Wang Y
Center for Applied Ethics, Chinese Academy of Social Sciences, Beijing.
J Med Philos. 2000 Feb;25(1):48-61. doi: 10.1076/0360-5310(200002)25:1;1-V;FT048.
HIV infection and AIDS create many dilemmas in Chinese AIDS/HIV prevention policy. A strategy of clinical tolerance is proposed to address these dilemmas. The immediate purpose of the strategy of clinical tolerance is to win the cooperation of members of stigmatized groups at high risk for contracting HIV infection and AIDS, which occurs as a result of acts done in private and thus beyond the reach of regulation. The strategy of clinical tolerance differs from both tolerance as liberal tolerance and tolerance as a moral ideal of tolerance. A strategy of clinical tolerance does not ask the government, health worker, health official or the public to change either laws or the disapproval of prostitution, homosexuality and drug use. A strategy of clinical tolerance asks, instead, that we weigh what we may regard as the wrong involved in prostitution, homosexuality, and drug use against the greater evil of an HIV/AIDS epidemic. A strategy of clinical tolerance offers the most effective and practical way to confront a growing and significant public health problem in China.
艾滋病毒感染和艾滋病给中国的艾滋病/艾滋病毒预防政策带来了诸多困境。为此，有人提出了一种临床宽容策略来应对这些困境。临床宽容策略的直接目的是赢得感染艾滋病毒和艾滋病高风险的受污名化群体成员的合作，这些群体的行为发生在私下，因而不受监管。临床宽容策略既不同于作为自由主义宽容的宽容，也不同于作为一种宽容道德理想的宽容。临床宽容策略并不要求政府、卫生工作者、卫生官员或公众改变有关卖淫、同性恋和吸毒的法律或不认可态度。相反，临床宽容策略要求我们权衡我们可能视为卖淫、同性恋和吸毒中所涉及的错误行为与艾滋病毒/艾滋病流行这一更大的危害。临床宽容策略为应对中国日益严重且重大的公共卫生问题提供了最有效、最切实可行的方法。
