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对俄罗斯的医疗制裁:是遏制侵略还是剥夺医疗权利?

Medical Sanctions Against Russia: Arresting Aggression or Abrogating Healthcare Rights?

作者信息

Gross Michael L

机构信息

The University of Haifa.

出版信息

Am J Bioeth. 2025 Apr;25(4):3-16. doi: 10.1080/15265161.2024.2308163. Epub 2024 Feb 20.

Abstract

Since 2022, the EU, US, and other nations have imposed medical sanctions on Russia to block the export of pharmaceuticals and medical devices and curtail clinical trials to degrade Russia's military capabilities. While international law proscribes sanctions that cause a humanitarian crisis, an outcome averted in Russia, the military effects of medical sanctions have been lean. Strengthening medical sanctions risks violating noncombatant and combatant rights to healthcare. Each group's claim is different. Noncombatants and severely injured soldiers who cannot return to duty enjoy the right to adequate health care that sanctions cannot undermine. Combatants falling captive enjoy the same medical care that adversaries provide their own troops. Combatants yet to renounce hostilities, however, have no claim to medical attention and remain subject to sanctions. Nevertheless, medical sanctions prove unworkable in this complex environment of conflicting rights and command no place in a sustainable sanction regime.

摘要

自2022年以来,欧盟、美国和其他国家对俄罗斯实施了医疗制裁,以阻止药品和医疗设备的出口,并缩减临床试验,以削弱俄罗斯的军事能力。虽然国际法禁止导致人道主义危机的制裁(俄罗斯避免了这一结果),但医疗制裁的军事效果甚微。加强医疗制裁有可能侵犯非战斗人员和战斗人员获得医疗保健的权利。每个群体的主张都不同。无法重返岗位的非战斗人员和重伤士兵享有获得充分医疗保健的权利,制裁不能损害这一权利。被俘的战斗人员享有与对手为自己部队提供的相同医疗待遇。然而,尚未放弃敌对行动的战斗人员没有获得医疗照顾的权利,仍受制裁影响。尽管如此,在这种权利冲突的复杂环境中,医疗制裁被证明是行不通的,在可持续的制裁 regime 中没有立足之地。

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