Academic literature on the topic '經濟平等'

日本2019年5月1日從「平成」改元到「令和」後，平成30年的歷史就此落下帷幕。到現在為止的30年間，日本經濟從平成元年（1989年）泡沫經濟的頂峰開始，經過消費稅增稅、亞洲貨幣危機、平成金融危機、IT泡沫的崩潰、雷曼危機等時期。破產以及企業再建的數量隨著經濟結構的改變而發生變化，經濟不景氣破產就會增加，景氣變好破產就會減少。如果從經濟結構方面探討，可以用熊彼得的經濟結構被資本主義內在力量破壞的理論來表現，即「創造性破壞」。<br />

LANGUAGE NOTE | Document text in Chinese; abstract also in English.宋代政治、經濟、科技、哲學、風尚等諸多因素促進了醫藥學的發達與繁榮。《聖濟經》猶如宋代醫藥學百花園中一朵瑰麗的奇葩，為後人從醫理到實踐提供了寶貴的資料。《聖濟經》（10卷，分42 篇，注重理論）同《政和聖濟總錄》（亦稱《聖濟總錄》，醫學百科，200 卷，分66 門，闡述病因、病理及醫治藥方）都是由宋徽宗趙佶(1082-1135) 親自主持編纂的醫學大作。《聖濟經》除了確立儒家的綱常倫理之外，更在本體宇宙論的氣論框架下構建了道家身心平和的基本醫學原理。《聖濟經》所體現的醫學倫理思想，如“陰陽合而夫婦正”、“五行有殊相”、 “氣者生之元也”、“子之在母”、 “去邪輔正，以平為期”等，突出表現了儒道相容的陰陽觀、五行觀、整體觀和辯證觀，同時展現了宋代獨特的政治生態和文化特徵。According to Chinese medical history, the Shengjijing (Canon of Sagely Benefaction) was commissioned by Emperor Huizong (1100-1125) of the Song Dynasty. It is usually compared with another great project of the time, the Shengji zonglu (Medical Encyclopedia: Classic of Sagely Benefaction). The emperor wrote prefaces for two large formulary compilations. The Canon of Sagely Benefaction, which comprises 10 chapters of medical theories, was published in 1118, and the Medical Encyclopedia: A Sagely Benefaction, which comprises 200 chapters of formularies, was published in 1122.This paper focuses on the ethical dimensions illustrated by the Canon of Sagely Benefaction. It explores fundamental Chinese concepts such as qi energy, yin and yang, the five phases and their mutual transformation as implemented in the medical text. The author argues that these key concepts are well incorporated into medical practice and function as a guide for both physical health and moral cultivation. Such combinations of the medical with the ethical and the physical with the spiritual can be considered a fusion of the Daoist and Confucian traditions, a popular practice during the Song period.DOWNLOAD HISTORY | This article has been downloaded 114 times in Digital Commons before migrating into this platform.

LANGUAGE NOTE | Document text in Chinese; abstract also in English.一個道德上公正的醫療保健制度，不僅應該保障人人都可以均等地獲得基本的衛生保健服務，還應該是財務上可持續的。醫療保健制度籌資責任主體一般包括政府、個人、家庭等，各籌資主體責任大小對實現一國或一地區衛生資源的有效配置、為當地居民提供公平而又有效的醫療衛生服務至關重要。本文將建國以來中國城鎮地區醫療保健制度的發展演進劃分為四個階段，分別是計劃經濟時期、經濟制度轉軌時期、市場經濟初期、全民基本醫療保險時期，基於儒家生命倫理原則，對中國（內地）城鎮地區衛生籌資責任主體進行回顧、反思，分析認為中國衛生籌資責任主體發展經歷了「政府大包大攬、個人及家屬免費享受」——「政府財政逐漸退出、個人及家庭負擔加重」——「 政府責任回歸、個人負擔有所下降」——「政府、市場、個人責任逐漸趨於均衡」這一過程。基於儒家衛生正義觀，本文認為「仁政」不是絕對平均主義，也非個人全權負責；「家庭本位」的傳統文化在中國一直活躍至今，制度安排亟需家庭責任的回歸。在儒家看來，一個道德上合理的衛生籌資責任，應該是個人、家庭和政府的平衡與和諧。A morally justifiable health care system should not only ensure that everyone has equal access to basic health care services, but also be financially sustainable. It is normally supposed that governments, individuals and families take joint responsibility for health care in a certain country or region. Their levels of financial responsibility are a significant factor in the effective allocation of healthcare resources and fair delivery of health care services.This paper divides the historical evolution of health care financing responsibilities in urban China since 1949 into four periods: a planned economy period, an economic system transition period, an initial period of market economy and a universal health coverage period. Based on Confucian ethical principles, the author reflects on financing responsibilities in urban China. She determines that the financing responsibilities of different periods have changed from government- to individual-dominant, finally achieving a balance between government, the market and the individual. The author argues that from a moral standpoint, according to Confucian ethical appeals on health justice, a benevolent government should practice neither the doctrine of absolute equalization nor the principle of individual liberalism. As the idea that the family comprises the primary community is still active in contemporary China, family responsibility should be emphasized along with health care financing policy. According to Confucianism, a morally just health care financing responsibility requires a proper balance and harmony between individuals, families and governments.DOWNLOAD HISTORY | This article has been downloaded 401 times in Digital Commons before migrating into this platform.

