Faria Miguel A
Clinical Professor of Neurosurgery (ret.) and Adjunct Professor of Medical History (ret.), Mercer University School of Medicine; President, www.haciendapub.com , Macon, Georgia, USA.
Surg Neurol Int. 2014 Oct 7;5:146. doi: 10.4103/2152-7806.142323. eCollection 2014.
In 2013, U.S. President Barack Obama decreed the creation of the Presidential Commission for the Study of Bioethical Issues, as part of his $100 million Brain Research through Advancing Innovative Neurotechnologies (BRAIN) initiative. In the wake of the work of this Commission, the purpose, goals, possible shortcomings, and even dangers are discussed, and the possible impact it may have upon neuroscience ethics (Neuroethics) both in clinical practice as well as scientific research. Concerns were expressed that government involvement in bioethics may have unforeseen and possibly dangerous repercussions to neuroscience in particular and to medicine in general. The author emphasizes that the lessons of history chronicle that wherever governments have sought to alter medical ethics and control medical care, the results have frequently been perverse and disastrous, as in the examples of the communist Soviet Union and National Socialist (Nazi) Germany. The Soviet psychiatrists' and the Nazi doctors' dark descent into ghastly experimentation and brutality was a product of convoluted ethics and physicians willingly cooperating with authoritarianism citing utilitarianism in the pursuit of the 'collective' or 'greater good.' Thus in the 20(th) century, as governments infringed on the medical profession, even the Liberal Democracies have not been immune to the corruption of ethics in science and medicine.
2013年,美国总统巴拉克·奥巴马下令成立总统生物伦理问题研究委员会,作为其斥资1亿美元的“通过推动创新神经技术开展脑研究”(BRAIN)计划的一部分。随着该委员会工作的推进,人们讨论了其目的、目标、可能存在的不足甚至危险,以及它在临床实践和科学研究中可能对神经科学伦理(神经伦理学)产生的影响。有人担心政府介入生物伦理可能会对神经科学乃至整个医学产生不可预见且可能危险的影响。作者强调,历史教训表明,无论政府试图改变医学伦理并控制医疗保健,结果往往都是反常且灾难性的,比如共产主义的苏联和纳粹德国的例子。苏联精神病医生和纳粹医生堕落至可怕的实验和暴行,是复杂伦理以及医生以功利主义为借口自愿与威权主义合作以追求“集体”或“更大利益”的结果。因此在20世纪,随着政府侵犯医疗行业,即使是自由民主国家也未能幸免科学和医学伦理的堕落。