Bowden V R
Child Health Care. 1988 Summer;17(1):12-7. doi: 10.1207/s15326888chc1701_2.
The selective nontreatment of handicapped newborns is an issue that has been of prominent legal debate since the 1982 Department of Health and Human Services "Baby Doe Regulations." It is also an issue of great ethical debate. This article analyzes the dilemma using the principle of nonmaleficence. In addition, the related constructs of ordinary versus extraordinary care, the qualifications of personhood, and the quality of life versus sanctity of life are explained. Nonmaleficence is discussed in terms of the ethical decision-making impact upon the child, the family, health care professionals, and society.
自1982年卫生与公众服务部发布“婴儿多伊法规”以来，对残疾新生儿的选择性不治疗一直是一个备受瞩目的法律辩论话题。它也是一个引发诸多伦理争议的问题。本文运用不伤害原则分析这一困境。此外，还对常规护理与特殊护理、人格资格以及生活质量与生命神圣性等相关概念进行了解释。从不伤害原则对儿童、家庭、医疗保健专业人员以及社会的伦理决策影响方面展开讨论。
