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  • 1.
    Grill, Kalle
    Department of Philosophy, KTH Royal Institute of Technology.
    Liberalism, Altruism and Group Consent2009In: Public Health Ethics, ISSN 1754-9973, E-ISSN 1754-9981, Vol. 2, no 2, p. 146-157Article in journal (Refereed)
    Abstract [en]

    This article first describes a dilemma for liberalism: On the one hand restricting their own options is an important means for groups of people to shape their lives. On the other hand, group members are typically divided over whether or not to accept option-restricting solutions or policies. Should we restrict the options of all members of a group even though some consent and some do not? This dilemma is particularly relevant to public health policy, which typically target groups of people with no possibility for individuals to opt out. The article then goes on to propose and discuss a series of aggregation rules for individual into group consent. Consideration of a number of scenarios shows that such rules cannot be formulated only in terms of fractions of consenters and non-consenters, but must incorporate their motives and how much they stand to win or lose. This raises further questions, including what is the appropriate impact of altruistic consenters and non-consenters, what should be the impact of costs and benefits and whether these should be understood as gross or net. All these issues are dealt with in a liberal, anti-paternalistic spirit, in order to explore whether group consent can contribute to the justification of option- restricting public health policy.

  • 2.
    Grill, Kalle
    et al.
    Department of Philosophy, Uppsala University.
    Dawson, Angus
    Birmingham University.
    Health promotion: conceptual and ethical issues2012In: Public Health Ethics, ISSN 1754-9973, E-ISSN 1754-9981, Vol. 5, no 2, p. 101-103Article in journal (Other academic)
  • 3.
    Grill, Kalle
    et al.
    Department of Philosophy, Uppsala University.
    Nihlén Fahlquist, Jessica
    Delft University of Technology.
    Responsibility, paternalism and alcohol interlocks2012In: Public Health Ethics, ISSN 1754-9973, E-ISSN 1754-9981, Vol. 5, no 2, p. 116-127Article in journal (Refereed)
    Abstract [en]

    Drink driving causes great suffering and material destruction. The alcohol interlock promises to eradicate this problem by technological design. Traditional counter-measures to drink driving such as policing and punishment and information campaigns have proven insufficient. Extensive policing is expensive and intrusive. Severe punishment is disproportionate to the risks created in most single cases. If the interlock becomes inexpensive and convenient enough, and if there are no convincing moral objections to the device, it may prove the only feasible as well as the only justifiable solution to the problem of drink driving. A policy of universal alcohol interlocks, in all cars, has been proposed by several political parties in Sweden and is supported by the National Road Administration and the 2006 Alcohol Interlock Commission. This article assesses two possible moral objections to a policy of universal interlocks: (i) that it displaces the responsibility of individual drivers and (ii) that it constitutes a paternalistic interference with drivers. The first objection is found unconvincing, while the second has only limited bite and may be neutralized if paternalism is accepted for the sake of greater net liberty. Given the expected technological development, the proposed policy seems a commendable health promotion measure for the near future.

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