Justice Everywhere

a blog about philosophy in public affairs

Category: Health Page 4 of 6

How should the NHS respond to professional errors?

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On 14 May, 2020

In Duties, Governance, Health, Work

In this post, Ben Davies & Joshua Parker discuss their recent article in Journal of Applied Philosophy on the appropriate culture to develop around mistakes in professional medicine.

Consider the following case, hypothetical but not uncommon. Hamza, a junior doctor working in the UK’s National Health Service (NHS) is working a night shift when he mis-prescribes a large dose of morphine to a patient who doesn’t need it. Fortunately, this error is caught by another member of his team, but at worst it could have killed the patient. Hamza was tired, stressed, and relatively inexperienced, but at his stage of training should have known to double check the dose. How should Hamza’s colleagues, and NHS institutions, respond to his serious mistake?

There has been a shift in the NHS in recent years to the idea that in responding to medical errors, institutions should adopt a ‘no blame’ culture. In our recent paper, we take a critical look at this idea, arguing that the no blame approach may throw the baby of responsibility out with the bathwater of blame.

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Non-human Primates in the Laboratory are Poor Models for Human Behavior

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On 29 April, 2020

In Animals, Duties, Health

In this post, Parker Crutchfield discusses his recent article in Journal of Applied Philosophy on the injustice of laboratory research on non-human primates.

A human’s experiences and environmental exposure influence how they behave. If we want to know how humans are generally disposed to behave, we must account for this influence. As I argue in a recent article, this influence undermines the justification of using non-human primates as models of human behavior. We gain no useful knowledge from studying the behavior of non-human primates in laboratory settings. Since we gain no useful knowledge, their use as research subjects is unjust.

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Philosophers’ Rundown on the Coronavirus Crisis

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On 20 April, 2020

In Climate, Distribution, Economics, Education, Governance, Health, International, Public Philosophy, Technology

The outbreak of COVID-19 has raised several ethical and political questions. In this special edition, Aveek Bhattacharya and Fay Niker have collected brief thoughts from Justice Everywhere authors on 9 pressing questions.

Topics include: the feasibility of social justice, UBI, imagining a just society, economic precarity, education, climate change, internet access, deciding under uncertainty, and what counts as (un)acceptable risk.   

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Which Option is Best for Me? A Values-Based Proposal for Behavioral Economists

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On 16 April, 2020

In Economics, Health, Moral values

In this post, C. Tyler DesRoches discusses his recent article in Journal of Applied Philosophy on the normative foundations of behavioral economics.

Emmett is hungry. He only has enough money to purchase either a slice of cake or a piece of fruit. What’s the best option for Emmett? You might think that fruit is his best option. After all, that’s the healthiest option. In a recent article, I defend one way to make sense of this view, by proposing a values-based account of ‘true preferences.’ Let me explain.

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Should We Shame Those Who Ignore Social Distancing Guidelines?

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On 13 April, 2020

In Duties, Governance, Health, Liberty, Punishment

In this post, Paul Billingham and Tom Parr apply some of their recent thinking on the morality of public shaming to the case of social distancing guidelines.

Social norms can change astonishingly quickly. Within a matter of days, and in response to the ongoing pandemic, we’ve witnessed the emergence of strong social norms against going out for all but a handful of reasons. All of a sudden, each of us is expected to stay at home, at least for the overwhelming majority of our days. And, when we do venture out, we must be careful to maintain appropriate distance from others.

This turnaround in social norms has been hastened and enforced by the public shaming, often on social media, of those who breach their demands. This involves posting, sharing, commenting on, and liking photos and videos of those who seem to be violating these norms, for example, by taking leisurely strolls in a busy park, sunbathing at the beach, or boarding a packed train. Twitter is currently awash with examples, from all around the world, using the hashtag #COVIDIOTS. Even the authorities have got in on the action, with Derbyshire Police releasing drone footage of people walking in the Peak District. And Italian mayors have been real trailblazers.

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Supply Chains, Disaster-Mitigation, and State Manufacturing

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On 6 April, 2020

In Distribution, Governance, Health

The COVID-19 pandemic has exposed serious vulnerabilities in healthcare supply chains in many countries, including the UK. Shortages in protective equipment are leading to staffing problems in many hospitals. If these problems aren’t soon resolved they could jeopardise the operations of the entire health system. The same threat looms over the care sector. And even if the NHS remains well-enough staffed to sustain its operations, ventilator shortages may mean that critically ill patients don’t have access to essential life-saving treatments at the peak of the pandemic. And stocks of the chemical supplies needed in order to produce test kits, and vaccines – if and when one is viable – are running short as well.

