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Record W2357311733 · doi:10.1093/phe/phw018

Can Republicanism Tame Public Health?

2016· article· en· W2357311733 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

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.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.142
metaresearch head score (Gemma)0.274
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Meta-epidemiology (narrow), Science and technology studies, Research integrity, Insufficient payload (model declined to judge)
Consensus categoriesMetaresearch, Research integrity, Insufficient payload (model declined to judge)
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.847
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.1420.274
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.002
Science and technology studies0.0080.001
Scholarly communication0.0000.001
Open science0.0020.001
Research integrity0.0020.025
Insufficient payload (model declined to judge)0.0040.002

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