Abstract
This essay reviews some of the sources of idealism in public health, on the basis of an intellectual journey to Kos (home to Hippocrates and his altruistic legacy), Dresden (where the Deutsches Hygiene Museum illustrates the historical connections between fascism and public health), and Utopia (exemplified by Etienne Cabet’s Icarie, a fantasy of an ideal city which has nevertheless been partly realized). It is suggested that the large-scale altruism of public health has to be balanced with the value of individual autonomy, and that some degree of dreaming of a better and healthier world is indispensable for further progress in public health. The main conclusion is that the ethical foundations of public health are not always self-evident, and that critical reflection on these foundations was, is, and will always be necessary.
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References
Pleij H. Dreaming of Cockaigne. New York: Columbia University Press, 2001. Translated from: Pleij H. Dromen van Cocagne. Amsterdam: Prometheus, 2000
A Peeters JJ Barendregt F Willekens JP Mackenbach A Al Mamun L Bonneux (2003) ArticleTitleObesity in adulthood and its consequences for life expectancy a life-table analysis Ann Intern Med 138 24–32 Occurrence Handle12513041
MS Kiapokas (2003) Hippocrates of Kos Heptalophos Athens
InstitutionalAuthorNameCommissie Herziening Artseneed (2003) Nederlandse artseneed VSNU Utrecht
TL Beauchamp JF Childress (2001) Principles of biomedical ethics Oxford University Press New York
O Temkin (1991) Hippocrates in a world of pagans and christians Johns Hopkins University Press Baltimore
Wilson EO. Sociobiology: the new synthesis. Cambridge (Mass.): The Belknap Press of Harvard University press, 1975 (25th anniversary edition, 2000)
Luke 10: 30–37
InstitutionalAuthorNameRaad voor Gezondheidsonderzoek (2001) The effect of context in healthcare Raad voor Gezondheidsonderzoek The Hague
P Weindling (1989) Health, race and German politics between national unification and nazism 1870–1945 Cambridge University Press Cambridge
Deutsches Hygiene Museum, das Museum vom Menschen. Dresden: Stiftung Deutsches Hygiene-museum, 2001
RN Procter (1999) The Nazi war on cancer Princeton University Press Princeton
RN Procter (1996) ArticleTitleThe anti-tobacco campaign of the Nazis: a little known aspect of public health in Germany, 1933–1945 Br Med J 313 1450–1453
Lemieux P. Heil Health. Review of Procter’s The Nazi War on Cancer, published in The Independent Review 1999; 4, no. 2. Website: www.pierrelemieux.org/artprocter.html (accessed 1 June 2003). Procter RN. Author’s protest. National Post, October 7, 1999. Website: www.pierrelemieux.org/artprocter.html (accessed 1 June 2003)
J Noorman (1989) Om de kwaliteit van het nageslacht; eugenetica in Nederland 1900–1950 SUN Nijmegen
K Johannisson (1994) The People’s Health: Public Health Policies in Sweden D Porter (Eds) The history of public health and the modern state Editions Rodopi Amsterdam/Atlanta
JH Jones (1993) Bad blood; the Tuskegee Syphilis experiment. New and expanded edition The Free Press New York
G. Rosen (1993) A history of public health. Expanded edition Baltimore Johns Hopkins University press
DE Beauchamp B Steinbock (1999) Introduction: Ethical theory and public health Beauchamp ParticleDE B Steinbock (Eds) New ethics for the public’s health Oxford University Press New York
LP Ten Kate (1999) ArticleTitleCommunity genetics Commun Gen 2 1 Occurrence Handle10.1159/000016175
Dworkin G. Paternalism. In: DE Beauchamp and B Steinbock (eds), New York: Oxford University Press, 1999.
DR Buchanan (2000) An Ethic for Health Promotion Oxford University Press New York/Oxford
American Public Health Association. Public Health Code of Ethics. Website: www.apha.org/codeofethics/ethics.htm (accessed 31 May 2003)
Utopia: the search for the ideal society in the Western world. Web catalogue of exhibition. Website: http://utopia.nypl.org (accessed 12 December 2003)
More T. Utopia. Website: www.d-holliday.co/tmore/utopia.htm (accessed 12 December 2003)
H Achterhuis (1998) De erfenis van de utopie Ambo Amsterdam
AHM Kerkhoff (1977) De staat als dokter. Sociaal- en politiek-filosofische denkbeelden over staat en gezondheidszorg in de Westerse wereld voor 1870 Coutinho Bussum
H Israëls A Mooij (2001) Aan de Achtergracht; honderd jaar GG & GD Amsterdam Bert Bakker Amsterdam
Cabet E. Extracts from ȁ8Voyage et aventures de Lord William Carisdall en Icarie’. Website: www.library.cor nell.edu/Reps/DOCS/cabet.htm (accessed 20 December 2003)
B Heijne (2000) De wijde wereld Prometheus Amsterdam
PB Medawar (1979) Advice to a young scientist Basic Books New York
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Mackenbach, J. Kos, Dresden, Utopia... A journey through Idealism Past and Present in Public Health. Eur J Epidemiol 20, 817–826 (2005). https://doi.org/10.1007/s10654-005-5493-7
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DOI: https://doi.org/10.1007/s10654-005-5493-7