Bioethics and COVID-19: Considering the Social Determinants of Health

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dc.contributor.authorValera, Luca
dc.contributor.authorBarreda, Rodrigo Lopez
dc.date.accessioned2025-01-20T21:09:29Z
dc.date.available2025-01-20T21:09:29Z
dc.date.issued2022
dc.description.abstractIn this paper, we focus on a novel bioethical approach concerning the ethical implications of the Social Determinants of Health (SDs) in the time of COVID-19, offering a fresh interpretation of our agency and responsibility in the current pandemic era. Our interpretation is grounded on the idea that our health basically depends on factors that go beyond our organism. In this sense, we stress the radical importance of circumstances to ethically assess an action, in the current pandemic context. Moreover, due the centrality of the SDs in our bioethical assessments-that implies that our health does not exclusively depend on our choices, behaviors, and lifestyle-we can affirm that we are not entirely responsible for our wellness or diseases. As health depends on economic, social, cultural, and environmental factors, we argue that the analysis of personal responsibility facing personal health status should receive further consideration. In this sense, following the "social connection model," we stress the importance of the concept of "shared responsibility" in collective decisions: if we make many decisions collectively, we are also collectively responsible of these decisions. Furthermore, to responsibly tackle the social inequalities that are the underlying cause of disparities in health outcomes, we propose two main strategies based on the Capability Approach: 1. empowering the individuals, especially the most vulnerable ones; and 2. designing preventive policies and interventions that provides an opportunity to address the disparities moving forward. This will help us going beyond the "individualistic medical ethics paradigm" and integrating our concept of health with social factors (e.g., the SDs), based on a more relational and interdependent anthropological thought.
dc.fuente.origenWOS
dc.identifier.doi10.3389/fmed.2022.824791
dc.identifier.eissn2296-858X
dc.identifier.urihttps://doi.org/10.3389/fmed.2022.824791
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/93534
dc.identifier.wosidWOS:000779552800001
dc.language.isoen
dc.revistaFrontiers in medicine
dc.rightsacceso restringido
dc.subjectbioethics
dc.subjectsocial determinants of health
dc.subjectpublic health ethics
dc.subjectshared agency
dc.subjectshared responsibility
dc.subjectvulnerability
dc.subject.ods10 Reduced Inequality
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa10 Reducción de las desigualdades
dc.subject.odspa03 Salud y bienestar
dc.titleBioethics and COVID-19: Considering the Social Determinants of Health
dc.typeartículo
dc.volumen9
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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