解决悖论：医疗保健扩张威胁可持续医疗保健。

Addressing the paradox: Health expansion threatening sustainable healthcare.

机构信息

Centre of Medical Ethics, Faculty of Medicine, University of Oslo, PO Box 1130, Blindern, Oslo N-0318, Norway; Institute for the Health Sciences at the Norwegian, University of Science and Technology in Gjøvik, Norway.

出版信息

Eur J Intern Med. 2023 Nov;117:3-7. doi: 10.1016/j.ejim.2023.09.012. Epub 2023 Sep 19.

DOI:10.1016/j.ejim.2023.09.012

PMID:37735001

Abstract

We need to address the paradox that health expansion threatens sustainable healthcare as anti-aging drugs are on the trail from trial to the market and come together with health enhancement measures changing demography and the health of populations. This poses global, social, and professional problems, and challenges clinical medicine as well as health policy. To handle the emerging challenges, we need to address four crucial issues: (1) injustice (access), (2) sustainability, (3) basic human rights, and (4) eugenics. To do so we need to differentiate between health improvements and health enhancements and reinforce medicine's strongest moral appeal: to reduce suffering.

摘要

我们需要解决这样一个悖论，即随着抗衰老药物从临床试验走向市场，并与改变人口结构和人群健康的健康增强措施相结合，健康的扩张威胁着可持续的医疗保健。这带来了全球性的、社会性的和专业性的问题，挑战着临床医学和卫生政策。为了应对新出现的挑战，我们需要解决四个关键问题：（1）不公平（获取），（2）可持续性，（3）基本人权，以及（4）优生学。为此，我们需要区分健康改善和健康增强，并加强医学最强有力的道德诉求：减轻痛苦。