There are no egalitarians in a pandemic. The scale of the challenge for health systems and public policy means that there is an ineluctable need to prioritize the needs of the many. It is impossible to treat all citizens equally, and a failure to carefully consider the consequences of actions could lead to massive preventable loss of life. In a pandemic there is a strong ethical need to consider how to do most good overall. Utilitarianism is an influential moral theory that states that the right action is the action that is expected to produce the greatest good. It offers clear operationalizable principles. In this paper we provide a summary of how utilitarianism could inform two challenging questions that have been important in the early phase of the pandemic: (a) Triage: which patients should receive access to a ventilator if there is overwhelming demand outstripping supply? (b) Lockdown: how should countries decide when to implement stringent social restrictions, balancing preventing deaths from COVID‐19 with causing deaths and reductions in well‐being from other causes? Our aim is not to argue that utilitarianism is the only relevant ethical theory, or in favour of a purely utilitarian approach. However, clearly considering which options will do the most good overall will help societies identify and consider the necessary cost of other values. Societies may choose either to embrace or not to embrace the utilitarian course, but with a clear understanding of the values involved and the price they are willing to pay.
vaccine-mandatory-or-paymentmodel/]. I would like to thank an anonymous reviewer for very many helpful and constructive comments. I would also like to thank Alberto Giubilini for his help.
Previous work has demonstrated that people are more likely to trust “deontological” agents who reject harming one person to save many others than “consequentialist” agents who endorse such instrumental harms, which could explain the higher prevalence of non-consequentialist moral intuitions. Yet consequentialism involves endorsing not just instrumental harm, but also impartial beneficence, treating the well-being of every individual as equally important. In four studies (total N = 2086), we investigated preferences for consequentialist vs. non-consequentialist social partners endorsing instrumental harm or impartial beneficence and examined how such preferences varied across different types of social relationships. Our results demonstrate robust preferences for non-consequentialist over consequentialist agents in the domain of instrumental harm, and weaker – but still evident – preferences in the domain of impartial beneficence. In the domain of instrumental harm, non-consequentialist agents were consistently viewed as more moral and trustworthy, preferred for a range of social roles, and entrusted with more money in economic exchanges. In the domain of impartial beneficence, preferences for non-consequentialist agents were observed for close interpersonal relationships requiring direct interaction (friend, spouse) but not for more distant roles with little-to-no personal interaction (political leader). Collectively our findings demonstrate that preferences for non-consequentialist agents are sensitive to the different dimensions of consequentialist thinking and the relational context.
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