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Epicurean Priority-setting During the COVID-19 Pandemic and Beyond

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DOI:

https://doi.org/10.3384/de-ethica.2001-8819.237263

Abstract

The aim of this article is to study the relationship between Epicureanism and pandemic priority-setting and to explore whether Epicurus's philosophy is compliant with the later developed utilitarianism. We find this aim interesting because Epicurus had a different way of valuing death than our modern society does: Epicureanism holds that death—understood as the incident of death—cannot be bad (or good) for those who die (self-regarding effects). However, this account is still consistent with the view that a particular death can be bad for everyone else but those who die, such as family, friends, and society (other-regarding effects). During the pandemic, the focus has been on the number of deaths more than on the suffering and reduced well-being of those infected and the rest of society. However, since the pandemic requires prioritization, it is, on a utilitarian account, important to consider priorities that do the most good overall. In this article, we approach the harm of death from an Epicurean point of view, seeking to flesh out potential implications for pandemic priority-setting, and healthcare in general, using a case study of COVID-19 priority-setting. We also explore whether this would conflict with utilitarianism. We conclude that an Epicurean pandemic priority-setting approach would be different but, surprisingly, not radically different from many of the actual priority-setting decisions we saw under the COVID-19 pandemic.

References

Annas, Julia. “Epicurus on Pleasure and Happiness, in Philosophical Topics”. Ancient Greek Philosophy 15:2 (1987), pp. 5–21. https://www.jstor.org//stable/43154002

Aristotle. Nicomachean Ethics, translated by C.D.C. Reeve. Indianapolis, Cambridge: Hackett Publishing Company, (2014). https://doi.org/10.23943/princeton/9780691158464.003.0003

Austin, Emily. “Epicurus on Sense-Experience and the Fear of Death”, in the Routledge Handbook of Hellenistic Philosophy, edited by Kelly Arenson. New York and London: Routledge, Taylor and Francis Books. (2020), Ch. 14, pp. 171–183.

Benatar, David. “Still Better Never to Have Been: A Reply to (More of) My Critics”. Journal of Ethics 17:1/2 (2013), pp. 121–151. https://www.jstor.org/stable/42630950

Bradley, Ben. Well-Being and Death. Oxford: Oxford University Press, (2009).

Broome, John. “The Badness of Death and the Goodness of Life”, in The Oxford Handbook of Philosophy of Death, edited by Ben Bradley, Fred Feldman and Jens Johansson. Oxford: Oxford University Press, (2013), pp. 218–233. https://doi.org/10.1093/oxfordhb/9780195388923.013.0010

Brown, Eric. “Politics and Society”, in The Cambridge Companion to Epicureanism, edited by James Warren. Cambridge: Cambridge University Press, (2009), pp. 179–196.

Brueckner, Anthony and John Martin Fischer. “Why is Death Bad”, in The Metaphysics of Death, edited by John Martin Fischer. Stanford: Stanford University Press, (1993), Ch. 12.

Brusselaers, Nele, et al. “Evaluation of science advice during the COVID-19 pandemic in Sweden”. Humanities and Social Sciences Communications 9:91 (2022) pp. e1–e17. https://doi.org/10.1057/s41599-022-01097-5

Christensen, Anna B. “Epicureans on Friendship, Politics, and Community”, in the Routledge Handbook of Hellenistic Philosophy, edited by Kelly Arenson. New York: Routledge, Taylor and Francis Books, (2020), Ch. 25, pp. 307–318.

DeWitt, Norman Wentworth. Epicurus and his Philosophy. Minneapolis: University of Minnesota Press, (1954).

Emanuel, Ezekiel. J. et al. ”Fair Allocation of Scarce Medical Resources in the Time of COVID-19”. The New England Journal of Medicine 382:21 (2020) pp. 2049–2055.

