Jecker N S
Department of Medical History and Ethics, University of Washington School of Medicine, Seattle 98195.
Theor Med. 1990 Dec;11(4):333-42. doi: 10.1007/BF00489823.
This paper investigates the scope and limits of parents' and physicians' obligations to anencephalic newborns. Special attention is paid to the permissibility of harvesting anencephalic organs for transplant. My starting point is to identify the general justification for treating patients in order to benefit third parties. This analysis reveals that the presence of a close relationship between patients and beneficiaries is often crucial to justifying treating in these cases. In particular, the proper interpretation of the Kantian injunction against treating persons as means only takes on a different light in the context of special relationships. The implications of this analysis for our responsibilities to anencephalic infants is clarified.
本文探讨了父母和医生对无脑儿所负义务的范围和限度。特别关注的是摘取无脑儿器官用于移植的可允许性。我的出发点是确定为使第三方受益而治疗患者的一般正当理由。这一分析表明,患者与受益者之间存在密切关系往往是在这些情况下证明治疗正当性的关键。特别是,康德关于不得仅将人当作手段的禁令在特殊关系的背景下有了不同的解读。这一分析对我们对无脑儿的责任的影响得到了阐明。