Department of Historical, Philosophical and Religious Studies, Umea University, Umea, Sweden.
Centre for Biomedical Ethics and Law, KU Leuven, Leuven, Belgium.
J Bioeth Inq. 2021 Sep;18(3):455-464. doi: 10.1007/s11673-021-10118-y. Epub 2021 Aug 10.
Many higher-income countries are struggling to make decent and affordable care available to their older populations. In response, some Germans are sending their ageing relatives to relatively high-end care homes within Eastern Europe and South-East Asia where the care tends to be more comprehensive and a lot cheaper. At the same time, this practice has caused much controversy within Germany, with some commentators calling it "inhumane" and "shameful." The aim of this article is to show that such criticisms are exaggerated. Whereas sending people to care homes in lower-income countries can be immoral, I argue that the most promising objections against it do not always apply and, to the extent that they do, do not always provide decisive reasons against sending people abroad. These objections maintain that such expatriations harm three different groups of individuals, namely the emigrants themselves; their friends and relatives; and vulnerable members of the receiving societies.
许多高收入国家正在努力为其老年人口提供体面且负担得起的护理。作为回应,一些德国人将他们年迈的亲属送往东欧和东南亚相对高端的养老院,那里的护理往往更全面,而且便宜很多。与此同时,这种做法在德国国内引起了很大的争议,一些评论员称其为“不人道”和“可耻”。本文旨在表明,这种批评是夸大其词的。将人送往低收入国家的养老院可能不道德,但我认为,针对这种做法最有希望的反对意见并不总是适用,而且在适用的情况下,也并不总是提供反对将人送往国外的决定性理由。这些反对意见认为,这种移居会伤害到三组不同的人,即移民本人、他们的朋友和亲戚以及接收社会中的弱势群体。