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Communities, self-causation and the natural lottery
1University of Illinois College of Medicine, Peoria 61656.
Social Science & Medicine (1982)
|January 1, 1988
Summary
Community obligations require more than minimal ethics, necessitating beneficence and trust. Narrow views of community and the
Area of Science:
- Philosophy
- Ethics
- Social Contract Theory
Background:
- Examining differing concepts of community and their implications for justice and freedom.
- Investigating the role of the 'natural lottery' in health and illness.
- Exploring the concept of 'self-causation' in relation to communal obligations.
Purpose of the Study:
- To analyze the philosophical underpinnings of community and its ethical obligations.
- To evaluate the impact of differing views on the 'natural lottery' within community frameworks.
- To explore the relationship between self-causation, community, and the natural lottery.
Main Methods:
- Juxtaposing minimalist (autonomy-based justice) and broader (beneficence-based justice) views of community.
- Analyzing the consequences of various interpretations of the 'natural lottery' on community.
- Examining the linkage between self-causation of illness and concepts of community.
Main Results:
- A minimalist ethic is insufficient for establishing a social contract; beneficence and trust are presupposed.
- Narrow conceptions of community are neither practically applied nor philosophically sound.
- The 'natural lottery' as a sole cause of illness and health is a questionable concept.
Conclusions:
- Community necessitates a social contract built on beneficence, not just refraining from harm.
- A broader, more inclusive view of community is essential for practical and ethical functioning.
- Rethinking the 'natural lottery' and self-causation is crucial for understanding communal obligations.