Basser David S
Philosophy, School of Humanities, University of Tasmania, Hobart, TAS, Australia.
Philos Ethics Humanit Med. 2017 Nov 7;12(1):9. doi: 10.1186/s13010-017-0051-y.
As suggested by Shook and Giordano, understanding and therefore addressing the urgent international governance issues around globalizing bio-medical/technology research and applications is limited by the perception of the underlying science.
A philosophical methodology is used, based on novel and classical philosophical reflection upon existent literature, clinical wisdoms and narrative theory to discover a meta-science and telos of humankind for the development of a relevant and defendable global biomedical bioethics.
In this article, through pondering an integrative systems approach, I propose a biomedical model that may provide Western biomedicine with leadership and interesting insight into the unity beyond the artificial boundaries of its traditional divisions and the limit between physiological and pathological situations (health and disease). A unified biomedicine, as scientific foundation, might then provide the basis for dissolution of similar reflected boundaries within bioethics. A principled and communitarian cosmopolitan bioethics may then be synonymous with a recently proposed principled and communitarian cosmopolitan neuroethics based on a novel objective meta-ethics. In an attempt to help facilitate equal and inclusive participation in inter-, multi-, and transdisciplinary intercultural discourse regarding the aforementioned international governance issues, I offer: (1) a meta-science derived through considering the general behaviour of activity, plasticity and balance in biology and; (2) a novel thought framework to encourage and enhance the ability for self-evaluation, self-criticism, and self-revision aimed at broadening perspective, as well as acknowledging and responding to the strengths and limitations of extant knowledge.
Through classical philosophical reflection, I evolve a theory of medicine to discover a telos of humankind which in turn provides an 'internal' moral grounding for a proposed global biomedical bioethics.
正如舒克和乔达诺所指出的，对基础科学的认知限制了我们对围绕生物医学/技术研究与应用全球化的紧迫国际治理问题的理解，进而限制了我们解决这些问题的能力。
采用一种哲学方法，基于对现有文献、临床智慧和叙事理论的新颖及经典哲学反思，以发现人类的元科学和目的，从而发展出一种相关且可辩护的全球生物医学伦理。
在本文中，通过思考一种综合系统方法，我提出了一种生物医学模型，该模型可能为西方生物医学提供引领，并为超越其传统分科的人为界限以及生理与病理状况（健康与疾病）之间的界限的统一性提供有趣的见解。作为科学基础的统一生物医学，可能为消解生物伦理中类似的反思性界限提供基础。基于一种新颖的客观元伦理，一种有原则的社群主义世界主义生物伦理可能与最近提出的有原则的社群主义世界主义神经伦理同义。为了帮助促进在关于上述国际治理问题的跨学科、多学科和跨文化话语中实现平等和包容性参与，我提出：（1）通过考虑生物学中活动、可塑性和平衡的一般行为得出的元科学；（2）一个新颖的思维框架，以鼓励和增强自我评估、自我批评和自我修正的能力，旨在拓宽视野，同时承认并回应现有知识的优势和局限性。
通过经典哲学反思，我发展出一种医学理论，以发现人类的目的，这反过来为所提议的全球生物医学伦理提供了一种“内在”道德基础。
