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Nadine Elzein

Abstract

The suggestion that crime be treated as a public health problem instead of being treated retributively provokes unease for two reasons. Firstly, it is thought to foster impersonal treatment, which is “objectifying” or “dehumanizing.” I argue that practices are problematically impersonal when they bypass or undermine an agent’s ability to take responsibility. However, there is a difference between taken responsibility and retributive responsibility. Skepticism about the latter does not entail skepticism about the former. Skeptics about retributive desert still have strong moral reasons to condemn practices that undermine taken responsibility, so it need not have these dehumanizing implications. Secondly, the association of medicine and crime has a dark history. While this is true, this is largely because medicine has a dark history. Instead of striving to limit things that fall within the boundaries of public health, I argue that the solution is to take a more ethical approach to public health.

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