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用生命福音直面死亡文化:“将天主教信仰融入法律与医学实践”

Engaging the Culture of Death with the Gospel of Life: "Integrating the Catholic Faith in the Practice of Law and medicine".

作者信息

Way Robert Michael

机构信息

Thompson Krone, PLC, Tucson, AZ, USA.

出版信息

Linacre Q. 2013 Nov;80(4):363-375. doi: 10.1179/0024363913Z.00000000026. Epub 2013 Nov 1.

Abstract

The lay Catholic, ordained, and religious today are faced with making legal and medical decisions that will affect their health care during a time of incapacity and eventually the final moments of their life. Often times the response to the need for sound legal and medical instructions is met by non-profit, pro-life organizations which provide legal forms such as powers of attorney. By and large, these documents are morally in line with Catholic Church teaching, but do very little for practical application of the law as it interfaces with medicine in the crucible of the emergency room and courtroom. Thus, the "culture of death" which pervades both the professions of law and medicine, and which veils itself in euphemisms such as a "patient's right to die," creates pragmatic challenges to pre-printed legal documents which may vary from what are statutory in form for individual states. Thus, the promotion of "living wills" is tantamount to the expression of a fear and human desire to escape suffering at all costs. Accordingly, when Catholic physicians are informed of the legal and moral obligations owed to their patients through various estate planning documents, and Catholic lawyers seek to provide an integrated approach to drafting legal documents which include various provisions grounded in Catholic bioethical teaching, documents such as "living wills" and "advanced directives to physicians" ultimately are seen as unnecessary. Thus, engaging the culture of death is best accomplished when both physician and attorney work in their respective fields of practice by discussing the morality of various bioethical decisions with their patients and clients without fear of legal reprisal or recrimination.

摘要

如今,世俗天主教徒、神职人员和宗教人士面临着在丧失行为能力期间乃至生命的最后时刻做出会影响其医疗护理的法律和医疗决策。通常,对合理法律和医疗指示需求的回应来自提供诸如授权书等法律表格的非营利性、支持生命的组织。总体而言,这些文件在道德上符合天主教会的教义,但在急诊室和法庭的严峻环境中,当法律与医学相互作用时,它们在法律的实际应用方面作用甚微。因此,弥漫于法律和医学专业领域的“死亡文化”,以诸如“患者死亡权”等委婉说法来掩饰自己,给预先印制的法律文件带来了实际挑战,这些文件可能与个别州的法定形式有所不同。因此,推广“生前遗嘱”无异于表达一种不惜一切代价逃避痛苦的恐惧和人类欲望。相应地,当天主教医生通过各种遗产规划文件了解到对患者负有法律和道德义务,而天主教律师试图提供一种综合方法来起草包含基于天主教生物伦理教义的各种条款的法律文件时,“生前遗嘱”和“给医生的预先指示”等文件最终被视为不必要。因此,当医生和律师在各自的执业领域工作,与患者和客户讨论各种生物伦理决策的道德性而不用担心法律报复或指责时,应对“死亡文化”能取得最佳效果。

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