Medicine

How Far Ahead Should We Plan to Protect Global Health?

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Risk managementIntergenerational …

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This Lancet review examines the ethical challenge of balancing present and future human health when making decisions about global threats. Current actions such as climate change mitigation, pandemic preparedness investments, and resource management create trade-offs between the wellbeing of current and future generations. The article argues that proper decision-making frameworks are needed to determine which trade-offs between present costs and future health benefits are ethically justified.


This analysis provides critical guidance for policymakers addressing long-term health threats like climate change, antimicrobial resistance, and pandemic preparedness. Understanding how to ethically weigh intergenerational health trade-offs is essential for allocating resources effectively across time horizons and ensuring sustainable health outcomes for future populations.


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Our decisions today can support or threaten future human health. Insofar as we protect the planet or invest in fruitful research on pandemic countermeasures, we promote future wellbeing and health, sometimes at the present generation’s expense. As we warm the planet, accelerate antibiotic resistance, or consume finite natural resources, we might serve present-day wellbeing or health at the expense of future generations. To decide which such trade-offs are legitimate or advisable, we need to know how to balance the health interests of future generations against each other and against our own.

Source: [Review] Addressing threats to future global health—what is the right timeframe?