prioritisation

Cross Post: Pandemic Ethics: Vaccine Distribution Ethics: Monotheism or Polytheism?

Written by Alberto Giubilini, Julian Savulescu, Dominic Wilkinson

(Oxford Uehiro Centre for Practical Ethics)

(Cross-posted with the Journal of Medical Ethics blog)

Pfizer has reported preliminary results that their mRNA COVID vaccine is 90% effective during phase III trials. The hope is to have the first doses available for distribution by the end of the year. Discussion has quickly moved to how the vaccine should be distributed in the first months, given very limited initial availability. This is, in large part, an ethical question and one in which ethical issues and values are either hidden or presented as medical decisions. The language adopted in this discussion often assumes and takes for granted ethical values that would need to be made explicit and interrogated. For example, the UK Government’s JCVI report for priority groups for COVID-19 vaccination reads: “Mathematical modelling indicates that as long as an available vaccine is both safe and effective in older adults, they should be a high priority for vaccination”. This is ethical language disguised as scientific. Whether older adults ‘should’ be high priority depends on what we want to achieve through a vaccination policy. And that involves value choices. Distribution of COVID-19 vaccines will need to maximize the public health benefits of the limited availability, or reduce the burden on the NHS, or save as many lives as possible from COVID-19. These are not necessarily the same thing and a choice among them is an ethical choice. Continue reading

How to be a high impact philosopher, part II

In a previous post, I discussed how, as a philosopher, one should decide on a research areas.  I suggested that one method was to work out what are potentially the biggest problems the world faces, work out what the crucial normative consideration are, and then work on those areas.  Call that the top-down method: starting with the problem, and working backwards to the actions one should take.

There’s a second method for high impact philosophy, however.  Let’s call it the bottom-up method.

  1. Begin by asking ‘which are the biggest decisions that one typically makes in life?’
  2. Then ask: ‘What are the crucial normative considerations that might affect how I should make those decisions?’
  3. Then figure out which of these crucial considerations is most likely to produce an action-relevant outcome given your marginal research time.
  4. Then work on that topic!

As in my previous post, I’ll go through each step in turn.

Continue reading

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