Hastings Cent Rep. 2020 May;50(3):3. doi: 10.1002/hast.1115.
The Covid-19 pandemic has highlighted connections between health and social structural phenomena that have long been recognized in bioethics but have never really been front and center-not just access to health care, but fundamental conditions of living that affect public health, from income inequality to political and environmental conditions. In March, as the pandemic spread globally, the field's traditional focus on health care and health policy, medical research, and biotechnology no longer seemed enough. The adequacy of bioethics seemed even less certain after the killing of George Floyd, whose homicide showed in an especially agonizing way how social institutions are in effect (and often intentionally) designed to make the lives of black people go poorly and end early. Whether bioethics needs to be expanded, redirected, and even reconceived is at the heart of the May-June 2020 issue of the Hastings Center Report, which is devoted to questions provoked by and lessons emerging during this pandemic.
Covid-19 大流行凸显了健康与社会结构现象之间的联系,这些联系在生物伦理学中早已被认识到,但从未真正成为关注的焦点——不仅是获得医疗保健,还有影响公共健康的基本生活条件,从收入不平等到政治和环境条件。3 月,随着大流行在全球范围内蔓延,该领域传统上对医疗保健和卫生政策、医学研究和生物技术的关注似乎不再足够。乔治·弗洛伊德(George Floyd)被杀后,生物伦理学的充分性似乎更加不确定,他的凶杀案以一种特别痛苦的方式表明,社会制度实际上(而且往往是有意地)被设计成让黑人的生活变得糟糕和提前结束。生物伦理学是否需要扩展、重新定向,甚至重新构想,这是 2020 年 5 月至 6 月《黑斯廷斯中心报告》(Hastings Center Report)的核心问题,该报告专门探讨了这场大流行引发的问题和出现的教训。