Richie Cristina, Samuel Gabrielle
Hastings Cent Rep. 2025 May-Jun;55(3):7-14. doi: 10.1002/hast.5008.
Policy-makers, doctors, organizations, and academics who are persuaded that health care decarbonization is an ethical mandate are grappling with ethical and effective implementation of measures to support this goal. Health care carbon-mitigation strategies (both proposed and potential) at individual, regional (city, state, or council), national, and international levels have already been analyzed to different degrees; however, a comparative analysis of strategies at each of these levels that takes into account bioethical issues such as autonomy, responsibility, and shared decision-making has not previously been conducted (though some analysis between national and international efforts has occurred). This essay offers a comparative analysis of the ethical aspects of health care carbon reduction across these levels, including considerations of responsibility and of the potential for efforts at each level to actually impact climate change.
政策制定者、医生、组织和学者们深信医疗保健脱碳是一项道德使命，他们正在努力以符合道德且有效的方式实施支持这一目标的措施。个人、区域（城市、州或理事会）、国家和国际层面的医疗保健碳减排策略（包括已提出的和潜在的）已在不同程度上得到分析；然而，此前尚未对这些层面的策略进行过考虑自主性、责任和共同决策等生物伦理问题的比较分析（尽管已对国家和国际层面的努力进行了一些分析）。本文对这些层面医疗保健碳减排的伦理方面进行了比较分析，包括对责任的考量以及各层面努力实际影响气候变化的可能性。
