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Logo of jmedethJournal of Medical EthicsVisit this articleSubmit a manuscriptReceive email alertsContact usBMJ
J Med Ethics. Dec 1992; 18(4): 197–201.
PMCID: PMC1376144

Should public health respect autonomy?

Abstract

This paper suggests that public health, due to its community orientation, may be ignoring certain ethical principles--namely the rights of individuals and communities to self-determination. The expectation of individual rights as a member of a community is reviewed and the additional right of a community for self-determination is proposed. The influences on ethical evaluations by the legal and economic environments are suggested, using US examples. The conclusion argues that as the focus of health-care delivery changes, it will become more important to consider these questions of group ethics.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Skrabanek P. Why is preventive medicine exempted from ethical constraints? J Med Ethics. 1990 Dec;16(4):187–190. [PMC free article] [PubMed]
  • Loewy EH. Communities, self-causation and the natural lottery. Soc Sci Med. 1988;26(11):1133–1139. [PubMed]
  • Callahan D. Minimalist ethics. Hastings Cent Rep. 1981 Oct;11(5):19–25. [PubMed]
  • Dworkin G. Voluntary health risks and public policy. 1. Taking risks, assessing responsibility. Hastings Cent Rep. 1981 Oct;11(5):26–31. [PubMed]
  • Hastings LE. Dentistry in Shandong province: China. Ont Dent. 1990 Oct;67(8):14–passim. [PubMed]
  • Emanuel EJ. A communal vision of care for incompetent patients. Hastings Cent Rep. 1987 Oct-Nov;17(5):15–20. [PubMed]
  • Weinstein MC, Stason WB. Allocating resources: the case of hypertension. Hastings Cent Rep. 1977 Oct;7(5):24–29. [PubMed]
  • Weinstein MC, Stason WB. Foundations of cost-effectiveness analysis for health and medical practices. N Engl J Med. 1977 Mar 31;296(13):716–721. [PubMed]
  • Ransohoff DF, Lang CA. Screening for colorectal cancer. N Engl J Med. 1991 Jul 4;325(1):37–41. [PubMed]
  • Stason WB, Weinstein MC. Public-health rounds at the Harvard School of Public Health. Allocation of resources to manage hypertension. N Engl J Med. 1977 Mar 31;296(13):732–739. [PubMed]
  • Danis M, Churchill LR. Autonomy and the common weal. Hastings Cent Rep. 1991 Jan-Feb;21(1):25–31. [PubMed]
  • Vilnius D, Dandoy S. A priority rating system for public health programs. Public Health Rep. 1990 Sep-Oct;105(5):463–470. [PMC free article] [PubMed]

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