DOI: 10.1056/NEJMsb2005114

Epicurus. “Letter to Menoeceus”, in Classics of Moral and Political theory, edited by Michael L. Morgan. Indianapolis, Cambridge: Hackett Publishing Company, (1992), pp. 417–419.

Feinberg, Joel. “Harm to others”, in The Metaphysics of Death, Stanford Series in Philosophy, edited by John Martin Fischer. Stanford, California: Stanford University Press, (1993), Ch. 10, pp. 171–190.

Feiring, Eli, Reidun Førde, Søren Holm, Ole Frithjof Norheim, Berge Solberg, Carl Tollef Solberg and Gry Wester. Advice on Priority groups for coronavirus vaccination in Norway (Ethics report), Norwegian Institute of Public Health, (2020). https://www.fhi.no/en/publ/2020/advice-on-priority-groups-for-coronavirus-vaccination-in-norway/ (accessed 2022-05-12).

Feldman, Fred. Confrontations with the Reaper, A Philosophical Study of the Nature and Value of Death. New York: Oxford University Press, (1992).

Frans, Emma. “Did Sweden's controversial COVID strategy pay off? In many ways it did – but it let the elderly down”. The Conversation. (2022). https://theconversation.com/did-swedens-controversial-covid-strategy-pay-off-in-many-ways-it-did-but-it-let-the-elderly-down-188338 (accessed 2022-05.12). (theconversation.com)

Greaves, Hilary. “Against "the Badness of Death"”, in Saving People from the Harm of Death, edited by Espen Gamlund and Carl Tollef Solberg. Oxford: Oxford University Press, (2019), Ch. 13, pp. 189–202. https://DOI:10.1093/oso/9780190921415.003.0014

Greenblatt, Stephen. The Swerve: How the World Became Modern. New York, London: W.W. Norton & Company, (2011).

Guyau, Jean Marie. Die englische Ethik der Gegenwart, translated by A. Pevsner. Leipzig: Alfred Kröner Verlag, (1914).

Harris, John. “Doing Posthumous Harm”, in The Metaphysics and Ethics of Death: New Essays edited by James Stacey Taylor. Oxford: Oxford University Press, (2013), Ch.12, pp.1¬–8. DOI: 10.1093/acprof.oso/9780199751136.003.0012

Hershenov, David, B. “A More Palatable Epicureanism”. American Philosophical Quarterly 44:2 (2007), pp. 171–180.

Hetherington, Stephen. “Where is the Harm in Dying Prematurely? An Epicurean Answer”. Journal of Ethics 17:1–2 (2013), pp. 79–97. DOI 10.1007/s10892-012-9135-5

Hossenfelder, Malte. Epikur. München: Verlag C.B. Beck, (1991).

Long, Anthony Arthur. “Pleasure and Social Utility: The Virtues of Being Epicurean”, in From Epicurus to Epictetus: Studies in Hellenistic and Roman Philosophy. Oxford: Oxford University Press, (2007), Ch. 9, p.17.

Long, Anthony Arthur. “Epicureanism and Utilitarianism”, in Oxford Handbook of Epicurus and Epicureanism, edited by Philip Mitsis. Oxford: Oxford University Press, (2020), Ch. 29, p. 742–760. DOI: 10.1093/oxfordhb/9780199744213.013.28

Long, Anthony Arthur and David Neil Sedley. The Hellenistic Philosophers, Vol. 1. Cambridge: Cambridge University Press, (1987).

McMahan, Jeff. “Death and the Value of Life”. Ethics 99:1 (1988), pp. 32–61.

Mitsis, Phillip. “Epicurus’ Ethical Theory, The Pleasures of Invulnerability”. Ithaca and London: Cornell University Press, (1988).

Moen, Ole Martin and Aksel Braanen Sterri. Aktiv dødshjelp. Etikk ved livets slutt. Oslo: Cappelen Damm Akademisk, (2019).

