Abstract

No abstract available.

Highlights

  • ‘Who among us shall dwell with the devouring fire? Who among us shall dwell with everlasting burnings?’ He who walks righteously and speaks uprightly

  • The new South African government has enjoyed the support of the international community and has had two decades of scientific knowledge upon which to draw

  • Despite the goodwill of scientists locally and abroad, the South African government has frequently chosen to follow an independent route with regard to public discussion and the management of the epidemic

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Summary

ETHICS IN THE CONTEXT OF GOVERNMENT

We use ethical language when addressing political and health matters: ‘primum non nocere’ (first do no harm), autonomy, beneficence, non-maleficence, justice and futility, and we contrast altruism with self-interest. The application of these ideas to society underlies the day-to-day running of government: utilitarianism – ‘the greatest happiness of the greatest number’ (Jeremy Bentham, 17481832), human rights Community rights), communitarianism – the building of a good and just society.[38, 39]. ‘History’, says Roberts, ‘has many examples of people who sought to impose their vision of a good society by force – from the Crusades to the Khymer Rouge to the Taliban. Moving from coercion to coexistence, tolerance, and mutual learning requires a degree of openness that many find inconsistent with the certainty of their own vision.’[38]

DO GOVERNMENTS HARM THE HEALTH OF THEIR CITIZENS?
WHAT OF THE HEALTH WORKERS THEMSELVES?
WHAT OUGHT TO BE DONE?
DEALING WITH DENIAL
Findings
WHY DO GOVERNMENTS FAIL TO CONFRONT AIDS ADEQUATELY?
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