Critical Care Ethics in Asia: Global or Local?  

Oleh:

Fan, Ruiping

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The Journal of Medicine and Philosophy vol. 23 no. 6 (Dec. 1998), page 549-562.
Topik: Empirical Data; Critical Care Medicine; Global; Asia; Local; Financial Investment; Data
Fulltext: MM80V23N6P549.pdf (40.33KB)

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: MM80.8 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

This issue of The Journal of Medicine and Philosophy includes provocative empirical data as well as introductions to the particular ethical perspectives of the Philippines, mainland China, Japan, and Hong Kong regarding critical care medicine. The articles in this issue illustrate and explore relevant bioethical problems at both the macro- and micro-levels in pursuing the issue of a just pattern of critical care. Using intellectual resources from these articless, this essay lays out major ethical issues and perspectives involved in Asian critical care medicine. Justice in health care is often understood as requiring the provision of the best of care as well as equal care for all individuals in a country. The first two sections of this essay critically assess these claims utilizing as an heuristic critical care medicine and the availability of Intensive Care Units (ICUs). These two sections show why a negative answer to these questions is justifiable. The third section argues that, at the micro-level of critical care practice, patients’ self determination is not required as the unique appropriate mode of exercising informed consent. Particular Asian values of familism can be justifiably invoked to provide an appropriate moral basis for a different approach to making critical care decisions. Finally, the article concludes that just health care within each country can only be adequately characterized in terms of particular ethical and cultural traditions to which people in that country are committed. Contrary to the ethos of globalization in contemporary Western bioethics, this essay concludes that ethical frameworks which guide critical care medicine should be local rather than global.

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