The Institute for Ethics, Chicago, IL 60610, USA.
Am J Bioeth. 2011 Jan;11(1):3-13. doi: 10.1080/15265161.2011.534957.
Using medical advances to enhance human athletic, aesthetic, and cognitive performance, rather than to treat disease, has been controversial. Little is known about physicians' experiences, views, and attitudes in this regard. We surveyed a national sample of physicians to determine how often they prescribe enhancements, their views on using medicine for enhancement, and whether they would be willing to prescribe a series of potential interventions that might be considered enhancements. We find that many physicians occasionally prescribe enhancements, but doctors hold nuanced and ambiguous views of these issues. Most express concerns about the potential effects of enhancements on social equity, yet many also believe specific enhancements that are safe and effective should be available but not covered by insurance. These apparently contradictory views might reflect inherent tensions between the values of equity and liberty, which could make crafting coherent social policies on medical enhancements challenging.
利用医学进步来增强人类的运动、审美和认知能力,而不是治疗疾病,这一直是有争议的。对于医生在这方面的经验、观点和态度,人们知之甚少。我们调查了全国范围内的医生样本,以确定他们开增强剂的频率、他们对使用药物进行增强的看法,以及他们是否愿意开一系列可能被认为是增强剂的潜在干预措施。我们发现,许多医生偶尔会开增强剂,但医生对这些问题的看法存在细微差别和模糊性。大多数人对增强剂可能对社会公平产生的影响表示担忧,但许多人也认为,安全有效的特定增强剂应该是可用的,但不应由保险支付。这些明显矛盾的观点可能反映了公平和自由价值观之间固有的紧张关系,这可能使得制定关于医学增强的连贯社会政策具有挑战性。