOOUyHCk6hhbFkeY3OuqLAm6f_En3__Olh_7W-vf_ybX9zW7tG8VxLKl0LgkgPTmuCFXDvrJNEUWVZJz3WvgNgQjvBudQN9VgqrFXrWoUtYZfo_eZbAv1YIGUzhuRhGOwEcUmGaMoIoZyzgr77B-3jMq_5CyWxpg3FtFD1Rh3sACZMPk4ZHrOPwwAHMCX8_t7ccFqOq4leXfnG-zmmNENnTnMY7fzLEGzWfsxzP2btx2z9lLm3T2kWV4jnqT-FFOBqA_qU4_xXF0oWfTXAm-7G_j93_gYLfqYd</recordid><startdate>201712</startdate><enddate>201712</enddate><creator>Albertsen, Andreas</creator><creator>Thaysen, Jens Damgaard</creator><creator>Albertsen, Andreas</creator><general>BMJ</general><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>88J</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>AABKS</scope><scope>ABSDQ</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AVQMV</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K50</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1D</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>M2R</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7528-2493</orcidid></search><sort><creationdate>201712</creationdate><title>Distributive justice and the harm to medical professionals fighting epidemics</title><author>Albertsen, Andreas ; 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While traditional medical ethics offers the thought that these dangers may limit the extent to which a duty to care is applicable in such situations, it has less to say about what we might owe to medical professionals who are disadvantaged in these contexts. Luck egalitarianism, a responsibility-sensitive theory of distributive justice, appears to fare particularly badly in that regard. If we want to maintain that medical professionals are responsible for their decisions to help, cure and care for the vulnerable, luck egalitarianism seems to imply that their claim of justice to medical attention in case of infection is weak or non-existent. The article demonstrates how a recent interpretation of luck egalitarianism offers a solution to this problem. Redefining luck egalitarianism as concerned with responsibility for creating disadvantages, rather than for incurring disadvantage as such, makes it possible to maintain that medical professionals are responsible for their choices and that those infected because of their choice to help fight epidemics have a full claim of justice to medical attention.</abstract><cop>England</cop><pub>BMJ</pub><pmid>28739637</pmid><doi>10.1136/medethics-2017-104196</doi><tpages>4</tpages><orcidid>https://orcid.org/0000-0001-7528-2493</orcidid><oa>free_for_read</oa></addata></record> |
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source | Jstor Complete Legacy; MEDLINE |
subjects | Bioethics Choice Behavior Delivery of Health Care Distributive justice Ebola virus Egalitarianism Epidemics Ethics Evaluation Health Behavior Health Care Rationing - ethics Health Personnel Helping Behavior Humans Infection - epidemiology Infection - therapy Infection - transmission Infections Medical ethics Medical personnel Nurses Occupational Exposure Prevention Public health Public health administration Safety and security measures Social Justice |
title | Distributive justice and the harm to medical professionals fighting epidemics |
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