Hastings Cent Rep. 2020 May;50(3):63-64. doi: 10.1002/hast.1137.
Given the enduring inequities in US health and health care, it is no surprise that particular communities are bearing the disproportionate brunt of the Covid-19 pandemic and our responses to it. Many ethical aspects of the pandemic involve diverse communities bound by race, ethnicity, disability, income, residence, age, and more. How does bioethics engage these communities in theory and in practice? Only faintly, despite Covid-19's relentless reminder that communities matter morally. This article sketches initial directions for developing a community-inclusive bioethics, one that understands communities as critical moral participants in the work of bioethics as well as in health and health care.
鉴于美国健康和医疗保健方面持续存在的不平等现象,特定社区在承受 COVID-19 大流行及其应对措施的不成比例的冲击也就不足为奇了。大流行涉及到许多伦理方面,这些方面涉及到不同的社区,这些社区因种族、族裔、残疾、收入、住所、年龄等因素而联系在一起。在理论和实践中,生命伦理学如何让这些社区参与其中?尽管 COVID-19 不断提醒人们社区在道德上很重要,但它只是在微弱地回应这个问题。本文勾勒出了发展一种包容社区的生命伦理学的初步方向,这种生命伦理学将社区理解为生命伦理学工作以及健康和医疗保健中的关键道德参与者。