Trejo C
Servicio de Medicina, Hospital Félix Bulnes, Santiago de Chile.
Rev Med Chil. 1991 Nov;119(11):1311-7.
To understand the ethics of our present time (macrocosmos), the patient-physician relationship (microcosmos complex) and its changes through history are analyzed. The patient-physician relationship is no longer between two individuals, it is plural and technified. An individualistic forms of ethic cannot answer the questions that arise from contemporary society. The power (political) of medical science has placed us at the threshold of a qualitative change, new that the human genome can be known and the very nature of the species can be modified. Man's destiny will depend on the way (ethic) he uses his knowledge. An ecological ethic could be the answer.
为理解我们这个时代（宏观世界）的伦理道德，需分析医患关系（微观世界复合体）及其历史变迁。医患关系不再是个体间的关系，而是多元且技术化的。个人主义的伦理形式无法回答当代社会出现的问题。医学科学的力量（政治层面）已将我们置于一场质变的门槛，新的情况是人类基因组能够被知晓，物种的本质能够被改变。人类的命运将取决于他运用知识的方式（伦理道德层面）。一种生态伦理或许就是答案。
