Covid-19 is teaching us the stern lesson that economic well-being and health justice are two sides of the same coin. To weather pandemics and restore the social contact that economic life demands, we need to sign a new social contract with public health.
This essay was published by The Hastings Center and the Center for Humans & Health. It is written by Bruce Jennings, who is an adjunct associate professor at the Vanderbilt University Center for Biomedical Ethics and Society, a senior fellow at the Center for Humans and Nature, and a senior advisor and a fellow at The Hastings Center, where he has co-directs a project on civic learning. He is author of Ecological Governance: Toward a New Social Contract with the Earth, among other pieces.
This is one of the best essays I’ve read about public health and the social contract. It will make you think, a lot, particularly if you read it slowly, or more than once, or both of those.
Excerpt:
Covid-19 is teaching us the stern lesson that economic well-being and health justice are two sides of the same coin. Measures to limit the spread of the disease and the loss of life have brought economic activity to its knees in many of the richest countries in the world. Public health measures like social distancing induce economic coma, and economic revival risks further assaults on the public’s health. These are the stakes in the pandemic now and writ large in climate change soon enough.
Here I want to turn attention from public health emergency response today to public health disaster preparation and planning tomorrow. This time, the failings of disaster planning are manifest in all countries seriously affected by Covid-19 especially in the United States, where the infrastructure of pandemic preparedness was deliberately dismantled.
What about next time? Will it be Keystone Kops or well-informed and judicious leadership inspiring trust? And there will be a next time, and a time after that. Zoonotic disease alone is a global sword of Damocles waiting to descend. Thousands of viral types are being exposed to naïve and rapacious human contact and stand poised for an evolutionary leap into our own bodies and lives.
To weather pandemics and restore the social contact that economic life demands, we need to sign a new social contract with public health.
One part of that involves disaster preparedness planning as an ongoing—not merely a periodic—activity. How we plan affects how we respond, and how tragic the ethical dilemmas of the response measures may be. I suggest that we rethink disaster planning so that it becomes a civic practice. If we do so, then a disaster preparedness planning process will come to be seen as an expression of the entire community about the value of the lives and health of its members. It is less like a commercial contract between seller (the experts) and buyer (the tax payers and those subject to the plan’s provisions) and more like a social contract, an agreement to be entered into by all that establishes commitments of responsibility for each.












