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Record W2357311733 · doi:10.1093/phe/phw018

Can Republicanism Tame Public Health?

2016· article· en· W2357311733 on OpenAlexaff
Daniel Weinstock

Bibliographic record

VenuePublic Health Ethics · 2016
Typearticle
Languageen
FieldHealth Professions
TopicEthics in medical practice
Canadian institutionsMcGill University
FundersUniversity of Southampton
KeywordsPaternalismPublic healthLiberalismHarmIndividualismHealth promotionPoliticsHealth policyLaw and economicsSociologyPublic reasonPopulationPolitical scienceLawHealth careMedicine

Abstract

fetched live from OpenAlex

Liberalism and Public Health have always had a difficult relationship, because of the former's emphasis on the illegitimacy in all cases of unconsented-to interferences. Republicanism, with its emphasis on freedom as non-domination, has the potential to give rise to a more nuanced view of the relationship between public health interventions and a robust defence of liberty. This article argues that public health interventions not justified by the Millian harm principle can be justified on republican grounds if, though paternalistic, they aim to promote the autonomous decision-making of agents on matters to do with their health, and with the place of health within their overall conceptions of the good life. The practice of public health has always been difficult for political philosophers of broadly liberal sympathies to justify ( Holland, 2015 : 48–62). After all, most liberals are moral individualists, in that they believe that only individuals are legitimate sources of moral claims. They are wary of communitarian claims, according to which groups might be taken to be possessed of irreducible moral worth. But public health takes populations rather than individuals as the targets of their policies. They are concerned with population-level patterns of disease. This leads to a second source of apparent incompatibility between liberalism and public health: public health policies nudge, and sometimes coerce individuals, to achieve community-level goals of health promotion and disease reduction. They engage in health surveillance, which is difficult to square with the liberal value of individual privacy ( Fairchild et al. , 2008 ). They sometimes recommend mandatory vaccination and banning super-sized sodas, thus on the face of it violating the liberal belief in the supremacy of the value of individual liberty. 1

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.

metaresearch head score (Codex)0.016
metaresearch head score (Gemma)0.020
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: Theoretical or conceptual
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.016
Threshold uncertainty score0.086

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0160.020
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0080.068
Scholarly communication0.0140.017
Open science0.0010.010
Research integrity0.0110.016
Insufficient payload (model declined to judge)0.0130.003

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.486
GPT teacher head0.573
Teacher spread0.086 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designTheoretical or conceptual
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations7
Published2016
Admission routes1
Has abstractyes

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