Cross Post: Spectator TV – Should the government ban smoking? With Kate Andrews and Dominic Wilkinson
Oxford Uehiro Centre’s Professor Dominic Wilkinson discusses the government’s proposal to ban smoking with The Spectator.
Public Health
The Language of Freedom in Public Health: the Case of the Smoking Ban
Alberto Giubilini
“Enough manipulation of the definition of man, and freedom can be made to mean whatever the manipulator wishes”
(Isaiah Berlin, Two Concepts of Liberty, 1958)
The UK Prime Minister has announced his plan to ban the sale of tobacco products to young generations in England. Smoking will be phased out by progressively increasing the legal age for buying tobacco every year. Assuming the plan is effective and does not simply open the door to a black market, young generations in England will be prevented from starting to smoke. According to the Prime Minister, “this measure will be the single biggest intervention in public health in a generation.”
It is hardly necessary to provide figures about the risks of smoking. Lighting up that first cigarette is one of the most unhealthy choices one could ever make. In fact, it is a decision many regret later in life. The question is: to what extent is a government justified in preventing competent individuals from making unhealthy decisions for themselves?
Read More »The Language of Freedom in Public Health: the Case of the Smoking Ban
Event Summary: Hope in Healthcare – a talk by Professor Steve Clarke
In a special lecture on 14 June 2022, Professor Steve Clarke presented work co-authored with Justin Oakley, ‘Hope in Healthcare’. It is widely supposed that it is important to imbue patients undergoing medical procedures with a sense of hope. But why is hope so important in healthcare, if indeed it is? We examine the answers… Read More »Event Summary: Hope in Healthcare – a talk by Professor Steve Clarke
Cross Post: Western Pharma Companies Should Supply Only Essential Medicines to Russia
Written by Alex Polyakov, The University of Melbourne and Julian Savulescu, University of Oxford
One glaring exception appears to be the majority of western pharmaceutical companies that continue to supply medicines and equipment.
There is growing political and consumer pressure on these companies to take steps to join the concerted efforts designed to pressure the
Russian government to stop the war in Ukraine.Read More »Cross Post: Western Pharma Companies Should Supply Only Essential Medicines to Russia
Exercise, Population Health and Paternalism
Written by Rebecca Brown
The NHS is emphatic in its confidence that exercise is highly beneficial for health. From their page on the “Benefits of exercise” come statements like:
“Step right up! It’s the miracle cure we’ve all been waiting for”
“This is no snake oil. Whatever your age, there’s strong scientific evidence that being physically active can help you lead a healthier and happier life”
“Given the overwhelming evidence, it seems obvious that we should all be physically active. It’s essential if you want to live a healthy and fulfilling life into old age”.
Setting aside any queries about the causal direction of the relationship between exercise and good health, or the precise effect size of the benefits exercise offers, it at least seems that the NHS is convinced that it is a remarkably potent health promotion tool.Read More »Exercise, Population Health and Paternalism
Are Public Health Institutions Honest?
By Rebecca Brown
The COVID-19 pandemic has highlighted various cracks in the function of our public institutions. One notable concern is the way in which scientific – including health – information is communicated to the public. Communication can serve different purposes. In the context of COVID-19, communication has been essential: describing the nature of the novel coronavirus, the risks it posed to health, the measures likely to reduce its spread. Some of this communication was aimed at changing people’s behaviour in order to control the infection. For instance, people were told to wash their hands regularly, for at least 20 seconds, and to avoid touching their face. Much of this information was uncertain. Emerging data on COVID-19 presented ever-changing estimates for infection and case fatality rates.
There are particular demands that are made of health communication. It needs to reach a wide audience, delivering often quite technical, uncertain information to people with varying degrees of health literacy. It needs to encourage behaviours likely to promote individual and public health and avoid causing unnecessary panic and alarm. It must also, one might argue, avoid misleading people about the facts as they are best understood. This last point suggests that health communication should adhere to the demands of honesty.
Paying for the Flu Vaccine
By Ben Davies
As I do every winter, I recently booked an appointment for a flu vaccine. I get it for free in the UK. If I didn’t have asthma, I’d still get vaccinated, but it would cost me between £9 and £14.99. That is both an ethical error on the part of the government, and may be a pragmatic one too.
Oxford Uehiro Centre Goes DefaultVeg
By Katrien Devolder
“Britons have cut their meat consumption by 17% over the past decade but will need to double these efforts if they are to meet targets for healthy diets and sustainable food production set out in the national food strategy earlier this year”. So began an article in The Guardian last Friday.[1] The article was reporting the guidance of the National food strategy[2]—commissioned by the UK government, but developed by an independent team in 2021—which recommends that meat consumption is cut by 30% within a decade. Many scientific studies have concluded that we (i.e., richer countries) need to be even more ambitious than that, especially if we want to halt the climate crisis.[3]
Special St Cross Seminar summary of Maureen Kelley’s: Fighting Diseases of Poverty Through Research: Deadly dilemmas, moral distress and misplaced responsibilities
Written By Tess Johnson
Lately, we have heard much in the media about disease transmission in conditions of poverty, given the crisis-point COVID-19 spread and mortality that India is experiencing. Yet, much of the conversation is centred on the ‘proximal’—or more direct—causes of morbidity and mortality, rather than the ‘structural determinants’—or underlying, systemic conditions that lead to disease vulnerability in a population. As a result, much global health research is focussed on infectious disease treatment and prevention, rather than responses to the complex political, economic and social needs that underly disease in vulnerable communities. This can result not only in less efficient and effective research, but also moral distress for researchers, and a disconnect between research goals and the responsibility that researchers feel for addressing a community’s immediate needs.
In her Special St Cross Seminar last week, Maureen Kelley introduced her audience to these problems in global health research. Professor Kelley outlined, first, empirical findings evidencing this problem, a result of research she recently performed with the Ethox Centre’s REACH team, in collaboration with global health research teams around the world. Second, she linked this empirical work to theory on moral distress and researchers’ and institutions’ responsibilities toward participating communities in low and middle-income countries (LMICs).Read More »Special St Cross Seminar summary of Maureen Kelley’s: Fighting Diseases of Poverty Through Research: Deadly dilemmas, moral distress and misplaced responsibilities
Pandemic Ethics: Key Workers Have a Stronger Claim to Compensation and Hazard Pay for Working During The COVID-19 Pandemic Than The Armed Forces Do When on Deployment
By Doug McConnell and Dominic Wilkinson
Post originally appeared on the Journal of Medical Ethics Blog
While the general public enjoy the relative safety of social distancing, key workers are at a higher risk of both contracting COVID-19 and transmitting it to their families. This is especially the case for ‘frontline’ workers who are frequently exposed to the virus and may not have access to adequate personal protective equipment (PPE). Tragically, many key workers have died of COVID-19 around the world already, including over 100 in the UK.
Although it is relatively rare for key workers to die from COVID-19, the risk of death is obviously much greater than one would usually expect in these roles and key workers clearly have good reason to be anxious. For ‘frontline’ workers, the distress is compounded by working in harrowing conditions where so many are dying alone. Furthermore, frontline workers have to take on the burdens of ensuring they do not transmit infections to their families, by moving in with patients, living in hotels, or maintaining rigorous social distancing in their own homes.
These atypical costs, risks, and burdens suggest that key workers are owed compensation in addition to their usual pay and a few instances of nationally coordinated applause. Read More »Pandemic Ethics: Key Workers Have a Stronger Claim to Compensation and Hazard Pay for Working During The COVID-19 Pandemic Than The Armed Forces Do When on Deployment