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. 2022 Sep 23;19(19):12067.
doi: 10.3390/ijerph191912067.

How German and Italian Laypeople Reason about Distributive Shortages during COVID-19

Affiliations

How German and Italian Laypeople Reason about Distributive Shortages during COVID-19

Ronja Demel et al. Int J Environ Res Public Health. .

Abstract

(1) Background: The COVID-19 pandemic provided a unique opportunity to investigate how moral reasoning is influenced by individuals' exposure to a crisis and by personal, societal and temporal proximity. We examined how Italians and Germans judged different behaviors that arose because of the pandemic, which affected health and societal matters. (2) Methods: Over the course of four months and three assessment periods, we used an observational online survey to assess participants' judgments regarding seven scenarios that addressed distributive shortages during the pandemic. (3) Results: Overall, there was no clear answering pattern across all scenarios. For a variation of triage and pandemic restrictions, most participants selected a mean value, which can be interpreted as deferring the choice. For the other scenarios, most participants used the extremes of the scale, thereby reflecting a clear opinion of the public regarding the moral issue. In addition, moral reasoning varied across the two countries, assessment periods, fear, and age. (4) Conclusions: By using scenarios that were taken from real-life experiences, the current study addresses criticism that moral research mostly relies on unrealistic scenarios that lack in external validity, plausibility, and proximity to everyday situations. In addition, it shows how lay people regard measures of public health and societal decision-making.

Keywords: COVID-19; choice deferral; corona pandemic; coronavirus; moral dilemmas; moral reasoning; triage.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Absolute frequency of the responses to each moral scenario.
Figure 2
Figure 2
Estimates of the significant main effects and interactions for the ratings of the moral scenarios that were presented in all assessment periods. (A) Triage; (BD) Old General Practitioner Dilemma; (E,F) Stockpiling; (G,H) Market regulation; (IK) Price gouging.
Figure 3
Figure 3
Estimates of the significant main effects and interactions for the ratings of the moral scenarios that were presented in assessment periods 2 and 3. (A,B) Target of prevention measures; (CE) Strictness of measures.

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