精准医学和粗暴的正义:邪恶的问题
1Center for Bioethics and Social Justice, College of Human Medicine, Michigan State University, East Lansing, MI, USA.
概括
精准医学在美国医疗保健中创造了复杂的"邪恶问题",特别是关于公平的资源分配. 实现"粗暴的正义"需要包容性的公共推理,因为简单的解决方案是不可能的.
科学领域:
- 卫生政策和健康道德
- 健康的社会决定因素
- 医学经济学医学经济学
背景情况:
- 邪恶的问题是复杂的,相互关联的问题,没有简单的解决方案.
- 精准医学旨在定制医疗保健,但也带来了新的伦理挑战.
- 美国医疗保健系统在资源分配方面面临着固有的复杂性.
研究的目的:
- 为了识别和分析精准医学在美国医疗保健系统中产生的邪恶问题.
- 检查这些问题对分配正义的影响.
- 探索应对这些复杂的伦理和后勤挑战的潜在方法.
主要方法:
- 对"邪恶问题"的概念分析,应用于精准医学.
- 专注于分配正义的伦理和政策分析.
- 检查医疗保健系统改革中固有的权衡.
主要成果:
- 精准医学加剧了美国医疗保健中现有的分配正义问题.
- 对精准医学提出的解决方案往往会产生新的,同样复杂的问题.
- 权衡是不可避免的,使得完美的解决方案无法实现.
结论:
- 为了在精准医学中获得公平的结果,需要承认和驾固有的复杂性.
- "粗暴的正义",而不是理想的正义,是一个更现实的目标.
- 致力于公平,包容的公共审议过程对于应对这些挑战至关重要.
相关概念视频
Combination Therapies and Personalized Medicine
5.0K
Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
5.0K
Ethical Dilemmas II
1.2K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
1.2K
Ethics and Bioethics
1.4K
Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
1.4K
Psychosurgery
81
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
81
Ethical Issues
1.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
1.0K
Ethical Dilemmas I
961
Ethical dilemmas in nursing are of utmost importance, as they often arise from the tension between adhering to core ethical principles and the practical realities of healthcare delivery. These dilemmas require nurses to navigate complex situations where competing ethical considerations pull them in different directions.
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
961