Countries should try to take proactive measures to pre-emptively mitigate the harm done by future pandemics by disaster-proofing their healthcare supply chains. The probability of another pandemic in the foreseeable future that’s as bad as or worse than COVID-19 may be small. But the probability-weighted downsides of this possible outcome are great enough that they warrant action in strengthening supply chains. This is just one action that’s warranted among others. The question I want to home in on here is how we can disaster-proof supply chains without it being so expensive as to (a) carry prohibitive op-portunity costs, or (b) become politically untenable once the galvanised mood around COVID-19 subsides.

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Emergency Ethics for a World Broken by Coronavirus

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On 30 March, 2020

In Distribution, General, Health, International, Public Philosophy

The title might seem melodramatic even though we are all on the edge right now. Humanity has survived many epidemics, two world wars, natural and technical disasters such as tsunamis or reactors exploding. The costs have been high though, and ethics has often shied away from providing answers for these tough times. In this post, I will argue that philosophers must be prepared to undertake a form of non-ideal emergency ethics to be able to help with the pressing moral questions, for instance in the medical sector.

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Recognition in times of COVID-19

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On 26 March, 2020

In General, Health, International, Moral values, Work

In this post, guest contributor Gottfried Schweiger reflects on recognition of “everyday heroes” in the current COVID-19 crisis and what it says about our recognition regime.

Times of crisis are times when heroes are made and tales of heroism are written. The COVID-19 pandemic knows some heroes: all the medical staff in the front line, but also the many other people who keep society going and fight the pandemic. There are also more and more voices publicly acknowledging these “everyday heroes” (for example, Owen Jones in this recent opinion piece for The Guardian).

While some professions, such as doctors, are used to being at the top of the recognition hierarchy, people who are normally excluded from such public recognition are now also benefiting from it. These include the poorly paid employees in supermarkets and warehouses, but also the many who provide care and assistance in hospitals, nursing homes or private arrangements for the needy and chronically ill.

Two questions arise: how do recognition regimes shift in times of crisis and what about all those who are not everyday heroes, what does the crisis do to them?

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How will the coronavirus affect us – as individuals and as a society?

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On 16 March, 2020

In Climate, Distribution, Health

Schools are closed. Flights cancelled. Highways and trains deserted. People are asked to minimise social contact. At first, the coronavirus appeared to be not much different from a normal flu. But then it spread in almost no time across 100 states around the world. Initially, the measures taken by the Italian government seemed extreme, perhaps exaggerated – now several countries are following the Italian example, including Belgium, Germany, and the Netherlands. The most urgent ethical issue raised by the coronavirus will be the allocation of limited resources, including hospital space. There are also concerns of global justice, given the huge differences between states with regard to their ability to deal with the virus. Despite the fatal effects of this pandemic, we also hear voices that view it as a chance and express the hope that it might bring about some positive changes in society. How will covid-19 affect us – as individuals and as a society? Will it make us more egoistic (“My family first!”) or will it bring us closer together, making us realise how much we depend on each other? Can we expect anything positive from this crisis, and what could that be?

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An Interview with Jonathan Wolff (Beyond the Ivory Tower Series)

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On 24 February, 2020

In Academia, Beyond the Ivory Tower, Governance, Health, Moral values, Public Philosophy

This is the third interview in our Beyond the Ivory Tower series (previous interviewees: Onora O’Neill and Marc Stears). Back in December, Diana Popescu spoke to Jonathan Wolff about his experience working on public policy committees and what philosophers have to learn from engaging with real-life problems and social movements. 

Jonathan Wolff is the Alfred Landecker Professor of Values and Public Policy at the Blavatnik School of Government at the University of Oxford. Before coming to Oxford, he was Professor of Philosophy and Dean of Arts and Humanities at UCL. He is currently developing a new research programme on revitalising democracy and civil society. His work largely concerns equality, disadvantage, social justice and poverty, as well as applied topics such as public safety, disability, gambling, and the regulation of recreational drugs. He has been a member of the Nuffield Council of Bioethics, the Academy of Medical Science working party on Drug Futures, the Gambling Review Body, the Homicide Review Group, an external member of the Board of Science of the British Medical Association, and a Trustee of GambleAware. He writes a regular column on higher education for The Guardian. 

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