ArticleBioethics2026
Should We Use Citizens' Assemblies to Make Health Policy?
Article in Bioethics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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2 authors.
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Abstract
This article assesses the normative case for using citizens' assemblies-small deliberative forums of randomly selected citizens-in health policymaking. Although they are increasingly popular, their normative justification remains underexplored. We reconstruct three possible rationales: Norman Daniels's 'Accountability for Reasonableness' (A4R) framework; an epistemic argument emphasising the value of outsider perspectives for making more just decisions; and a deliberative democratic argument focused on promoting legitimacy in the bureaucracy. We argue that A4R offers only weak and contingent support for citizens' assemblies. The epistemic argument highlights the value of lay perspectives in identifying epistemic blind spots but lacks clarity on when it outperforms expert knowledge. The deliberative democratic rationale is more compelling in potentially generating some kinds of legitimacy but applies only in a limited range of scenarios. We therefore conclude that the normative case for using citizens' assemblies is not as strong as their popularity in policymaking would lead us to believe.
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