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A Global Ecological Ethic for Human Health Resources.

Lisa A Eckenwiler1

  • 1George Mason University Department of Philosophy, Fairfax, VA, USA. leckenwi@gmu.edu.

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Summary

The COVID-19 pandemic revealed critical flaws in health workforce systems. A proposed global ecological ethic emphasizes interdependence and ethical place-making for universal health equity.

Keywords:
Care workersGlobal justiceGlobalizationHealth equityHealth justiceHealth workersHuman health resourcesMigrant care workersStructural injusticeVulnerability

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Area of Science:

  • Global Health
  • Health Workforce Studies
  • Bioethics

Background:

  • The COVID-19 pandemic exposed systemic vulnerabilities in human resources for health (HRH).
  • Migrant workers faced significant health injustice during the pandemic, impacting both their health and the health of others.
  • Existing HRH systems often perpetuate nationalism and health injustice, with detrimental global health consequences.

Purpose of the Study:

  • To advocate for a re-imagined HRH system grounded in a global ecological ethic.
  • To address the health injustice experienced by migrant workers and its broader implications.
  • To propose a framework for ethical place-making in health ecosystems.

Main Methods:

  • Conceptual analysis and ethical argumentation.
  • Critique of current nationalistic HRH provisioning models.
  • Development of the concept of a 'global ecological ethic' for health.

Main Results:

  • Current HRH systems are characterized by injustice and negatively impact global health.
  • A global ecological ethic offers an alternative framework for HRH education and distribution.
  • This ethic recognizes the radical interdependence of health across populations and borders.

Conclusions:

  • Re-designing HRH systems is essential for global health and justice.
  • Adopting a global ecological ethic can foster equitable health capabilities worldwide.
  • Ethical place-making is crucial for building resilient and just health ecosystems.