Novoa-Jurado Abel, Melguizo-Jiménez Miguel
Servicio de Urgencias Hospitalarias, Hospital General Universitario J.M. Morales Meseguer, Área VI-Vega Media del Segura, Servicio Murciano de Salud, Murcia, España.
Centro de Salud Almanjáyar, Granada, España.
Aten Primaria. 2021 May;53(5):102058. doi: 10.1016/j.aprim.2021.102058. Epub 2021 Apr 16.
The approval of the euthanasia law represents a challenge for medicine and culminates a process of civic maturation of society in the face of death. There are challenges that the application of the law will have to meet. Seeking an objective and irreversible medical solution to subjective suffering - where there may be conditioning social determinants - implies a serious risk of inequity that requires policies that establish a pre-decisional guaranteeing framework. Euthanasia should be an exception thanks to the existence of strong clinical, informational and relational safeguards that can only be guaranteed in the context of a solvent primary care that accompanies people throughout their lives. In this primarist and community context, euthanasia can be the last resort of a professional committed to not abandoning a patient with severe and irreversible suffering who requests it.
安乐死法的批准对医学来说是一项挑战，也是社会在面对死亡时公民成熟过程的 culminates（此处原文culminates一词有误，推测可能是culminate的第三人称单数形式，意为“达到顶点、告终”，这里暂按“告终”理解）。法律的实施将面临一些挑战。在可能存在社会决定因素的情况下，寻求针对主观痛苦的客观且不可逆转的医学解决方案意味着存在严重的不公平风险，这就需要制定政策来建立一个决策前的保障框架。由于存在强大的临床、信息和关系保障措施，而这些措施只有在伴随人们一生的健全初级保健背景下才能得到保证，所以安乐死应该是一种例外情况。在这种以初级保健为基础且注重社区的背景下，安乐死可以成为一名专业人员的最后手段，该专业人员致力于不抛弃有严重且不可逆转痛苦并提出请求的患者。
