The Ethical Tension between Individual Autonomy and Public Responsibility in Proactive Health
First, it discusses the ethical struggle between individual autonomy and public health responsibility, including the manifestation of the four principles of medical ethics in the allocation of health responsibilities, and the conflict between individualism and communitarianism. Second, it examines h...
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Format: | Article |
Language: | Chinese |
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Editorial Office of Medicine and Philosophy
2025-03-01
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Series: | Yixue yu zhexue |
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Online Access: | https://yizhe.dmu.edu.cn/article/doi/10.12014/j.issn.1002-0772.2025.05.02 |
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author | Min CHEN |
author_facet | Min CHEN |
author_sort | Min CHEN |
collection | DOAJ |
description | First, it discusses the ethical struggle between individual autonomy and public health responsibility, including the manifestation of the four principles of medical ethics in the allocation of health responsibilities, and the conflict between individualism and communitarianism. Second, it examines how social determinants of health place vulnerable groups at a disadvantage in terms of health, exploring the potential exacerbation of health inequalities by an excessive emphasis on individual responsibility. Next, using China's long-term care insurance policy as an example, the paper analyzes how this policy balances individual autonomy and social support in practice. Finally, possible ethical pathways and policy recommendations are proposed, advocating for a shift from "individual accountability" to "systemic empowerment", to achieve a more just and inclusive "Healthy China" strategy. |
format | Article |
id | doaj-art-87d1b8d40e524b64bf286abc36e180b6 |
institution | Matheson Library |
issn | 1002-0772 |
language | zho |
publishDate | 2025-03-01 |
publisher | Editorial Office of Medicine and Philosophy |
record_format | Article |
series | Yixue yu zhexue |
spelling | doaj-art-87d1b8d40e524b64bf286abc36e180b62025-07-14T06:41:33ZzhoEditorial Office of Medicine and PhilosophyYixue yu zhexue1002-07722025-03-0146561110.12014/j.issn.1002-0772.2025.05.025-chenminThe Ethical Tension between Individual Autonomy and Public Responsibility in Proactive HealthMin CHEN0School of Health Management, Fujian Medical University, Fuzhou 350122, ChinaFirst, it discusses the ethical struggle between individual autonomy and public health responsibility, including the manifestation of the four principles of medical ethics in the allocation of health responsibilities, and the conflict between individualism and communitarianism. Second, it examines how social determinants of health place vulnerable groups at a disadvantage in terms of health, exploring the potential exacerbation of health inequalities by an excessive emphasis on individual responsibility. Next, using China's long-term care insurance policy as an example, the paper analyzes how this policy balances individual autonomy and social support in practice. Finally, possible ethical pathways and policy recommendations are proposed, advocating for a shift from "individual accountability" to "systemic empowerment", to achieve a more just and inclusive "Healthy China" strategy.https://yizhe.dmu.edu.cn/article/doi/10.12014/j.issn.1002-0772.2025.05.02proactive healthindividual autonomypublic responsibilityethical tensionlong-term care insurance |
spellingShingle | Min CHEN The Ethical Tension between Individual Autonomy and Public Responsibility in Proactive Health Yixue yu zhexue proactive health individual autonomy public responsibility ethical tension long-term care insurance |
title | The Ethical Tension between Individual Autonomy and Public Responsibility in Proactive Health |
title_full | The Ethical Tension between Individual Autonomy and Public Responsibility in Proactive Health |
title_fullStr | The Ethical Tension between Individual Autonomy and Public Responsibility in Proactive Health |
title_full_unstemmed | The Ethical Tension between Individual Autonomy and Public Responsibility in Proactive Health |
title_short | The Ethical Tension between Individual Autonomy and Public Responsibility in Proactive Health |
title_sort | ethical tension between individual autonomy and public responsibility in proactive health |
topic | proactive health individual autonomy public responsibility ethical tension long-term care insurance |
url | https://yizhe.dmu.edu.cn/article/doi/10.12014/j.issn.1002-0772.2025.05.02 |
work_keys_str_mv | AT minchen theethicaltensionbetweenindividualautonomyandpublicresponsibilityinproactivehealth AT minchen ethicaltensionbetweenindividualautonomyandpublicresponsibilityinproactivehealth |