American Journal of Bioethics 18 (3):29-41 (2018)

D. Robert MacDougall
New York City College of Technology (CUNY)
Elise Smith
National Institutes of Health
Various U.S. laws, such as the Clean Air Act and the Food Quality Protection Act, require additional protections for susceptible subpopulations who face greater environmental health risks. The main ethical rationale for providing these protections is to ensure that environmental health risks are distributed fairly. In this article, we consider how several influential theories of justice deal with issues related to the distribution of environmental health risks; show that these theories often fail to provide specific guidance concerning policy choices; and argue that an approach to public decision making known as accountability for reasonableness can complement theories of justice in establishing acceptable environmental health risks for the general population and susceptible subpopulations. Since accountability for reasonableness focuses on the fairness of the decision-making process, not the outcome, it does not guarantee that susceptible subpopulations will receive a maximum level of protection, regardless of costs or other morally relevant considerations.
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DOI 10.1080/15265161.2017.1418922
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References found in this work BETA

Justice as Fairness: A Restatement.John Rawls (ed.) - 2001 - Harvard University Press.
Practical Ethics.Peter Singer - 1979 - Cambridge University Press.
Just Health: Meeting Health Needs Fairly.Norman Daniels - 2007 - Cambridge University Press.
Political Liberalism.J. Rawls - 1995 - Tijdschrift Voor Filosofie 57 (3):596-598.

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Citations of this work BETA

Distributive Justice and Priority Setting in Health Care.Yolonda Y. Wilson - 2018 - American Journal of Bioethics 18 (3):53-54.
Saving Environmental Justice From Proceduralism.William R. Smith - 2018 - American Journal of Bioethics 18 (3):55-56.

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