Abstract

http://ssrn.com/abstract=608422
 
 

Citations (3)



 
 

Footnotes (60)



 


 



The Genesis of Public Health Ethics


Ronald Bayer


Columbia University - Mailman School of Public Health

Amy L. Fairchild


Columbia University - Mailman School of Public Health


Bioethics, Vol. 18, No. 6, pp. 473-492, November 2004

Abstract:     
As bioethics emerged in the 1960s and 1970s and began to have enormous impacts on the practice of medicine and research - fuelled, by broad socio-political changes that gave rise to the struggle of women, African Americans, gay men and lesbians, and the antiauthoritarian impulse that characterised the New Left in democratic capitalist societies - little attention was given to the question of the ethics of public health. This was all the more striking since the core values and practices of public health, often entailing the subordination of the individual for the common good, seemed opposed to the ideological impulses of bioethics. Of what relevance is autonomy-focused bioethics for public health, with its mix of justifications including those that are either implicitly or explicitly paternalistic or that seek to impose strictures on individuals and communities in the name of collective welfare? To examine the deep divide between the central commitments of bioethics and the values that animate the practice of public health, we focus on a series of controversies implicating the concepts of privacy, liberty, and paternalism. Recognising the role of moral values in decision-making was a signal contribution of bioethics in its formative period. Over the past three decades a broad array of perspectives emerged under the rubric of bioethics but individualism remains central. As we commence the process of shaping an ethics of public health, it is clear that bioethics is the wrong place to start when thinking about the balances required in defence of the public's health.

Number of Pages in PDF File: 20

Accepted Paper Series


Date posted: October 26, 2004  

Suggested Citation

Bayer, Ronald and Fairchild, Amy L., The Genesis of Public Health Ethics. Bioethics, Vol. 18, No. 6, pp. 473-492, November 2004. Available at SSRN: http://ssrn.com/abstract=608422

Contact Information

Ronald Bayer (Contact Author)
Columbia University - Mailman School of Public Health ( email )
Center for the History and Ethics of Public Health
600 West 168th St., 6th Floor
New York, NY 10032
United States
Amy L. Fairchild
Columbia University - Mailman School of Public Health ( email )
Center for the History and Ethics of Public Health
600 West 168th St., 6th Floor
New York, NY 10032
United States
Feedback to SSRN


Paper statistics
Abstract Views: 2,137
Downloads: 22
Citations:  3
Footnotes:  60

© 2014 Social Science Electronic Publishing, Inc. All Rights Reserved.  FAQ   Terms of Use   Privacy Policy   Copyright   Contact Us
This page was processed by apollo7 in 0.234 seconds