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Value Neutrality and a Bioethics of Conscience

價值中性與良知的醫學倫理

摘要


醫學倫理有沒有答案?這是一個常被問起的問題。有人說醫學倫理沒有答案,也有人說醫學倫理一定有答案,否則探討學習醫學倫理有什麼用?本文將提出對醫學倫理價值中性的質疑,但不否定每一位醫療的從事者與病患,有權利去維護他們的倫理判斷與抉擇。現今的醫學倫理強調病人自主的權利,那麼這是否意謂醫護人員只能默不作聲的聽取病人的指示去從事醫療行為?本文並不認為如此,反而要提出醫學倫理是一個良知的呼喚,要醫護人員秉持良知去從事醫療。換句話說,當一位醫護人士面對病人違反醫療倫理的要求時,應有權利表示他們的見解,去維護生命的尊嚴與醫學倫理人性化之努力的落實。

關鍵字

價值中性 病人自主 良知

並列摘要


This article will argue that bioethics is not a value-free discipline but rather an attempt to find a best solution to the bioethical dilemmas challenging physicians and patients' decision-makings. Since there are different approaches in bioethical discourse, some say that all decisions are right as long as they are made on the basis of autonomy. This author will present a view to say that some answers are better than others. Physicians do not have to be neutral or to bury their own bioethical beliefs in response to the call of respecting to patient's autonomy. Medicine is a science of conscience with the goals to save life and treat diseases. Physicians must be allowed to express their views and be faithful to their own conscience in difficult cases in bioethical dilemmas.

並列關鍵字

value neutrality autonomy conscience

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