• Peter Levine.
• Tisch College of Civic Life, Tufts University, Medford, MA, USA. peter.levine@tufts.edu.
• J Public Health Policy. 2021 Mar 1; 42 (1): 154-159.

AbstractDuring a public health emergency, a government must balance public welfare, equity, individual rights, and democratic processes and norms. These goods may conflict. Although science has a role in informing wise policy, no empirical evidence or algorithm can determine how to balance competing goods under conditions of uncertainty. Especially in a crisis, it is crucial to have a broad and free conversation about public policy. Many countries are moving in the opposite direction. Sixty-one percent of governments have imposed at least some problematic restrictions on individual rights or democratic processes during the COVID-19 pandemic, and 17 have made substantial negative changes. The policies of Poland and Hungary reflect these global trends and continue these countries' recent histories of democratic erosion. The expertise of public health should be deployed in defense of civil liberties.

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