New Role of Bioethics in Emergency Situations on the Example of COVID-19

在COVID 19緊急情況中生命倫理學的角色

M. E. Guryleva ； F. T. Nezhmetdinova

《台灣醫學人文學刊》 21卷1&2期 (2020/12) Pp. 9-25

摘要

The COVID-19 pandemic has radically changed all ideas about the norm, not only in medical practice, but also in society. This was particularly acute for the health system, doctors, and the distribution of life-support therapy in the context of limited resources and the absence of a known treatment Protocol. One of the main bioethical dilemmas of the coronavirus epidemic is the confrontation between public health ethics, which is expressed in the fair distribution of limited resources and orientation to public safety, and patient-specific clinical ethics. After all, the COVID-19 pandemic puts health workers in tragic situations they have never experienced. And if there are not enough health care workers, ventilators, or hospital beds, it is often necessary to classify patients and prioritize them to determine who will get (or will not get) what care and where. Another important issue was the issue of digital control of citizens who must reduce their freedoms for the sake of the health of other citizens. Many people are afraid that the current situation will allow them to manipulate citizens in the future. There is also a problem of responsibility of politicians and authorized organizations for the health of not only the population of their country, but also the entire planet Earth. These and other issues today require bioethical expertise.

關鍵字

bioethics ； pandemic ； COVID-19 ； ethical principles ； health ； medicine ； justice ； health