Seidelman W E
McMaster University Hamilton, Canada.
Holocaust Genocide Stud. 1989;4(4):1989.
Medical selection in Auschwitz represents the penultimate application of the traditional paradigm of medicine; the physician as gatekeeper, and decision maker. The historical evolution of that role is considered in the context of public health, medical police, quarantine and immigration. In Nazi Germany the physician was assigned responsibility for selection on behalf of the state. The ethical implications of medical selection are considered in the context of medicine today in an age of sophisticated biotechnology, constrained resources, and an aging population; an age in which the medical profession has yet to establish a fundamental system of values.
奥斯维辛的医学筛选代表了传统医学范式的倒数第二个应用;医生作为把关者和决策者。该角色的历史演变是在公共卫生、医疗警察、检疫和移民的背景下进行考量的。在纳粹德国,医生被赋予代表国家进行筛选的职责。在当今这个生物技术先进、资源有限且人口老龄化的时代,即在医学专业尚未建立起基本价值体系的时代,医学筛选的伦理意义得到了审视。