Cruz-Coke R
Centro de Estudios Bioéticos y Humanísticos. Facultad de Medicina, Universidad de Chile, Santiago de Chile.
Rev Med Chil. 1995 Mar;123(3):363-7.
The author makes a historical revision of his 50 years experience in medical ethics as a student and physician. In 1944, medical ethics was traditional and resolved simple problems based on Hippocrates postulates and christian humanism. The present scientific and cultural revolution has impelled the rise of bioethics defined as "the systematic study of human behavior in life sciences, based on moral principles". The bioethical methods attempt to facilitate the application of universal ethical principles to the solution of complex cases, generated by the new medical technology. These ethical problems were posed in Chile in 1962 by the french professor Jean Cheymol, who reported the serious human rights abused derives from new scientific experiments. Later in 1973, Dr. Motulsky predicted the advent of "a brave new world" and the need to create a new biological ethic. These challenges were faced by the professors of the faculty of Medicine, who created ethics commissions in 1975 and edited medical ethics code texts. There are three players in the bioethic context. Physicians apply beneficence; patients defend their autonomy: the State and the society defends justice. A conflict of values lies in the bottom of bioethics. The author vindicates the coherence of traditional medical ethics. Philosophers, theologians and lawyers can only help physicians, but are not responsible. Bioethics must allow a frank dialogue between these professionals, respecting their roles and responsibilities.
作者对自己作为学生和医生在医学伦理学领域50年的经历进行了历史回顾。1944年,医学伦理学是传统的,基于希波克拉底的假设和基督教人文主义解决简单问题。当前的科学和文化革命推动了生物伦理学的兴起,生物伦理学被定义为“基于道德原则对生命科学中人类行为的系统研究”。生物伦理学方法试图促进将普遍伦理原则应用于解决由新医疗技术产生的复杂案例。1962年,法国教授让·谢莫尔在智利提出了这些伦理问题,他报告了新科学实验中严重侵犯人权的行为。1973年,莫图尔斯基博士预测“一个勇敢的新世界”即将到来,以及创建一种新的生物伦理学的必要性。医学院的教授们应对了这些挑战,他们在1975年成立了伦理委员会,并编辑了医学伦理法典文本。在生物伦理学背景中有三个参与者。医生践行善举;患者维护自身自主权;国家和社会维护正义。价值观冲突是生物伦理学的根本所在。作者维护传统医学伦理学的连贯性。哲学家、神学家和律师只能帮助医生,但不承担责任。生物伦理学必须允许这些专业人员之间进行坦诚对话,尊重他们的角色和责任。