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A Confucian Perspective on Public Health Ethics
Kathryn Muyskens1, Angus Dawson1
1Centre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Bioethics
|January 19, 2026
Summary
Public health ethics often prioritizes Western liberal values like autonomy. Exploring Confucianism offers a relational perspective, critiquing these assumptions and broadening ethical considerations for public health policy.
Area of Science:
- Bioethics
- Public Health
- Moral Philosophy
Background:
- Contemporary public health ethics predominantly follows Western liberal assumptions.
- These assumptions include prioritizing liberty and autonomy, individualistic social ontology, personal responsibility, and consent-based obligations.
- This framework often marginalizes social, cultural, and religious contexts.
Purpose of the Study:
- To examine public health ethics from a non-Western moral tradition.
- To explore how Confucianism can offer a critical perspective on current public health ethics.
- To challenge the universality of Western liberal assumptions in ethics.
Main Methods:
- Outlining key tenets of Confucianism.
- Applying a Confucian ethical framework to analyze public health issues.
- Comparative analysis of Western liberal and Confucian ethical approaches.
Main Results:
- Confucianism presents a relational view of social ontology and shared well-being.
- It offers different perspectives on obligations, agency, and responsibility.
- This approach critiques the individualistic and autonomy-focused nature of Western liberalism.
Conclusions:
- Western liberal assumptions in public health ethics are not universal truths but require justification.
- A Confucian perspective can serve as an epistemic critique, highlighting the need to defend core assumptions.
- Incorporating Confucian insights can broaden the values informing public health policy and promote a more inclusive ethical discourse.
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