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Compensation and hazard pay for key workers during an epidemic: an argument from analogy
  1. Doug McConnell1,
  2. Dominic Wilkinson1,2,3
  1. 1 Oxford Uehiro Centre for Practical Ethics, University of Oxford, Oxford, UK
  2. 2 John Radcliffe Hospital, Oxford, UK
  3. 3 Murdoch Children's Research Institute, Melbourne, Victoria, Australia
  1. Correspondence to Dr Doug McConnell, Philosophy, University of Oxford, Oxford OX1 2JD, UK; douglas.mcconnell{at}philosophy.ox.ac.uk

Abstract

The COVID-19 pandemic has created unusually challenging and dangerous workplace conditions for key workers. This has prompted calls for key workers to receive a variety of special benefits over and above their normal pay. Here, we consider whether two such benefits are justified: a no-fault compensation scheme for harm caused by an epidemic and hazard pay for the risks and burdens of working during an epidemic. Both forms of benefit are often made available to members of the armed forces for the harms, risks and burdens that come with military service. We argue from analogy that these benefits also ought to be provided to key workers during an epidemic because, like the military, key workers face unavoidable harms, risks and burdens in providing essential public good. The amount of compensation should be proportional to the harm suffered and the amount of hazard pay should be proportional to the risk and burden endured. Therefore, key workers should receive the same amount of compensation and hazard pay as the military where the harms, risks and burdens are equivalent. In the UK, a form of no-fault compensation has recently been made available to the surviving families of key workers who suffer fatal COVID-19 infections. According to our argument, however, it is insufficient because it offers less to key workers than is made available to the families of armed services personnel killed on duty.

  • public health ethics
  • health personnel
  • applied and professional ethics
  • ethics
  • health workforce

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Footnotes

  • Twitter @Neonatalethics

  • Contributors DM developed the initial idea for the article and wrote the majority of the article. DW gave feedback throughout the development of the article and wrote a significant portion of the article.

  • Funding DM was supported by the Wellcome Trust Senior Investigator Award: ‘Responsibility and Healthcare’ (WT104848). DW was supported for this work by a grant from the Wellcome Trust (203132/Z/16/Z).

  • Disclaimer The funder had no role in the preparation of this manuscript or the decision to submit for publication.

  • Competing interests DW works as a consultant neonatologist in the NHS.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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