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Seminar: Three Models for Public Input in a Public Health Emergency by Justin Bernstein, PhD

Monday, Apr 27, 2026
12:00 pm - 1:00 pm
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Bloomberg School of Public Health Feinstone Hall
615 N. Wolfe Street
Baltimore, MD

Public health emergencies involve high-stakes, time-sensitive decision-making. These features make public input both normatively attractive and practically difficult. This talk asks: what forms of public input, if any, should governments seek under such conditions? Drawing on the COVID-19 pandemic, Bernstein distinguishes three models of governance. The Technocratic Model holds that, for much of an emergency, policy should be guided primarily by a small cadre of experts, with limited public input. While this approach has clear advantages in speed and coordination, it fails to take persistent normative disagreement sufficiently seriously.

In response to these shortcomings, proponents of what Bernstein calls the Formal Deliberative Model advocate the use of mini-publics or other formally convened citizen bodies to advise decision-makers. Although attractive in principle, he argues that key features of public health emergencies significantly limit the feasibility, responsiveness, and epistemic value that the Formal Deliberative Model typically enjoys. Finally, drawing on recent work on informal representation, Bernstein sketches the Informal Consultation Model, which emphasizes structured engagement with community leaders and intermediaries. He contends that when properly designed, this model can retain many of the attractive features of the Formal Deliberative Model while remaining responsive to the constraints of emergency governance. He concludes by sketching some practical guidelines and directions for future research.

Justin Bernstein is an Assistant Professor of Philosophy at the University of Virginia. His research focuses on the ethics and politics of infectious disease and dietary patterns, as well as broader questions in public health ethics and political philosophy. Justin received his Ph.D. in philosophy from the University of Pennsylvania and was a Hecht–Levi Fellow at the Berman Institute of Bioethics. Prior to joining the University of Virginia, he served as an Assistant Professor of Philosophy at Florida Atlantic University and at Vrije Universiteit (Amsterdam).