University Professor and Professor of International Relations at George Washington University in Washington, District of Columbia USA.
J Clin Ethics. 2021 Spring;32(1):35-37.
The excellent article by Daniel J. Benedetti, Mithya Lewis-Newby, Joan S. Roberts, and Douglas S. Diekema draws strength by dealing both with micro ethical (personal) and macro ethical (institutional policies and structures) considerations. One should further note that often, the macro factors are even stronger than the article implies, although individuals can affect the macro context. A particularly important macro factor for all matters concerning healthcare, indeed all human services, is the tension between the profit motive and ethical decisions.
丹尼尔·J·贝内代蒂、米西娅·刘易斯-纽比、琼·S·罗伯茨和道格拉斯·S·迪克马撰写的这篇优秀文章既涉及微观伦理(个人)问题,也涉及宏观伦理(机构政策和结构)问题,具有很强的说服力。此外,人们还应该注意到,尽管个人可以影响宏观环境,但宏观因素往往比文章所暗示的更为强大。对于医疗保健乃至所有人类服务相关事务而言,一个特别重要的宏观因素是利润动机与道德决策之间的紧张关系。