Key elements of moral ambiguity
| Questions | Quote |
| What’s right? | “The question is, do we keep treating with a single drug? Or do we wait until we have the two drugs, the two drugs probably won't be available [for more than a year]. So, in that interim, that child has potentially developed paralysis. Or in the meantime, they are excreting virus, maybe for, you know, years” |
| Who do we serve? | "…it is finding the balance between your core message and some of the practicalities of what you have to do to work with your donors. And for some of our members, they see it very much as an ethical issue…” |
| What do I need to do? | “So, what do you have to do? When do you decide that you're going to roll out a scabies program or whatever…you know, what are the factors that are involved in making those choices at a country level? And how, how do you have an appropriate level of dialogue around whether or not that’s an appropriate use of limited country resources? So, you know, we, we tend to drive things and drive our discussions with countries around our own narrow perspectives.” |
| On what authority should the decision be made? | “But all of those activities really are about protecting the health of all populations, right? In a way that all people in the whole population get health. So inevitably that’s tied to these very difficult hard questions about equity. We've seen that in some of our disease elimination programs…some of the big challenges were about getting at people who are harder to reach whether it’s just that they’re a mobile population, or whether they're disenfranchised within the country. And we have to ask ourselves, if you keep saying, get to the final mile. Can you ignore these people? Even if the countries you work with want to? Is that going to be acceptable for us?” |