LANGUAGE NOTE | Document text in Chinese當前的保健系統並不以功能恰當的市場來運作。保健成本被隱激起來，且往往被轉移，而消費者和供給者都受到保護，不受其決策在經濟上的影響，使得成成本大幅上升。柯林頓的計劃不思針對當前以雇主為基礎的保險系統，以及其形成的不平等來對症下藥，反而把不平等擴大，還添加以大量的政府管制。到底選擇以消費者為基礎的系統，抑或是政府控制的系統？這是大眾最終的選擇。以保健改革為基礎的市場，強化了個人的自由與責任，而追求這樣的市場，可滿足兩條倫理原則。其一，美國消費者可察覺到保健服務真正的成本，而市場力量亦因而引起供給者控制成本的動機。其次，公義的需求亦能滿足，理由是，不但醫療服務供給者得到應得者，公共政策製訂者亦能更有效地使最需要的人得到援助。DOWNLOAD HISTORY | This article has been downloaded 14 times in Digital Commons before migrating into this platform.

LANGUAGE NOTE | Document text in Chinese; abstract also in English.從現代生命倫理觀研究的現實出發，解析老子關於生命倫理觀的思想精髓及其現代意蘊，對於理解與認識現今社會發展中人與自然、人與社會和人與人之間關係所存在的問題，對於促進社會中人自由而全面的發展，都具有重要的價值和意義。從中國傳統思想文化出發，依託社會發展的現實，從倫理學角度對生命的解讀就不能僅僅局限於醫學領域，而應該是在社會這一更為寬泛的領域中進行研究。老子的思想深刻地揭示了自然、人以及社會存在和發展的內在規律，他的思想閃耀著獨特的人性的、智慧的光芒。在其博大深遠的思想之中顯現若現代意義的關於生命倫理觀的意蘊，其基本思想是：人的存在和發展必須是基於對自然和社會發展本質規律（“道”）的深入認識以及積極能動地尊重和適應﹔人的生命價值的實現和生命尊嚴的獲得必須是基於人與自然和社會良好的互動關係中得以實現的。人與外在因素互動過程中， 基本上形成了人與自然、人與社會和人與人之間三個層次的關係。在人與自然的關係中， 老子認為天之道也即是人之法，自然法則也應是人的行為規範， 應把對自然法則的認識上升到人類行為價值的高度。人對自我生命的愛護、尊重與保全，是以尊重與遵循自然之道為前提的，人的生命的存在與發展必須與自然保持和諧統一。在人與人的關係中， 老子首先認為在對待他人的利益方面，應該做到以寬厚仁慈的心態待人接物，成人之美，與人為善。其次，老子強調的是個體對自我心態和行為的約束。再者，在對待與他人的矛盾方面，老子認為“夫唯不爭，故天下莫能與之爭”。在分析社會與人的關係中，老子首先認為國家政策的實施，應該是循序漸進的，必須考慮到普通人的承受能力。其次老子認為社會和政府必須協調、平衡人與人之間的各種差距，政策的制定與實施應盡可能關照到最大多數人的利益。再者老子認為社會中人與人利益的不均衡，必將致使社會存在風險。老子的思想對於我們今天從倫理的角度認識人生命的尊嚴、權利與價值，對於理解人以及社會的和諧發展都具有重要的現實意義和價值。第一、隨著經濟的快速發展，人類對自然環境的破壞也日漸加劇。人類存在和發展的權利與自然是平等的，不能以犧牲生態環境、犧牲人生命存在和發展的價值去發展經濟，因為社會的可持續發展依存於人類與自然的和諧統一。第二、目前社會發展存在諸多方面的不均衡狀態。政府有責任縮小包括經濟、醫療和教育等方面的差距，使得公眾在各種資源的佔有上盡可能地趨向均衡狀態，使公眾擁有相對平等的生存權、發展權、生命健康權和接受教育的權利等，以維護其生命的尊嚴和促進其生命價值的實現。第三、在醫學活動中，其正實踐“預防為主”的方針，有效控制和消除引發疾病的各種自然和社會的因素，激發人自身的潛能，順應生命存在與發展的自然和社會的內在規律，引導公眾崇尚並踐行健康、文明、科學的生活方式，在“預防為主”科學理念的引領下積極維護人的生命健康權。第四、個體人文素質的提高是社會文明發展的重要標誌，它能夠促進人與人之間關係的協調，能夠喚醒和增強個體關注與維護他人生命的尊嚴、權利、價值。重視優良傳統道德文化在社會中的作用與價值，以制度化的方式加強優秀傳統道德文化的教育和實踐，培養公眾的人文主義精神。以社會現實為基礎，從生命倫理觀的角度出發對老子思想的研究，必然能夠加深對人以及生命的尊嚴、權利、價值的維護與實現的理解，促進人與自然、社會的和諧發展，促進人自由而全面的發展。This paper attempts to show that Laozi's thought covers a sense of bioethics and carries profound moral implications for contemporary society. His basic thought includes: Human existence and development must be based on the essential rule of nature (dao); a thorough understanding of dao can improve human adaptation; and human value and dignity must be realized based on natural and good social relations and interactions.In natural relations, Laozi thought that the dao of nature is also the rule of person; that is, natural rule should also be a person's behavior standards. Human existence and development must maintain a harmonious unification with nature. In personal relations, Laozi thought that one should treat other people generously and beneficially, helping others do well. At the same time, Laozi emphasized that one must control and restrict one's desires and passions. As he put it, "if you do not compete with anyone else, nobody will defeat you."Laozi’s thought has good ethical implications for today. First, along with fast economical development, humans should pay attention to the preservation of the natural environment. Society’s sustainable development depends on a harmonious human unification with nature. Second, government should have a responsibility to maintain harmonious relations among different classes and areas of human persons. Third, in medical activity, preventive medicine, rather than aggressive procedures, should be taken as the main medicine. Finally, seriously research into Laozi’s thought for the sake of bioethical studies can significantly deepen our understanding of humans, nature and development. DOWNLOAD HISTORY | This article has been downloaded 73 times in Digital Commons before migrating into this platform.

