Ethical Principles of Community, Stewardship and Compassionate Paternalism in Public Health: The Case of the Philippines


Public Health
CoVID-19 Pandemic

How to Cite

Bayod, R. (2020). Ethical Principles of Community, Stewardship and Compassionate Paternalism in Public Health: The Case of the Philippines. SABTON: Multidisciplinary Research Journal, 1(1), 26-40. Retrieved from


Public health programs and policies of a state have to be accepted by the majority of the people before these can be successful since some of these programs and policies may favor one over the other and infringe people’s rights and liberties just to promote public safety. In utilitarian societies, the state's primary concern is to ensure the most significant benefit to the majority, even if, in the process, some rights, liberties, and privileges of the minority will be jeopardized. In libertarian societies, the state's authority is limited to ensuring that the members of the population enjoy their natural rights to life, liberty, and property and to defend the citizens from external aggression. The liberal societies agree with the libertarians that the state’s main function is to protect individual freedoms but reject their thesis that the state’s legitimate power is restricted to protection of these rights and concur with the communitarians that the state should also protect the welfare of its citizens. While a liberal state supports the promotion of public goods and services, its primary concern is protecting individual welfare. It does not adequately consider the shared commitment of communities and cultures to safeguard and secure collective goods. This paper will argue that for a country with diverse cultures and values such as the Philippines, a healthy interplay of the ethical principles of stewardship and community, as well as compassionate paternalism, must be considered in the crafting and implementation of public health programs and policies to be able to address the different needs of individuals without jeopardizing the collective needs of the community, especially during and after a pandemic. 



Daniels, Norman.Just Health Care. Cambridge: Cambridge University Press, 1985.

de Campos, Thana Cristina. The global health crisis: ethical responsibilities. Cambridge: University Press, Vol 36, 2017.

Dworkin, Gerald.“Paternalism”, Stanford Encyclopedia of Philosophy, 2002.

Engelhardt, HugoTristram. The Foundations of Bioethics. Oxford: University Press, 1986.

Gadarian, Shana Kushner, Sara Wallace Goodman, and Thomas B. Pepinsky. "Partisanship, health behavior, and policy attitudes in the early stages of the COVID-19 pandemic." Plos one 16, no. 4 (2021): e0249596.

Garcia, Ian. “Unity in times of Adversity”, Accessed, April 25, 2020.

Goodin, Robert. Reasons for Welfare: The Political Theory of the Welfare State. Princeton, NJ: Princeton University Press, 1988.

Gründl, Helmut, and Fabian Regele. “Pandemic insurance through pandemic partnership bonds: A fully funded insurance solution in a public private partnership.” SAFE Policy Letter, No.86 (2020).

Kuhse, Helga and Peter Singer. A Companion to Bioethics. UK: Blackwell Publishing, 2009.

Maboloc, Christopher Ryan .“Who is the Most Vulnerable During a Pandemic? The Social Model of Disability and the Covid-19 Crisis.” Eubios Journal of Asian and International Bioethics. No. 4 Vol. 30 (2020):158-161.

Maboloc, Christopher Ryan. Applied Ethics: Moral Possibilities for Contemporary World, Revised Edition. Davao City: SMKC PrintShoppe, 2018.

Macer, Darryl. “Wearing Masks in COVID-19 Pandemic, the Precautionary Principle, and the Relationships between Individual Responsibility and Group Solidarity”, Eubios Journal of Asian and International Bioethics, Vol. 30, No. 4 (2020):131.

Nozick, Robert. Anarchy, State and Utopia. Cowley Rd, Oxford UK: Blackwell Publishers,1974.

Nuffield Council on Bioethics.” Public Health: Ethical Issues.” Faculty of Public Health of the

Royal Colleges of Physicians of the United Kingdom p.5 (2007): accessed June 16, 2021,

Rawls, John. A Theory of Justice. Cambridge, MA: Harvard University Press, 1971.

Sabin and Normand Daniels. “Determining medical necessity in mental health practice.”. Hastings Center Report, 24/6 (1994): 5–13.

Sandel, Michael.Liberalism and the Limits of Justice. Cambridge: University Press, 1985.

Sen. Inequality Reexamined. Cambridge, MA: Harvard University Press, 1992.

Sterba, J. “From liberty to welfare.” Social Theory and Practice, Vol 11(1985): 285–305.

Sunstein, Cass and Richard Thaler. “Libertarian paternalism is not an oxymoron.” University of

Chicago Law Review, 70 (2003):1159–1202.

Velasquez, Manuel, Claire Andre, Thomas Shanks, Michael J. Meyer, and M. J. Meyer. "The

common good." Issues in Ethics 5, no. 1 (1992): 623-635.