As Hardin describes in his “tragedy of the
commons,” the commons, or shared, public access lands, are overgrazed because
farmers have the ability to send their livestock onto the land at zero price.
Mostly all farmers know that putting too many cows
on a pasture will eventually destroy it by overgrazing. Yet, even with this
knowledge in mind, they knowingly participate in overgrazing it anyways.
Therefore, the public good is sacrificed for the individual good, because the
cows cannot grow in a destroyed pasture. Although there initially seems to be
an individual benefit of the ability to avoid needing to pay for land to allow
cows to graze on, it doesn’t last long, because the lands become overgrazed and
destroyed for cattle purposes. The individuals cannot escape the inevitability
that the harm to the common is inherently a harm to each of them as well, and
this is essentially what the social dilemma, the “tragedy of the commons”
exemplifies.
This “tragedy of the commons” dilemma situation is largely
demonstrated by global health and the misuse of antibiotics. Antibiotics are very
important drugs to prevent the spread of disease, but they are supposed to only
be used for bacterial infections. Yet, people use them for viral infections
too. In doing so, the overexposure allows bacteria to build resistance and
share resistant properties as they reproduce. If you take an antibiotic when
you actually have a viral infection, the antibiotic is still attacking bacteria
in your body – bacteria that are either beneficial or even those that are not
causing the infection. This misdirected treatment can then promote
antibiotic-resistant properties in harmless bacteria and allow bacterial
strains to evolve and form resistance.
Although many perceive antibiotics as “wonder
drugs” because they tend to work quickly and with little side effects, that is
not a green light to use them 24/7. Patients widely pressure their doctors for
antibiotic prescriptions because they want relief from their symptoms, no
matter what the root cause of their illness. This common-held reasoning should
be dispelled, because once the initial satisfaction of relief is gone, the
problem is exacerbated in the form of a global public health concern.
It is nearing the end of 2015, health and medicine have been
around for thousands of years, yet still, major biological injustices are being
made every day. People are misusing antibiotics, and many who are doing so
don’t understand the gravity of the situation. While widespread and often
needless antibiotic use might cause a direct individual benefit, the cost of
the widespread resistance is more distributed, and definitely acts as a larger hindrance
to society and global health. The difficulty arises in that the solution to
this problem, to ending antibiotic resistance, requires us to put society
before the individual. Curtailing the rapid increase of resistance is only
possible if some patients go untreated. This brings up the issue of the serious
ethical concerns that follow. Undoubtedly, society would benefit from further restrictions
in the number of times that each patient can take antibiotics in order to limit
evolutionary selection for resistant strains. However, whether this will ever
actually be enacted is a hard question to answer. One thing for certain is that
difficult choices lie ahead, but hopefully the outcome of such choices will be
progressive and not be harmful to society as a whole.
References:
Bell,
Michael. 2014. "Antibiotic misuse: a global crisis." JAMA Internal
Medicine 174, no.12: 1920-1921. MEDLINE
with Full Text, EBSCOhost (accessed December 7, 2015).
"Consumer Health." Antibiotics: Misuse
Puts You and Others at Risk. Accessed December 7, 2015. http://www.mayoclinic.org/healthy-lifestyle/consumer-health/in-depth/antibiotics/art-20045720
Foster,
KR, and H Grundmann. n.d. "Do we need to put society first? The potential
for tragedy in antimicrobial
resistance." Plos Medicine 3, no. 2: 177-180. Science Citation
Index, EBSCOhost
(accessed December 7, 2015).
Hollis,
Aidan, and Peter Maybarduk. 2015. "Antibiotic Resistance Is a Tragedy of
the Commons That Necessitates Global
Cooperation." Journal Of Law, Medicine & Ethics 43, 33-37 5p. CINAHL Plus with Full
Text, EBSCOhost (accessed December
7, 2015).