Breitsameter Christof
J Med Ethics. 2017 May;43(5):287-292. doi: 10.1136/medethics-2015-103091. Epub 2016 Aug 4.
This article deals with arguments that challenge the possibility of an ethical justification for a doping ban.
HYPOTHESIS/PURPOSE: It shows that a for the doping ban is only possible if its can be safeguarded.
Systematic review.
Based on the proposition of the game theory, this article examines the scope of the arguments of naturalness, health, equal opportunity and fairness used in scientific literature.
RESULTS/CONCLUSIONS: Ceteris paribus, athletes will always prefer a situation that presents no health risk to a situation in which they face a threat to their health. They will therefore consent to a doping ban on the condition that it is ensured that all parties are bound to this rule, so that anyone complying with the rules will not be afraid of losing the competition as a result. For even if we condoned self-harm, it could still be argued plausibly that the individual should not suffer more disadvantages than absolutely necessary for the sake of gaining an advantage over others. Of course, it is possible to plead for a restricted approval of doping measures with acceptable risk. But even taking minor risks would not seem sensible under the condition that all participants without exception adhere to the same conditions when there is the option to renounce the (avoidable) risks. So as far as the use of performance-enhancing substances or methods is concerned, we can maintain that even if minor health risks are to be expected, a ban on doping can be justified from an ethical point of view.
本文探讨了对兴奋剂禁令进行伦理辩护的可能性提出质疑的观点。
假设/目的:研究表明,只有在其[此处原文缺失部分内容]能够得到保障的情况下,才有可能为兴奋剂禁令提供[此处原文缺失部分内容]。
系统评价。
基于博弈论的命题,本文考察了科学文献中使用的自然性、健康、平等机会和公平性等论点的范围。
结果/结论:在其他条件相同的情况下,运动员总是会选择对健康无风险的情况,而不是面临健康威胁的情况。因此,他们会同意实施兴奋剂禁令,前提是确保所有各方都遵守这一规则,这样任何遵守规则的人都不会担心因遵守规则而在比赛中失利。因为即使我们容忍自我伤害,也仍然可以合理地认为,个人不应为了比他人获得优势而承受不必要的更多不利。当然,可以主张对具有可接受风险的兴奋剂措施给予有限度的批准。但在所有参与者无一例外都遵守相同条件且有放弃(可避免的)风险的选择的情况下,即使承担微小风险似乎也不明智。所以就使用提高成绩的物质或方法而言,我们可以认为,即使预计会有微小的健康风险,从伦理角度来看,禁止使用兴奋剂也是合理的。