Degeling Chris, Mayes Christopher, Lipworth Wendy, Kerridge Ian, Upshur Ross
Centre for Values, Ethics and the Law in Medicine, Sydney School of Public health, University of Sydney, Level 1, Medical Foundation Building, K25, Sydney, NSW, 2006, Australia,
J Bioeth Inq. 2015 Mar;12(1):107-13. doi: 10.1007/s11673-014-9595-3. Epub 2015 Jan 29.
This article critically examines current responses to multi-drug resistant tuberculosis (MDR-TB) and argues that bioethics needs to be willing to engage in a more radical critique of the problem than is currently offered. In particular, we need to focus not simply on market-driven models of innovation and anti-microbial solutions to emergent and re-emergent infections such as TB. The global community also needs to address poverty and the structural factors that entrench inequalities-thus moving beyond the orthodox medical/public health frame of reference.
本文批判性地审视了当前对耐多药结核病(MDR-TB)的应对措施,并认为生物伦理学需要比目前更激进地批判这一问题。特别是,我们不仅需要关注市场驱动的创新模式以及针对结核病等新出现和再次出现的感染的抗菌解决方案。国际社会还需要解决贫困问题以及加剧不平等的结构性因素,从而超越传统的医学/公共卫生参考框架。