LANGUAGE NOTE | Document text in Chinese; abstract also in English.作為一種法律學說，知情同意在西方社會已經存在多年，並且得到長足的發展。這一學說來源於《紐倫堡法典》。知情同意不僅僅是“法律文件”，也不是醫患“共同決策"，它是具有豐當倫理內涵的一個概念，是一個人實際理解並且真正在沒有他人控制下有意地批准和同意專業人員做某事。中國具有其獨特的文化傳統背景和經濟發展水平，西方國家基於自主的和權利的理論、信念以及方法在中國基於義務的和強調集體的傳統文化中尚缺乏一定的根基。中國文化傳統上的倫理決策是基於義務而不是基於權�的。這種根深蒂岡的傳統所肯定的是社會或者整體的利益，容易忽視的是個人應享有的權利。在中國文化傳統中，家庭和社區具有很強的凝聚力，家庭或社區協助和支持下的知情同意往往建立在更加充分的理解、思考基礎之上。這種知情同意獲得的方式很有價值：更加精緻，更加體現了尊重人的倫理學原則。但是需要注意的是，這種協助不能完全超越自我決定性。另外，社區的“允許”並不等同於個人的“同意”，而且社區的允許也不應該取代個人的同意。另外，目前在中國，臨床藥理試驗，倫理審查委員會（IRBs）制度化，合理的補償與不正當的引誘的區別，基因研究中的知情同意問題以及利益衝突等很多現實問題都需要引起倫理學的關注，並進行大量的研究工作。In Western societies, the idea of informed consent as a legal account has long been there and developed significantly. This idea originated from the "uremberg Code". In fact, informed consent is neither a mere "legal document" nor a "common decision" made by the physician and the patient. It is a concept rich in moral content. It is about how an individual perceives and intentionally (without being controlled by others) agrees and allows professionals to carry out certain actions on him/her.China has a unique traditional cultural background and economic development level. Due to the emphasis on responsibility and collectiveness in Chinese cultural traditions, introducing the Western theory, beliefs, and practice based upon individual autonomy and rights to Chinese society does not have solid foundation. According to Chinese cultural traditions, people consider responsibility instead of rights during making ethical decisions. These deeply-rooted traditions assure the interests of the whole and tend to neglect the rights of the individual. Chinese families and communities have a very strong sense of cohesiveness. With the assistance and support of the family or community, the thinking and understanding of informed consent can be established on a more adequate and solid foundation. This kind of way to get informed consent is very valuable: it is more accurate and can also fulfills the ethical principle of respect. However, the assistance of the family or community should not override individual's autonomy in making decisions. Moreover, community "permission" is not equal to individual "consent". Indeed, it should not replace individual "consent".Contemporary China faces many practical problems, such as clinical medicine testing, establishing Institutional Review Broads (IRBs), differences between reasonable compensation and improper reward, conflict of interests in genetic research as well as the practice of informed consent. They demand ethical attention and a large amount of careful research.DOWNLOAD HISTORY | This article has been downloaded 13 times in Digital Commons before migrating into this platform.

