Raphael D D
Department of Humanities, Imperial College of Science and Technology, London.
J Med Ethics. 1988 Mar;14(1):5-10. doi: 10.1136/jme.14.1.5.
The main purpose of this paper (1) is to draw attention to a gap between the principles of Common Law and the principles accepted by many leading medical practitioners on the ethics of allowing severely handicapped infants to die. The Common Law principles are shown in Court of Appeal judgements on two cases. The contrasting principles of many paediatricians were illustrated at the trial of Dr Leonard Arthur. The paper suggests that the gap could be closed by statutory guidance on general principles. It also argues that utilitarian concepts misrepresent the ethical issues of medical dilemmas like this one.
本文的主要目的(1)是提请注意普通法原则与许多顶尖医学从业者在允许严重残疾婴儿死亡的伦理问题上所接受的原则之间的差距。普通法原则体现在上诉法院对两起案件的判决中。许多儿科医生的不同原则在伦纳德·亚瑟医生的审判中得到了体现。本文认为,通过关于一般原则的法定指导可以弥合这一差距。它还认为,功利主义概念歪曲了此类医疗困境的伦理问题。