Health lag: medical philosophy reflects on COVID-19 pandemic

  • Alireza Monajemi ORCID Assistant Professor, Department of Philosophy of Science and Technology, Institute for Humanities and Cultural Studies, Tehran, Iran.
  • Hamidreza Namazi ORCID Mail Assistant Professor, Department of Medical Ethics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Keywords:
Medical philosophy; Medical humanities; Medicalization; Public health; COVID-19; Pandemics.

Abstract

In this paper, we reflect on the COVID-19 pandemic based on medical philosophy. A critical examination of the Corona crisis uncovers that in order to understand and explain the unpreparedness of the health systems, we need a new conceptual framework. This helps us to look at this phenomenon in a new way, address new problems, and come up with creative solutions. Our proposal is that “health lag” is a concept that could help frame and explain this unpreparedness and unreadiness. The term “health lag” refers to the failure of health systems to keep up with clinical medicine. In other words, health issues in most situations fall behind clinical medicine, leading to social, cultural, and economic problems. In the first step to define health lag, we have to explain the distinction between clinical medicine and health and address the role of individual health, public health, and epidemic in this dichotomy. Thereafter, the reasons behind health lag will be analyzed in three levels: theoretical, practical, and institutional. In the third step, we will point out the most important consequences of health lag: the medicalization of health, the inconsistency of biopolitics, inadequate ethical frameworks, and public sphere vulnerabilities. Finally, we try to come up with a set of recommendations based on this philosophical-conceptual analysis.

References

Gates B. The next outbreak? We ‘re not ready. [cited 2020 December]; available from: https://www.ted.com/talks/bill_gates_the_next_outbreak_we_re_not_ready/transcript?language=en

Blumenthal D, Fowler EJ, Abrams M, Collins SR. COVID-19 implications for the health care system. N Engl J Med. 2020; 383(15): 1483-8.

Wang H, Cleary PD, Little J, Auffray C. Communicating in a public health crisis. The Lancet Digital Health. 2020; 2(10): E503. DOI: https://doi.org/10.1016/S2589-7500(20)30197-7

Raoofi A, Takian A, Akbari Sari A, Olyaeemanesh A, Haghighi H, Aarabi M. COVID-19 pandemic and comparative health policy learning in Iran. Arch Iran Med. 2020; 23(4): 220–34.

Monajemi A, Namazi H. Medical humanities meets corona virus pandemic: a report of the webinar on the dialogue between medicine and humanities. International Journal of Body, Mind and Culture. 2020; 7(1): 44-7.

Gadamer HG. The Enigma of Health: The Art of Healing in a Scientific Age, 1st ed. USA: Stanford University Press; 1996, p.103-17.

Svenaeus F. The Hermeneutics of Medicine and the Phenomenology of Health: Steps Towards a Philosophy of Medical Practice, 1st ed. USA: Springer; 2000, p. 78-94.

Foucault M. The Birth of the Clinic. UK: Routledge; 2012, p 39-41.

Chadwick R. Normality as convention and as scientific fact. In: Schramme S, Edwards E, eds. Handbook of the Philosophy of Medicine, 1st ed. Netherlands: Springer; 2017, p. 17- 28.

Goraya A, Scambler G. ‘From old to new public health: role tensions and contradictions’. Critical Public Health. 1998; 8(2): 141–51.

Bhopal R. Concepts of Epidemiology: Integrating the Ideas, Theories, Principles, and Methods of Epidemiology, 3rd ed. UK: Oxford University Press; 2016, p. 389-425.

Contino G. The Medicalization of health and shared responsibility. New Bioeth. 2016; 22(1): 45-55.

Clark J. Medicalization of global health 1: has the global health agenda become too medicalized? Glob Health Action. 2014; 7: 10.3402/gha.v7.23998.

Monajemi A. Clinical practice in the techno-science age: living in crisis. International Journal of Body, Mind & Culture. 2018; 5(2): 84-8.

Atkinson S, Evans B, Woods A, Kearns R. ‘The Medical’ and ‘Health’ in a critical medical humanity. Journal of Medical Humanities. 2015; 36: 71- 81.

Swain GR, Burns, KA, Etkind P. Preparedness: medical ethics versus public health ethics. Journal of Public Health Management and Practice. 2008; 14(4): 354-57.

Stefánsson HO. Three mistakes in the moral reasoning about the COVID-19 pandemic. [ cited 2020 December]; available from: https://www.iffs.se/media/22879/iffs-working-paper-2020_12_three-mistakes-in-the-moral-reasoning-about-the-COVID-19 pandemic.pdf

Beaglehole R. Public Health at the Crossroads (Achievements and Prospects), 2nd ed. UK: Cambridge University Press; 2004, p. 250-84.

Published
2020-12-23
How to Cite
1.
Monajemi A, Namazi H. Health lag: medical philosophy reflects on COVID-19 pandemic. J Med Ethics Hist Med. 13.
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