Gardner John
Department of Sociology, School of Social Sciences, Monash University, W414 Menzies Building, 20 Chancellors Walk, Clayton, Melbourne, 3800, Australia.
Regen Med. 2017 Oct;12(7):865-874. doi: 10.2217/rme-2017-0036. Epub 2017 Nov 2.
Many countries have identified regenerative medicine as a strategic priority, and have thus launched a range of initiatives to facilitate innovation in the field. This perspective paper argues that several initiatives involve resource distributions that could impinge on widely accepted egalitarian notions of fairness and justice that underpin current healthcare systems. Specifically, this paper focuses on five initiatives, and argues that these initiatives reflect a largely unacknowledged utilitarian perspective on distributive justice. The intention of this paper is not to argue against these initiatives, but rather to stimulate an open discussion on what qualifies as a just and fair system of resource distribution, so that the regenerative medicine field can responsibly deliver on its clinical potential.
许多国家已将再生医学确定为战略重点,并因此发起了一系列举措以促进该领域的创新。本文认为,一些举措涉及的资源分配可能会冲击当前医疗体系所基于的被广泛接受的平等主义公平与正义观念。具体而言,本文聚焦于五项举措,并认为这些举措很大程度上反映了一种未被充分认识的关于分配正义的功利主义观点。本文的目的并非反对这些举措,而是激发关于何种资源分配体系才算公正公平的公开讨论,以便再生医学领域能够切实发挥其临床潜力。