Public Health and Government Policy
Question: How does Objectivism view the concept of "public health services"? I'm aware that, largely, the concept of a "right to health care" is rejected, however there are health issues that are larger than individuals; with epidemics, for example, an individual who chooses to not seek treatment can threaten a population (a "typhoid Mary"). Public health departments have been highly successful in protecting populations in the past century through monitoring and managing health risks. The departments are more cost-effective than individual physicians, preventing illness before it occurs and treating large numbers of people with each policy. This service has historically been governmental, and required a coercive component, such as forcing restaurants to be clean, individuals to vaccinate, etc. I was curious, given that Objectivism values life and detests coercive government, what would be an Objectivist opinon on the necessity (or lack of) governmental public health? To what degree does an individual have a right to be a risk to themselves and others?
Answer: We can answer your question by working backwards from the purpose of government, rights, and morality, and where physical safety threats such as disease work into this equation.?
Ayn Rand said that morality stems from the need to make decisions in order to live. One's life is the standard of value.?Since the free use of one's mind and body is essential to the life of a thinking being, one needs rights to pursue life, free from the initiation of force.?
Knowingly exposing others to one's disease is initiating force against them, and hence in violation of their rights.?Such a person could be punished by the state or in a civil suit.The state would also be justified in preventing the introduction of the disease in the first place, if it had reasonable cause that the person had the disease.?

Sep 29, 2010
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