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Extended antipaternalism.

S O Hansson1

  • 1Philosophy Unit, Royal Institute of Technology, Teknikringen 78, 10044 Stockholm, Sweden. soh@infra.kth.se

Journal of Medical Ethics
|February 1, 2005
PubMed
Summary
This summary is machine-generated.

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Antipaternalism, the principle of protecting individuals from self-harm, does not justify harming others. This ethical principle allows intervention in activities like tobacco marketing, even with consent, to prevent wider societal harm.

Area of Science:

  • Ethics
  • Public Health Policy
  • Philosophy

Background:

  • Antipaternalism is often invoked to defend activities that harm others, such as tobacco companies defending smoking.
  • This interpretation, termed 'extended antipaternalism,' is prevalent in public health debates.
  • However, a strict interpretation of antipaternalism does not necessitate this broader defense.

Purpose of the Study:

  • To clarify the philosophical underpinnings of antipaternalism.
  • To demonstrate that antipaternalism does not logically extend to defending activities that harm consenting others.
  • To explore the implications for public health ethics and policy.

Main Methods:

  • Philosophical analysis of John Stuart Mill's harm principle.
  • Distinction between proper antipaternalism and extended antipaternalism.
Keywords:
Health Care and Public HealthPhilosophical Approach

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  • Ethical reasoning applied to public health interventions.

    • Main Results:

    • Antipaternalism, in its proper sense, restricts intervention to preventing harm to others, not self-harm.
    • The 'harm principle' does not logically endorse activities that harm consenting third parties.
    • Therefore, interventions in public health are permissible even when individuals consent to risks.

    Conclusions:

    • Public health ethics can support interventions against activities like tobacco marketing, boxing promotion, and risky behaviors without violating antipaternalist principles.
    • A consistent antipaternalist stance does not preclude regulating industries or behaviors that pose risks to the public.
    • This reframes the ethical debate surrounding paternalism in public health policy.