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判定谁该活下去:施奈德曼和杰克尔论不进行治疗的责任

Judging who should live: Schneiderman and Jecker on the duty not to treat.

作者信息

Harper W

机构信息

The University of Alabama, Tuscaloosa 35487, USA.

出版信息

J Med Philos. 1998 Aug;23(5):500-15. doi: 10.1076/jmep.23.5.500.2565.

DOI:10.1076/jmep.23.5.500.2565
PMID:9892037
Abstract

In this paper, I consider the thesis advanced by Lawrence J. Schneiderman and Nancy S. Jecker that physicians should be forbidden from offering futile treatments to patients. I distinguish between a version of this thesis that is trivially true and Schneiderman and Jecker's more substantive version of the thesis. I find that their positive arguments for their thesis are unsuccessful, and sometimes quite misleading. I advance an argument against their thesis, and find that, on balance, their thesis should be rejected. I briefly argue that a resolution of the debate about medical futility will require addressing deeper issues about value.

摘要

在本文中,我探讨了劳伦斯·J·施奈德曼和南希·S·杰克提出的观点,即应该禁止医生向患者提供无效治疗。我区分了该观点的一个显然正确的版本和施奈德曼与杰克提出的更具实质性的版本。我发现他们支持其观点的正面论据并不成功,有时还颇具误导性。我提出了一个反对他们观点的论据,并发现总体而言,他们的观点应被驳回。我简要论证了关于医疗无效性的辩论的解决需要处理关于价值的更深层次问题。

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