有可能分配生命吗? 三分法,年龄歧视和叙述身份
1History of Medicine and Ethics Department, Faculty of Medicine, Istanbul Medeniyet University Medicine, Istanbul, Türkiye.
概括
在医疗保健中基于年龄的配给在道德上是有缺陷的. 生活中的"公平份额"的概念是主观的,不能客观地衡量,这使得它成为分拣决策的不可靠基础.
科学领域:
- 生物伦理学生物伦理学
- 医学伦理 医学伦理
- 医学哲学 医学哲学
背景情况:
- 选协议有时会根据感知到的生命完成而排除老年患者.
- 这种做法往往是以"公平分享"生活的想法来证明是合理的.
- 基于年龄的排除在医疗保健资源分配中的伦理影响需要审查.
研究的目的:
- 批判性地评估医疗分组中基于年龄的配给的伦理和哲学基础.
- 挑战生命可以用"公平"来定量衡量或比较的观念.
- 论证使用"公平的生活份额"作为排除老年患者的标准的有效性.
主要方法:
- 哲学分析"生命"概念作为一个叙事.
- 批评生活的量化措施 (例如,时间单位) 来评估生活的内容.
- 探讨个人经验的主观性质以及关于生命完整性的文化共识的难度.
主要成果:
- 生命的价值是质的,取决于叙事,不能用年代或时间单位来衡量.
- 个人对时间和生活事件的体验是主观和相对的.
- 建立一个普遍同意的"完整"或"公平"生活的定义是不可能的.
结论:
- 假设老年人有过"公平的份额"的生活在哲学上是不健全的.
- 基于年龄的配给缺乏合理的伦理基础.
- 选方案不应该依赖于主观和不可量化的概念,如"公平的生命份额".
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