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Disagreement, Unenforceability, and Harm Reduction.

Daniel M Weinstock1

  • 1Institute for Health and Social Policy, Faculty of Law, McGill University, Montreal, Canada. Daniel.weinstock2@mcgill.ca.

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|October 25, 2020
PubMed
Summary
This summary is machine-generated.

Harm reduction strategies are expanding across policy and legal discourse, necessitating philosophical examination. Deliberative harm reduction offers a robust ethical framework, justifying its moral grounds and limits.

Keywords:
ConsequentialismDisagreementEnforcementHarm reductionPolicy

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Area of Science:

  • Philosophy of Ethics
  • Public Policy Analysis
  • Social Science Research

Background:

  • Harm reduction discourse has broadened significantly, encompassing diverse policy domains and entering official legal and political discussions.
  • This expansion necessitates a deeper philosophical understanding of harm reduction's ethical underpinnings, justification, and limitations.

Purpose of the Study:

  • To philosophically theorize the concept of harm reduction.
  • To distinguish between different varieties of harm reduction and evaluate their ethical and justificatory strengths.
  • To explore the moral limits and grounds for harm reduction policies.

Main Methods:

  • Distinguishing between two types of harm reduction: technocratic and deliberative.
  • Analyzing the premises of each type: technocratic harm reduction based on policy non-enforceability, and deliberative harm reduction based on reasonable disagreement.
  • Evaluating which model better accounts for harm reduction's attractive features and provides a clearer framework for justification and limits.

Main Results:

  • Two distinct varieties of harm reduction are identified: technocratic and deliberative.
  • Deliberative harm reduction, premised on reasonable disagreement among individuals regarding controversial behaviors, is presented as a more philosophically robust approach.
  • This approach offers a more plausible account of harm reduction's ethical justification and its moral boundaries.

Conclusions:

  • Deliberative harm reduction provides a superior ethical framework compared to technocratic approaches.
  • This model better explains the moral basis and limitations of harm reduction strategies.
  • Further philosophical inquiry into harm reduction is crucial for its effective and ethical implementation in policy and law.