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      Interdependent Citizens: The Ethics of Care in Pandemic Recovery

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          Abstract

          The crisis of Covid‐19 has forced us to notice two things: our human interdependence and American society's tolerance for what Nancy Krieger has called “inequalities embodied in health inequities,” reflected in data on Covid‐19 mortality and geographies. Care is integral to our recovery from this catastrophe and to the development of sustainable public health policies and practices that promote societal resilience and reduce the vulnerabilities of our citizens. Drawing on the insights of Joan Tronto and Eva Feder Kittay, we argue that the ethics of care offers a critical alternative to utilitarian and deontological approaches and provides a street‐ready framework for integration into public health deliberations to anchor public policy and investments concerning the recovery and future well‐being of America's citizens and society .

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          Most cited references4

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          Measures of Racism, Sexism, Heterosexism, and Gender Binarism for Health Equity Research: From Structural Injustice to Embodied Harm—An Ecosocial Analysis

          Racism. Sexism. Heterosexism. Gender binarism. Together, they comprise intimately harmful, distinct, and entangled societal systems of self-serving domination and privilege that structure the embodiment of health inequities. Guided by the ecosocial theory of disease distribution, I synthesize key features of the specified “isms” and provide a measurement schema, informed by research from both the Global North and the Global South. Metrics discussed include (a) structural, including explicit rules and laws, nonexplicit rules and laws, and area-based or institutional nonrule measures; and (b) individual-level (exposures and internalized) measures, including explicit self-report, implicit, and experimental. Recommendations include (a) expanding the use of structural measures to extend beyond the current primary emphasis on psychosocial individual-level measures; (b) analyzing exposure in relation to both life course and historical generation; (c) developing measures of anti-isms; and (d) developing terrestrially grounded measures that can reveal links between the structural drivers of unjust isms and their toll on environmental degradation, climate change, and health inequities.
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            Good People and Dirty Work

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              Learning from My Daughter: The Value and Care of Disabled Minds The Value and Care of Disabled Minds

              Eva Kittay (2019)
              Disability offers a significant challenge to long-held philosophical views of the nature of the good life, what offers meaning in our lives, the importance of care, and the centrality of reason, as well as questions of justice, dignity, and personhood. In Learning from My Daughter , the author claims that living with a daughter who has multiple and significant disabilities, including cognitive disabilities, has been utterly transformative for thinking about her training, career and research as a philosopher. Interweaving the personal voice with the philosophical, the book argues that cognitive disability should reorient us to what truly matters; raises the question of whether normalcy is necessary for a good life; considers the ethical questions regarding prenatal testing and what it implies for understanding disability, the family, and ethically informed bioethics; and discusses the importance of care and an ethic built on an adequate understanding of care as it ought to be—not simply in how it is—practiced. The end of the book takes on the controversial case of Ashley X and the ethics of growth attenuation. In Learning from My Daughter , the disabled person takes center stage, but so does the ethic that needs to guide care. An ethic of care—if properly understood, the author claims—can be an ethical theory that is most useful for fully integrating disabled people and allowing them to live lives that are joyful and fulfilling.
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                Author and article information

                Journal
                Hastings Cent Rep
                Hastings Cent Rep
                10.1002/(ISSN)1552-146X
                HAST
                The Hastings Center Report
                John Wiley and Sons Inc. (Hoboken )
                0093-0334
                1552-146X
                29 June 2020
                May-Jun 2020
                : 50
                : 3 ( doiID: 10.1002/hast.v50.3 )
                : 56-58
                Article
                HAST1134
                10.1002/hast.1134
                7361911
                32596904
                9cb63c6c-deee-4404-838e-bbdfe52586ad
                © 2020 The Hastings Center

                This article is being made freely available through PubMed Central as part of the COVID-19 public health emergency response. It can be used for unrestricted research re-use and analysis in any form or by any means with acknowledgement of the original source, for the duration of the public health emergency.

                History
                Page count
                Figures: 0, Tables: 0, References: 15, Pages: 3, Words: 1776
                Categories
                Brief reflections on lessons and questions posed by Covid‐19 for health, medicine, and bioethics
                Essays
                Article
                Custom metadata
                2.0
                May/June 2020
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.8.5 mode:remove_FC converted:15.07.2020

                care ethics,pandemic,interdependence,health inequities,care workers

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