艾滋病毒/艾滋病流行病、人权和全球正义

Kku K. Hellsten
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摘要

本文列出了与艾滋病毒/艾滋病流行、人权保护和全球正义有关的一些最紧迫的政治、法律和社会问题。这篇文章将特别集中讨论贫穷的发展中国家在与人权框架有关的艾滋病毒/艾滋病作斗争的努力中所面临的问题。这篇文章一方面将从“全球正义”的角度来讨论人权和艾滋病。另一方面,报告探讨了许多发展中国家在努力应对这一流行病时面临的地方和国家政治和法律困境。因此,我的目的是,首先确定关于相互冲突的权利的辩论所涉及的问题;其次,探讨与权利与责任冲突相关的伦理框架;第三,分析谁是与所主张的权利有关的义务承担者,并澄清他们的责任、义务和义务——在全球和地方背景下都是如此。我将指出,虽然在全球艾滋病方面保护人权的主要障碍仍然是缺乏平等分享稀缺资源的国际承诺,特别是在处理这种病毒时(无论我们谈论的是预防还是治疗),但当我们用权利的语言——更广泛地说是人权框架——来为全球艾滋病毒/艾滋病方案中的"双重标准"辩护时,就会出现其他严重的道德问题。我的主要论点是,为了找到处理艾滋病毒/艾滋病的“全球生物伦理学”的任何一致的国际指导方针,有必要理清与全球和地方责任相关的冲突权利的争论。
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Hiv/Aids Epidemic, Human Rights and Global Justice
This article maps out some of the most burning political, legal and social issues related to the HIV/AIDS epidemic, human rights protection and global justice. The article will focus particularly on the problems that the poor, developing countries face in their attempts to combat HIV/AIDS in relation to the human rights framework. The article will on the one hand, discuss human rights and HIV/AIDS from the point of view of ‘global justice’. On the other hand, it explores local and national political and legal quandaries that many developing countries face in their efforts to deal with the epidemic. Thus, my aim is, first, to identify the problems involved in the debates on conflicting rights; second, to discuss the ethical framework related to the conflicts between rights and responsibilities; and third, to analyse who the duty bearers are in relation to the claimed rights as well as to clarify their responsibilities, obligations and duties – both in global and local contexts. I shall show that while the main obstacle to human rights protection in the context of global AIDS is still the lack of international commitment to share scarce resources equally particularly when dealing with the virus (whether we talk about prevention or treatment), other serious ethical issues arise when we use the language of rights – more widely the human rights framework – to justify ‘double standards’ in global HIV/AIDS programmes. My main thesis is that in order to find any consistent international guidelines for ‘global bioethics’ dealing with HIV/AIDS, there is a need to untangle the arguments for conflicting rights in relation to global and local responsibilities.
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