Brody H
Center for Ethics and Humanities in the Life Sciences, Michigan State University.
Mich Med. 1990 Dec;89(12):14-6, 19.
This issue of Michigan Medicine marks a turning point in MSMS posture regarding advance directives ("living wills"). For many years, MSMS has discussed the issue and has supported legislation, more or less behind the scenes. We are now involved in a more proactive stance, trying to encourage more discussion and wider use of these devices, whether or not legislation is enacted. In this article I will: 1) review some basic terms and ethical principles; 2) recount the deliberations of the MSMS Committee on Bioethics on this topic; and 3) indicate why the time is now ripe for more action by Michigan physicians.
本期《密歇根医学》标志着密歇根州医学协会(MSMS)在预立医疗指示(“生前遗嘱”)问题上的立场发生了转变。多年来,MSMS一直在讨论这个问题,并或多或少在幕后支持相关立法。我们现在采取了更积极主动的立场,试图鼓励更多关于这些文件的讨论并扩大其使用范围,无论是否颁布了相关立法。在本文中,我将:1)回顾一些基本术语和伦理原则;2)叙述MSMS生物伦理委员会关于此主题的审议情况;3)说明为何现在是密歇根州医生采取更多行动的时机。