Nussbaum, Martha. “Therapeutic arguments: Epicurus and Aristotle”, in The Norms of Nature, Studies in Hellenistic ethics, edited by Malcolm Schofield and Gisela Striker. Cambridge: Cambridge University Press, (1988), Ch. 2, pp. 31–74.

Olsen, Jan Abel. “Priority Preferences: “End of Life” Does Not Matter, But Total Life Does”. Value in Health 16:6 (2013) pp. 1063–1066. http://dx.doi.org/10.1016/j.jval2013.06.002

Paganini, Gianni. “Early Modern Epicureanism: Gassendi and Hobbes in Dialogue on Psychology, Ethics, and Politics”, in Oxford Handbook of Epicurus and Epicureanism, edited by Philip Mitsis. Oxford: Oxford University Press, (2020), Ch. 26, pp. 671–710. DOI: 10.1093/oxfordhb/9780199744213.013.26

Parfit, Derek. Reasons and Persons. Oxford: Oxford University Press, (1984).

Parfit, Derek. “Future People, the Non-Identity Problem, and Person-Affecting Principles” Philosophy and Public Affairs 45:2 (2017), pp. 118–157.

Persad, Govind, Ala Wertheimer and Ezekiel J. Emanuel. “Principles for allocation of scarce medical interventions”, Lancet 373:9661 (2009), pp. 423–431. doi: 10.1016/S0140-6736(09)60137-9.

Pestieau, Pierre and Gregory Ponthiere. “Optimal lockdown and social welfare”, Journal of Population Economics, 35, (2022), pp. 241–268. https://doi.org/10.1007/s00148-021-00867-w

Pitcher, George. “The Misfortunes of the Dead”, in The Metaphysics of Death, Stanford Series in Philosophy, edited by John Martin Fischer. Stanford, California: Stanford University Press, (1993), Ch. 9, pp. 159–168.

Rabbås, Øyvind. “Eudaimonia, Human Nature, and Normativity”, in The Quest for the Good Life: Ancient Philosophers on Happiness, edited by Øyvind Rabbås, Eyjolfur K. Emilsson, Hallvor Fossheim and Miira Tuominen. Oxford: Oxford University Press, (2015), Ch. 4, pp. 88–112, pp. 95–96. https://doi.org/10.1093/acprof:oso/9780198746980.003.0005

Report of the Lancet Commission on the Value of Death: bringing death back into life, (2022). https://doi.org/10.1016/S0140-6736(21)02314-X

Rosenbaum, Stephen, E. “How to Be Dead and Not Care: A Defence of Epicurus”, in The Metaphysics of Death, Stanford Series in Philosophy, edited by John Martin Fischer. Stanford, California: Stanford University Press, (1993), Ch. 7, pp. 117–134.

Rosenbaum, Stephen, E. “The Harm of Killing: An Epicurean Perspective”, in Contemporary Essays on Greek Ideas: The Kilgore Festschrift, edited by Robert M. Baird, William F. Cooper, Elmer H. Duncan and Stuart E. Rosenbaum. Waco, Texas: Baylor University Press, (1987).

Rosenbaum, Stephen, E. “The Symmetry Argument: Lucretius Against the Fear of Death”. Philosophy and Phenomenological Research 1:2 (1989), pp. 353–373.

Stable URL: https://www.jstor.org/stable/2107964

Savulescu, Julian, Ingmar Persson and Dominic Wilkinson. “Utilitarianism and the pandemic”. Bioethics 34:6 (2020), pp. 620–632. DOI: 10.1111/bioe.12771

Scarre, Geoffrey. “Epicurus as a Forerunner of Utilitarianism”. Utilitas 6:2 (1994), pp. 219–231.

Shannon Brownlee et al. “Evidence for overuse of medical services around the world”. The Lancet 390:10090 (2017), pp.156–168. https://doi.org/10.1016/S0140-6736(16)32585-5

Silverstein, Harry S. “The Evil of Death”, in The Metaphysics of Death, Stanford Series in Philosophy, edited by John Martin Fischer. Stanford: Stanford University Press, (1993), Ch. 6, pp. 95–116.

