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COVID-19, Care Ethics, and Vulnerability

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The Global and Social Consequences of the COVID-19 Pandemic

Part of the book series: Studies in Global Justice ((JUST,volume 1212))

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Abstract

The economic crash of 2008 demonstrated the fragility of financial systems throughout the world; COVID-19, as the first pandemic in over a century to wreak global havoc, has demonstrated the fragility of healthcare systems. At the time of writing, the virus has been with us for a little over a year, and concerted vaccination efforts have begun. At the same time, several variants (some significantly more infectious than others) of SARS-CoV2, the virus that causes COVID-19, have emerged in different countries, sparking a new wave of border closures and local lockdowns, and a new wave of debates over the right way for governments and individuals alike to respond to the pandemic. The response of governments around the world has been far from synchronised over the last year, but almost without exception, they have made significant efforts to reduce the public health impact of the pandemic – overall, the preservation of life and health has been prioritised at the cost of material and financial goods and other widely used metrics of socio-political success. In this chapter, I suggest that a taking a care ethics perspective allows us to elucidate the important place of caring duties and caring relationships in ethical evaluation of pandemic management strategies. Government action and public attitudes alike demonstrate that care – concern for the wellbeing of others – has had significant normative force in motivating decision-making and shaping ethical responses to COVID-19.

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Notes

  1. 1.

    Many thanks to Michael Baron PhD for clarity on this distinction between mitigation and suppression strategies.

  2. 2.

    Sometimes also quoted as ‘I don’t know how to explain to you why you should care about other people.’

  3. 3.

    We should also note that the failure to provide a perfect solution during a crisis, or even in peacetime, is not necessarily a failure of care – as Groenhout notes, ‘Whatever system we choose to set up in our various societies will either leave some individuals without access to care (because they lack insurance, for example) or limit the amount of care provided to some individuals (because the system lacks the resources to offer them)’ (2019, 74).

  4. 4.

    An agent-based approach to care ethics might appeal either to care as the primary motive for such restrictions, or to other virtues, such as justice.

  5. 5.

    We should note a further distinction, particularly relevant to the example of obstetric care: between causing harm, and failing to benefit. The woman who does not accept a given trade-off between harm to herself and a benefit to her foetus is not thereby harming that foetus – this situation does not represent a conflict between the universal and the particular such that it is justifiable for the doctor to restrict her autonomy (unlike a situation in which, for example, one patient threatened another patient in their ward with violence, or stole their medication).

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Baron, T. (2022). COVID-19, Care Ethics, and Vulnerability. In: Schweiger, G. (eds) The Global and Social Consequences of the COVID-19 Pandemic. Studies in Global Justice, vol 1212. Springer, Cham. https://doi.org/10.1007/978-3-030-97982-9_10

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