Bibliographic record
Abstract
In health promotion discourses, access to medical care is presented as a universal remedy. As a result, ethical considerations are often limited to the issue of equitable access. Yet focusing on access to healthcare hides the issue of access to data needed for scientific development. Putting into place a system for saving lives involves population health monitoring and is founded on scientific rationality. This chapter refocuses political attention from medical intervention to what makes it possible. In doing so, the underlying ethical issue shifts from a concern with universal access to healthcare—considered a right from an equity standpoint—to a discussion of the options and consequences of a type of government based on science. The author puts forward the idea that it is not because it is technically and scientifically possible to do something that it should be done. To illustrate this argument, the chapter discusses the example of The Lancet's project on stillbirths (2011-2030) taken up by the WHO.
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 imitationNot 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.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.009 | 0.016 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.004 | 0.024 |
| Scholarly communication | 0.009 | 0.010 |
| Open science | 0.002 | 0.006 |
| Research integrity | 0.008 | 0.012 |
| Insufficient payload (model declined to judge) | 0.020 | 0.004 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
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".