Solberg, Carl Tollef. “Epicurean Challenges to the Disvalue of Death”, in Saving People from the Harm of Death, edited by Espen Gamlund and Carl Tollef Solberg. Oxford: Oxford University Press, (2019a), Ch. 6, pp. 91–104. DOI: 10.1093/oso/9780190921415.003.0007

Solberg, Carl Tollef. “Døden som et onde: En oversiktsartikkel”. Norsk filosofisk tidsskrift 54:3 (2019b) pp. 167–186. https://doi.org/10.18261/issn.1504-2901-2019-03-05

Solberg, Carl Tollef and Espen Gamlund. “The badness of death and priorities in health”. BMC Medical Ethics 17:21 (2016) pp. e1-e9. DOI 10.1186/s12910-016-0104-6

Suits, David, B. Epicurus and the Singularity of Death. London: Bloomsbury Academic, (2020).

Suits, David, B. “Death and Other Nothings”. The Philosophical Forum (2012), pp. 215–230.

Suits, David, B. “Why Death Is Not Bad for the One Who Died”. American Philosophical Quarterly 38:1 (2001), pp. 69–84.

Sumner, Leonard Wayne. “A Matter of Life and Death”. Noûs 10:2 (1976), pp. 145–171.

Taylor, James Stacey. “A full-blooded defence of full-blooded Epicureanism: responses to my critics”. Journal of Medical Ethics 40:9 (2014), pp. 642–643. http://dx.doi.org.ezproxy.uio.no/10.1136/medethics-2014-102336

Taylor, James Stacey. Death, Posthumous Harm, and Bioethics, London and New York: Routledge, (2012).

Taylor, James Stacey. “Harming the Dead”. Journal of Philosophical Research 33 (2008), pp. 185–202. https://doi.org/10.5840/jpr_2008_4

Taylor, James Stacey. The Metaphysics and Ethics of Death: New Essays. Oxford: Oxford University Press, (2014). https://doi.org/10.1093/acprof:oso/9780199751136.001.0001

Taylor, James Stacey. “The Myth of Posthumous Harm”. American Philosophical Quarterly 42:4 (2005), pp. 311–322.

Temkin, Larry S. “Intransitivity and the Mere Addition Paradox”. Philosophy & Public Affairs 16:2 (1987), pp. 138–187. https://www.jstor.org/stable/2265425

Timmerman, Travis. “A dilemma for Epicureanism”. Philosophical Studies. 176 (2019), pp. 241–257. https://doi.org/10.1007/s11098-017-1014-2

Tsouna, Voula. Epicurean therapeutic strategies, in The Cambridge Companion to Epicureanism, Cambridge: Cambridge University Press, (2009), Ch. 14, p. 249.

Voorhoeve, Alex. “VIII – Epicurus on Pleasure, a Complete Life, and Death: A defence”. Proceedings of the Aristotelian Society 118:3 (2018) pp. 225–253. DOI: 10.1093/arisoc/aoy018

Warren, James. Facing Death, Epicurus and his Critics. Oxford: Oxford University Press, (2004).

Warren, James. “Lucretius, Symmetry Arguments, and Fearing Death”. Phronesis 46:4 (2001), pp. 466–491.

WHO SAGE values framework for the allocation and prioritization of COVID-19 vaccination (2022-05-12). Stable URL: https://www.jstor.org/stable/resrep28175

Williamson, Timothy. Knowledge of Counterfactuals, Royal Institute of Philosophy Supplement 64 (2009). DOI:10.1017/S135824610900006X

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2023-03-21

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Hol, B. and Solberg, C. T. (2023) “Epicurean Priority-setting During the COVID-19 Pandemic and Beyond”, De Ethica, 7(2), pp. 63–83. doi: 10.3384/de-ethica.2001-8819.237263.

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