The genomic promise of cancer as “not-yet-treatable” and the moral burden of “trying”

IF 5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Social Science & Medicine Pub Date : 2025-02-01 Epub Date: 2025-01-07 DOI:10.1016/j.socscimed.2025.117680
Isabel Briz Hernández
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Abstract

Based on fieldwork conducted in China from November 2018 to January 2020 on biomedical innovation with advanced therapies open to foreigners, in this paper I address the question of why parents of children with incurable cancer decide to access experimental treatment on the other side of the world. While work on the “political economy of hope” has already extensively researched the relation between biomedical technology and hope, I delve into other terrains. In this paper, I will discuss the role of “ontological hope” in the moral project of caring for a child with cancer. Drawing on the Anthropology of Ethics, I conclude that in the postgenomic era, when incurable cancers are recategorize as not-yet-treatable, parents’ efforts to access experimental treatment highlight the complex moral work that parents must undergo to imagine a future good life despite their irreparable loss.
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癌症“尚未治愈”的基因组前景和“尝试”的道德负担
基于2018年11月至2020年1月在中国进行的对外国人开放的先进疗法的生物医学创新的实地调查,本文探讨了为什么患有无法治愈的癌症的儿童的父母决定在世界的另一端接受实验性治疗的问题。虽然“希望的政治经济学”已经广泛地研究了生物医学技术与希望之间的关系,但我深入研究了其他领域。在本文中,我将讨论“本体论希望”在照顾癌症儿童的道德工程中的作用。根据《伦理学人类学》,我得出结论,在后基因组时代,当无法治愈的癌症被重新归类为尚未治愈的癌症时,父母获得实验性治疗的努力突显了父母必须经历的复杂道德工作,尽管他们失去了无法弥补的损失,但他们必须想象未来的美好生活。
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来源期刊
Social Science & Medicine
Social Science & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
9.10
自引率
5.60%
发文量
762
审稿时长
38 days
期刊介绍: Social Science & Medicine provides an international and interdisciplinary forum for the dissemination of social science research on health. We publish original research articles (both empirical and theoretical), reviews, position papers and commentaries on health issues, to inform current research, policy and practice in all areas of common interest to social scientists, health practitioners, and policy makers. The journal publishes material relevant to any aspect of health from a wide range of social science disciplines (anthropology, economics, epidemiology, geography, policy, psychology, and sociology), and material relevant to the social sciences from any of the professions concerned with physical and mental health, health care, clinical practice, and health policy and organization. We encourage material which is of general interest to an international readership.
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