Abstract

Health promotion is complex even when issues of justice and equity are not considered. The dynamic influences of culture, environments, education and upbringing all collude to make promoting fitness, happiness or healthy eating as exciting and unpredictable as a Mars mission. Add the goal of equivalence of benefit for all to this mix, and the launch pad is ever more volatile. To solve for parity we will need to struggle between two of the most time-honored of moral principles. Consequentialism holds that, as Star Trek's Dr. Spock said with his dying breath in his final episode, "the needs of the many are more important than the needs of a few." Categorical reasoning is a belief system where some things are morally righteous no matter the context. Choosing the right principles will require that we better leverage "citizen scientists" because one of the surest ways to satisfy a community's context is to recruit community partners.

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