David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jack Alan Reynolds
Learn more about PhilPapers
Public Health Ethics 3 (2):91-106 (2010)
Smoking is disproportionately common among the disadvantaged, both within many countries and globally; the burden associated with smoking is, therefore, borne to a great extent by the disadvantaged. In this paper, I argue that this should be regarded as a problem of social justice. Even though smokers do, in a sense, ‘choose’ to smoke, the extent to which these choices can legitimise the resulting inequalities is limited by the unequal circumstances in which they are made. An analysis of the empirical literature reveals a variety of factors—such as targeted advertising, unequal dissemination of information about the health risks of smoking and inequalities in smoking norms—that make the disadvantaged more likely to become smokers and less likely to quit successfully. The paper then considers a range of common tobacco control policies from the perspective of social justice. The social justice perspective developed here poses a challenge for policy-makers: on the one hand, social justice concerns strengthen the case for tobacco control policies because such policies disproportionately benefit the health of the disadvantaged. At the same time, however, we must be particularly sensitive to any harms associated with such policies because such burdens, too, will fall largely on the disadvantaged.
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
Thomas R. V. Nys (2008). Paternalism in Public Health Care. Public Health Ethics 1 (1):64-72.
Nurit Guttman & Charles T. Salmon (2004). Guilt, Fear, Stigma and Knowledge Gaps: Ethical Issues in Public Health Communication Interventions. Bioethics 18 (6):531–552.
Robert E. Goodin (1989). The Ethics of Smoking. Ethics 99 (3):574-624.
Richard J. Arneson (1997). Egalitarianism and the Undeserving Poor. Journal of Political Philosophy 5 (4):327–350.
Kalle Grill & Sven Ove Hansson (2005). Epistemic Paternalism in Public Health. Journal of Medical Ethics 31 (11):648-653.
Citations of this work BETA
Adina Preda & Kristin Voigt (2015). The Social Determinants of Health: Why Should We Care? American Journal of Bioethics 15 (3):25-36.
D. S. Goldberg (2012). Social Justice, Health Inequalities and Methodological Individualism in US Health Promotion. Public Health Ethics 5 (2):104-115.
A. Albertsen (2015). Luck Egalitarianism, Social Determinants and Public Health Initiatives. Public Health Ethics 8 (1):42-49.
A. M. Viens (2013). Disadvantage, Social Justice and Paternalism. Public Health Ethics 6 (1):28-34.
A. Bitton & N. Eyal (2011). Too Poor To Treat? The Complex Ethics of Cost-Effective Tobacco Policy in the Developing World. Public Health Ethics 4 (2):109-120.
Similar books and articles
Fabienne Peter (2001). Health Equity and Social Justice. Journal of Applied Philosophy 18 (2):159–170.
Martin J. Lecker (2009). The Smoking Penalty: Distributive Justice or Smokism? [REVIEW] Journal of Business Ethics 84 (1):47 - 64.
Judy C. Nixon & Judy F. West (1989). The Ethics of Smoking Policies. Journal of Business Ethics 8 (6):409 - 414.
Peter Higgins (2009). Immigration Justice: A Principle for Selecting Just Admissions Policies. Social Philosophy Today 25:149-162.
D. S. Silva (2011). Smoking Bans and Persons with Schizophrenia: A Straightforward Use of the Harm Principle? Public Health Ethics 4 (2):143-148.
Walter E. Block (2010). Free to Smoke. Business and Professional Ethics Journal 29 (1/4):135-153.
S. Andrew Ostapski, L. Wayne Plumly & J. L. Love (1997). The Ethical and Economic Implications of Smoking in Enclosed Public Facilities: A Resolution of Conflicting Rights. [REVIEW] Journal of Business Ethics 16 (4):377-384.
David M. Ludington (1991). Smoking in Public: A Moral Imperative for the Most Toxic of Environmental Wastes. Journal of Business Ethics 10 (1):23 - 27.
Nicholas J. C. Santos & Gene R. Laczniak (2009). "Just" Markets From the Perspective of Catholic Social Teaching. Journal of Business Ethics 89 (1):29 - 38.
Added to index2010-08-11
Total downloads45 ( #90,666 of 1,792,980 )
Recent downloads (6 months)7 ( #119,254 of 1,792,980 )
How can I increase my downloads?