LANGUAGE NOTE | Document text in Chinese; abstract also in English.由於新冠病毒的特性和難以防诸，新冠肺炎病毒很快成為全球性的流行病。而在此疫情中，受到感染和死亡的地區與人數急升，不但造成全球性的恐慌，同時產生許多心理、生活和文化上的嚴重問題。本文從倫理與文化，特別是儒家的精神，檢討我們與此病毒共存時，如何調整我們的生活與價值，建立生命共同體的觀念，以減輕或免除由此嚴峻疫情所受到的個人與社會的創傷和後遺症。本文分析了在地球村的緊密關係之下，我們必須保持有效的防疫工作才可以開封和進行經濟生產、物品流通，否則會在目前和日後不斷發生重覆的社區感染。人類必須圑結互助、共同承擔和接受各種不便，互讓互該、助人助己，才能夠平安渡過此一巨大災難。公共衛生的防疫工作是一涉及個人自由與公共安全的嚴重的道德兩難的課題。在防疫上，我們的個人行動實涉及他人的生命安全與權益，我們必須放棄以個人自由權利為優先的觀點，採取在生活共同體中的仁愛與對他人的苦難所具有的同情共感的自我要求，以共同義務與關懷為主，這實是一「為己為人」的雙重義務，在疫情流行中，更需要發揮「老吾老以及人之老，幼吾幼以及人之幼」之仁愛精神；在工作上必謹守敬慎原則，超前部署防疫工作，防範醫療體崩潰，在疫情的政策要公開、透明、問責、方可望全民共同努力，共渡難關，實現「養生送死無憾」的人生願望。在疫情中，家人的互相照護不但是生活上也是情感上的最重要的支持和解慰，社會和政府也必須提供必要的生活用品和醫療資源的支助，以及截斷政治干涉，讓專家們進行公開的宣導工作、病情教育、回應疑難等，使社會、家庭和個人都得到 支援和共識。病毒的傷害無國界，是我們的共同敵人，防疫的工作也無國界，人類必須有跨國家和跨民族的一體同仁的意識，實現互愛互助，不但救助社群中的脆弱者，也要救助落後的國家地區的人們。我們要領取這次教訓，建立真確的疫情訊息分享的平台，建立全球的病毒研究的規範、合符嚴格要求的病毒研究室，拒絕利用病毒研究為生化與戰爭的工具。在疫情中可以推進世界和平，最後可以從病毒了解生命，在疫情中發揚倫理與文化的價值。The special properties of the new Covid-19 virus make it difficult to control, and it very quickly became a pandemic. The numbers of infected and deaths have increased so fast that it has incited a global panic and caused serious worldwide psychological, day-to-day, and cultural problems. This paper adopts a Confucian perspective to analyze the problems of living with the virus and to explore how to adapt our values and way of living to mitigate or eliminate personal and social traumatic experiences during this serious time. In this paper, I point out that as we live in a close-knit global village, we need an effective policy to keep the pandemic at bay before we can remove inter-city and international barriers to the production of materials and the flow of economic products. Otherwise, we may—and in fact have had—continuous repeated infections. People must develop global solidarity based on interpersonal and intersocial love to share our responsibilities and burdens, and to help ourselves as well as others in this terrifying pandemic.Public health pandemic prevention is a job involving a moral dilemma between personal rights and public safety. Because our preventative actions involve the lives of others, we must abandon prioritizing our personal rights and adopt the principles of benevolence and empathy toward others, taking our common responsibility and care toward others as our main basis of action. This principle also applies to us: benevolence needs to be extended from our family members to everyone else. We have to put precautionary principles into action in our prevention, publicity, transparency, and accountability efforts to overcome the pandemic.Family members are essential, as they provide both physical and emotional support during the pandemic. Society and governments have to provide the means to live as well as medical support, and political interference must be curbed so that medical professionals can take the lead on public interactions, education, and interviews to enable individuals, families, and society to build a consensus on the issues and policies of prevention. Our common enemy is the virus, which assaults human health indiscriminately. We need to help our people as well as those in other countries, especially society’s most vulnerable. We must learn from this calamity and build a platform to share information, establish norms regulating virus studies, enact rigorous regulations for safety in virus research laboratories, and reject using research results for chemical warfare. We hope this pandemic can bring about world peace as we learn to better our lives and further our ethical and cultural values.DOWNLOAD HISTORY | This article has been downloaded 29 times in Digital Commons before migrating into this platform.