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[生物伦理学与获得医疗保健的权利。]

[Bioethics and the right of access to health care.].

作者信息

Garrafa Volnei

机构信息

Doctor en Ciencias, Posdoctorado en Bioética. Profesor Emérito, Centro Internacional de Bioética e Humanidades, Faculdade de Ciências da Saúde, Universidade de Brasília, Brasilia, Brasil.

出版信息

Salud Colect. 2023 Sep 7;19:e4491. doi: 10.18294/sc.2023.4491.

Abstract

Access to health care is a universal human right and therefore should not be treated as a commodity only accessible to people with the economic means to acquire it. This study adopts a theoretical framework based on UNESCO's Universal Declaration on Bioethics and Human Rights. The discussion first explores the rationale for choosing human rights as a foundation for such an endeavor. Secondly, the notion of equity is presented as an indispensable principle that should be incorporated into such discussions, reinforcing the understanding that unequal people and populations must be treated in a differentiated and compensatory manner, with the aim of seeking true equality based on the humanitarian recognition of every individual's rights, accounting for their needs and differences. Thirdly, the text seeks to address the complex problem of prioritizing the allocation of scarce resources in order to ensure access to health care for as many people as possible. In summary, this article intends to demonstrate that access to health care for all people, regardless of their income level, should be considered to be a universal human right. Beyond the obligations of governments and the private sector to support inclusive programs, there is also a need to acknowledge social movements' legitimate struggles for achieving better living conditions and health outcomes for all people, without exception.

摘要

获得医疗保健是一项普遍的人权,因此不应将其仅视为只有具备经济能力的人才能获得的商品。本研究采用了基于联合国教科文组织《生物伦理与人类权利世界宣言》的理论框架。讨论首先探讨了选择人权作为这一努力基础的理由。其次,公平的概念被作为一项不可或缺的原则提出,应将其纳入此类讨论,强化这样一种认识,即对不平等的个人和群体必须以区别对待和补偿的方式进行处理,目的是在基于对每个人权利的人道主义承认、考虑到其需求和差异的基础上寻求真正的平等。第三,本文试图解决在稀缺资源分配中确定优先次序这一复杂问题,以确保尽可能多的人能够获得医疗保健。总之,本文旨在表明,不论收入水平如何,所有人获得医疗保健都应被视为一项普遍人权。除了政府和私营部门支持包容性项目的义务之外,还需要承认社会运动为实现所有人毫无例外的更好生活条件和健康结果而进行的合法斗争。

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