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The Harm of Bioethics: A Critique of Singer and Callahan on Obesity

机译:生物伦理学的危害:歌手和卡拉汉对肥胖的批评

摘要

Debate concerning the social impact of obesity has been ongoing since at least the 1980s. Bioethicists, however, have been relatively silent. If obesity is addressed it tends to be in the context of resource allocation or clinical procedures such as bariatric surgery. However, prominent bioethicists Peter Singer and Dan Callahan have recently entered the obesity debate to argue that obesity is not simply a clinical or personal issue but an ethical issue with social and political consequences.udThis article critically examines two problematic aspects of Singer and Callahan's respective approaches. First, there is an uncritical assumption that individuals are autonomous agents responsible for health-related effects associated with food choices. In their view, individuals are obese because they choose certain foods or refrain from physical activity. However, this view alone does not justify intervention. Both Singer and Callahan recognize that individuals are free to make foolish choices so long as they do not harm others. It is at this point that the second problematic aspect arises. To interfere legitimately in the liberty of individuals, they invoke the harm principle. I contend, however, that in making this move both Singer and Callahan rely on superficial readings of public health research to amplify the harm caused by obese individuals and ignore pertinent epidemiological research on the social determinants of obesity. I argue that the mobilization of the harm principle and corresponding focus on individual behaviours without careful consideration of the empirical research is itself a form of harm that needs to be taken seriously.ududKeywords: obesity; Peter Singer; Dan Callahan; harm principle; public health
机译:至少从1980年代以来,关于肥胖的社会影响的争论一直在进行。然而,生物伦理学家相对沉默。如果肥胖得到解决,则往往是在资源分配或诸如减肥手术等临床程序的背景下进行的。但是,著名的生物伦理学家彼得·辛格(Peter Singer)和丹·卡拉汉(Dan Callahan)最近进入了肥胖症辩论,认为肥胖不仅是临床或个人问题,而​​且是具有社会和政治后果的伦理问题。 ud本文严格地考察了辛格和卡拉汉各自的两个有问题的方面。方法。首先,有一个不严格的假设,即个人是自主因素,负责与食物选择相关的健康相关影响。在他们看来,个体肥胖是因为他们选择某些食物或避免进行体育锻炼。但是,仅此观点并不能证明干预是合理的。辛格和卡拉汉都认识到,只要不伤害他人,个人就可以做出愚蠢的选择。正是在这一点上出现了第二个有问题的方面。为了合法地干涉个人自由,他们援引伤害原则。但是,我认为,在采取这一行动时,辛格和卡拉汉都依赖于对公共卫生研究的肤浅理解,以扩大肥胖个体造成的危害,而忽略了有关肥胖症社会决定因素的流行病学研究。我认为动员伤害原则并相应地关注个人行为,而没有仔细考虑实证研究本身就是一种伤害形式,需要认真对待。彼得·辛格;丹·卡拉汉损害原则;公共卫生

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