冷冻胚胎:天主教视角下的特殊/普通手段的应用

P. Clark
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摘要

天主教会在普通-非凡手段的区别上的立场的历史可以追溯到16世纪的多米尼加道德家。传统认为,维持生命的普通手段是所有的药物、治疗和手术,这些手段给病人带来了合理的有益希望,并且可以在没有过多费用、痛苦或其他不便的情况下获得和使用。一种特殊的手段是所有的药物、治疗和手术,这些药物、治疗和手术不可能不花费过多的费用、痛苦或其他不便而获得或使用,或者如果使用,也不会提供合理的有益的希望。这一传统的独特之处在于,它是一种以病人为中心、注重生活质量的方法,这与16世纪多明尼加道德家对这种区别的看法是一致的。因此,一个人在道德上没有义务使用任何手段,包括自然的或人工的手段,这些手段不能提供改善病人状况的合理希望。伦理问题是这种区别是否适用于冷冻胚胎问题。据估计,由于体外受精,每年有50万个备用胚胎被冷冻,另外还有2万个胚胎被冷冻。现在的问题是如何处理这50万个仍然存活的冷冻胚胎。人们提出了各种替代方案。胚胎可以被解冻然后销毁,继续无限期冷冻保存,用于胚胎干细胞研究,或提供捐赠/收养。从天主教的角度来看,因为这些胚胎被认为是“人”,似乎唯一可行的道德选择是宣布冷冻保存过程是一种特殊的生命维持手段,停止这一过程,让胚胎解冻,然后带着尊严和尊重自然死亡。
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Frozen Embryos: Application of the Extraordinary/Ordinary Means Distinction from the Catholic Perspective
The history of the Catholic Churchs position on the ordinary-extraordinary means distinction dates back to the 16 th century Dominican moralists. The tradition holds that an ordinary means of preserving life would be all medicines, treatments, and operations, which offer a reasonable hope of benefit for the patient and which can be obtained and used without excessive expense, pain, or other inconvenience. An extraordinary means would be all medicines, treatments, and operations, which cannot be obtained or used without excessive expense, pain, or other inconvenience, or which, if used, would not offer a reasonable hope of benefit. The distinctive element of the tradition is that it is a patient-centered, quality-of-life approach which is consistent with how the 16 th -century-Dominican moralists viewed this distinction. Therefore, a person is not morally obligated to use any means, and this would include natural or artificial means, that does not offer a reasonable hope of ameliorating the patients condition. The ethical issue is whether this distinction can be applied to the issue offrozen embryos. � As a result of in- vitro fertilization it has been estimated that there are 500,000 spare embryos frozen with an additional 20,000 embryos added yearly. The issue is now what to do with the 500,000 frozen embryos that remain asspares. � Various alternatives have been suggested. The embryos could be thawed and then destroyed, continued to be cryopreserved indefinitely, used for embryonic stem cell research, or offered for donation/adoption. From the Catholic perspective, because these embryos are considered �human personsit appears that the only viable ethical option would be to declare the process of cryopreservation an extraordinary means of life support, stop the process, allow the embryos to thaw and then to die naturally with dignity and respect.
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