医疗种族主义

Q4 Medicine Jahr Pub Date : 2020-01-01 DOI:10.21860/j.11.1.1
M. Ramšak
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引用次数: 0

摘要

这篇文章分析了不道德的人体医学实验的主要例子。第一部分讨论种族主义及其意识形态,以及与医学种族主义概念的联系。在殖民扩张期间首次出现的种族概念是根据其起源和功能而不是哲学思想来定义的。第二部分建立在病人的自主权之上。它包括知情同意权、隐私权保护、保密权和有限自主权,所有这些都是从医疗种族主义的历史角度出发的。在本节中,选定的医疗种族主义案例表明,法律法规和道德规范的发展对医疗实践和对主体的保护产生了重要影响。历史证据也证明,即使存在正式的保护,也存在偏离。这些偏差与社会政治规范和医学的快速发展密切相关,医学是道德规范的一个步骤。此外,危害人类的战争罪与医生的个人意识形态取向有关,他们的种族主义和歧视性信仰远远超出了医疗道德和医疗实践的目的。最后,文章讨论了是否应该使用不道德和不科学的实验结果以及今天医学种族主义以何种方式危及弱势群体的问题。
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Medical racism
The article analyses key examples of unethical medical experimentation on humans. The first part deals with racism, its ideology, and connectedness with concepts of medical racism. Concepts of the race that first emerged during the colonial expansion were defined by following their origins and function and not the philosophical thought. The second part builds upon the autonomy of patients. It includes the right to informed consent, protection of privacy, right of confidence, and persons with limited autonomy, all from a historical perspective on medical racism. In this section, the selected cases of medical racism show that the development of legal regulations and ethical norms importantly influenced the medical practice and the protection of subjects. The historical evidence also witnesses that even if the formal protection existed, there were deviations from it. The deviations were closely related to socio-political regulation and the rapid development of medicine that was a step before ethical norms. Additionally, war crimes against humanity were connected with personal ideological orientations of doctors whose racist, discriminatory beliefs were far beyond medical ethics and the purpose of medical practice. In the end, the article deals with the questions whether the results from unethical and unscientific experiments should be used and in what way medical racism endangers vulnerable groups today.
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来源期刊
Jahr
Jahr Medicine-Medicine (miscellaneous)
CiteScore
0.60
自引率
0.00%
发文量
11
审稿时长
20 weeks
期刊介绍: JAHR – EUROPEAN JOURNAL OF BIOETHICS is a journal that deals with a wide range of bioethical topics. The aim of the Editorial Board is to publish articles related to bioethics in social sciences (sociology, psychology, law, political science, information and communication sciences, pedagogy, education and rehabilitation sciences, speech-language pathology, kinesiology, demography, social activities, security and defence sciences, economics), humanities (philosophy, theology, philology, history, art history, archaeology, ethnology and anthropology, religious sciences), biomedical (medicine, public health, veterinary medicine, dentistry and pharmacology), but also in other sciences. The journal is published twice a year.
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