Louw D J
Fakulteit Teologie, Universiteit van Stellenbosch.
S Afr Med J. 1989 Jan 21;75(2):70-3.
The most important question in biomedical ethics is really whether a researcher should do what he can do. The interventional model of modern medicine, which makes medical decisions on medical grounds, can threaten human values. In a Christian perspective we are responsible to God for our humanity. Surrogate motherhood is a very complicated question which concerns the problem of childlessness. Biomedical ethics, in the Christian context, cannot merely condone surrogate motherhood as a human and standard medical procedure. Ethically speaking, an unqualified no or an unqualified yes cannot be given. The parents' motives for their decision and the quality of their marriage are of the greatest importance before a decision about surrogate motherhood can be reached. The position of the woman who undertakes to be a surrogate mother is also questionable. Pregnancy is not just physical fact, it is an existential and human concern. The human womb is thus more than just an organ--it is a part of a woman's identity.
生物医学伦理学中最重要的问题实际上是研究人员是否应该尽其所能。现代医学的干预模式以医学理由做出医疗决策，这可能会威胁到人类价值观。从基督教的角度来看，我们要对上帝赋予我们的人性负责。代孕是一个非常复杂的问题，涉及到不育问题。在基督教背景下，生物医学伦理学不能仅仅将代孕视为一种合乎人性且标准的医疗程序而予以宽恕。从伦理上讲，不能给出绝对的否定或肯定回答。在做出关于代孕的决定之前，父母做此决定的动机以及他们婚姻的质量至关重要。承担代孕母亲角色的女性的立场也值得质疑。怀孕不仅仅是一个生理事实，它是一种关乎生存和人性的问题。因此，人类的子宫不仅仅是一个器官——它是女性身份的一部分。
