Academic literature on the topic '倫理經濟學'

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Journal articles on the topic "倫理經濟學"

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ZHANG, Qiaoxia. "醫學倫理思想在《聖濟經》中的體現." International Journal of Chinese & Comparative Philosophy of Medicine 12, no. 1 (January 1, 2014): 55–66. http://dx.doi.org/10.24112/ijccpm.121556.

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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.
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ZHANG, Ellen Y. "導言: 中國生命倫理學——詮釋、理解與應用." International Journal of Chinese & Comparative Philosophy of Medicine 10, no. 2 (January 1, 2012): 1–16. http://dx.doi.org/10.24112/ijccpm.101517.

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LANGUAGE NOTE | Document text in Chinese以原則主義為基礎的生命倫理學系統一直是生命倫理學討論中的主導話題。而這一產生於上世紀70 年代美國的倫理學思想,如何被詮釋、理解並應用於中國文化之傳統與現實,是一個值得深思的議題。正是基於這個原因,香港浸會大學應用倫理學研究中心在過去6 年的每個暑期都舉辦一場中國生命倫理學的研討會。今年的研討會的關鍵議題包括:(1) 從西方文化與經濟的危機中看生命倫理學原則的一般性與特定性;(2) 生命倫理學的一般原則在當今中國實際應用中的困境;(3) 建構中國生命倫理學的必要性與方法論。本刊物收集了今年暑期研討會的部分論文。DOWNLOAD HISTORY | This article has been downloaded 88 times in Digital Commons before migrating into this platform.
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FAN, Ruiping. "導言: 中美生命倫理學——幼稚與無聊." International Journal of Chinese & Comparative Philosophy of Medicine 4, no. 1 (January 1, 2002): 1–8. http://dx.doi.org/10.24112/ijccpm.41417.

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LANGUAGE NOTE | Document text in Chinese“生命倫理學為何變得如此無聊?”這是美國的一位老牌生命倫理學家Albert Jonsen 在美國《醫學與哲學期刊》2000 年最後一期中的論文標題。在Jonsen 看來,美國的生命倫理學已經讓人不勝其煩,她的思想已無新意,問題和論証總是美國式的(domesticated ),而且太多的東西都轉不出美國的風水之外(too much at home in accustomed places)(頁691 )。Jonsen似乎懷念生命倫理學的先驅人物Paul Ramsey和Joseph Fletcher 在20 世紀60 年代包打天下 ,與當時的家長主義醫學大戰幾個回合的英雄時代。他們的充沛的思想激蕩,敏銳的政治感覺和無尚的道德勇氣在當今的生命倫理學中已屬昨日黃花,盛景不再(頁692)。如何克服當今美國生命倫理學的無聊呢? Jonsen 開出了一服包含兩味葯劑的處方。其一,走出自己的專業(倫理學)行當,更多地瀏覽一下其他學科的情況--不僅包括生物學,醫學和法學,還包括社會學,人類學,經濟學,歷史學等社會科學。其二是走出國門,到其他文化中去觀賞一番。Jonsen認為,只有在外國生活過一段的人才能認識到祖國的重要特徵(頁696 )。只有通過與別人的比較才能看清美國生命倫理學的價值承諾,榮辱得失和根木所在(頁698 )。DOWNLOAD HISTORY | This article has been downloaded 14 times in Digital Commons before migrating into this platform.
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LIU, Jitong, and Dongqi ZHANG. "中國醫改實踐的生命倫理學困境與中國結構性倫理學視角." International Journal of Chinese & Comparative Philosophy of Medicine 9, no. 2 (January 1, 2011): 91–108. http://dx.doi.org/10.24112/ijccpm.91508.

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LANGUAGE NOTE | Document text in Chinese; abstract also in English.改革開放以來,中國醫藥衞生體制改革實踐面臨諸多問題,其中包括政治、經濟、社會、文化和倫理議題。醫護人員的價值觀念、道德判斷、行為規範和專業精神的危機集中體現在生命倫理學結構性困境狀況之中。現時中國醫患關係空前絕後的結構性緊張狀況正是最典型的例證。本文試圖從中國道德哲學、道德社會史、中國社會史和醫學社會史等視角,運用文獻回顧、衞生政策比較研究和案例分析等方法,回顧西方倫理學史及其個人主義生命倫理學典範之歷史演變;並在中國社會結構性轉型與醫藥衞生體制改革的宏觀社會處境下,分析中國道德哲學和生命倫理學的思想傳統及其面臨的挑戰。文章根據醫藥衞生體制改革和生命倫理學實踐,提出具中國特色的“結構性倫理學和結構性生命倫理學”。作者試圖闡述“結構性倫理學與結構性生命倫理學”體系的內涵外延、構成要素、範圍內容、基本特點和結構性成因,尤其是這種體系對目前中國醫藥衞生體制改革政策之意義。The medical reform in China over the past decade is facing various challenges, such as physician-patient relations, healthcare allocation, and the ethics of medical professionalism. This paper attempts to argue that the medical situation in China today cannot be fully understood without examining its cultural, social, and political superstructure, which clarifies the situation in China in the current transitional stage. The studies described in the paper are based on documented literatures that include various “ideal types” in terms of moral philosophies and governmental policies intended to resolve the problems at the practical level. Nevertheless, the attempt to uncover what they refer to as a form of “structural bioethics” could directly influence the on-going medical reform today as well as the re-construction of bioethical theory in China. The approach taken in the paper is historical, textual, and sociological.DOWNLOAD HISTORY | This article has been downloaded 61 times in Digital Commons before migrating into this platform.
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陳銘聰, 陳銘聰. "中國大陸學生權益救濟法制之研究:北京大學撤銷于艷茹博士學位案例評析." 彰化師大教育學報 35, no. 35 (December 2020): 029–64. http://dx.doi.org/10.53106/181983092020120035002.

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<p>近年來高校學生因學校對其違紀違規處理過當或者不能接受相應的處分結果,將母校告上法庭的案件時有發生。學生認為學校的處理結果嚴重的侵害到其受教育權或其他基本權利。這種現象一方面是高校學生的自我保護的法律意識不斷地提升,另一方面也反映出高校在處理學生違規行為時學生權利救濟程序存在著不合法之處。學位不僅僅是學術水準的象徵,而且是獲得相應的經濟地位和社會地位的前提條件。在高校作出學位撤銷的決定時,必須要同時兼顧實體公正和程序正當,既要達到維護學術價值和學術倫理,又要充分保護學生的合法權益。尤其是學位撤銷會給當事人帶來的負面影響是極其重大的,除了直接會影響到當事人名譽權、隱私權和工作權,乃至於當事人的人格尊嚴等。這種會造成當事人嚴重後果的行為,必須要完善救濟的途徑。目前因為學位撤銷而引起的糾紛已經納入到司法審查的範圍,不過,因為關係到高校的「學術自由」,法院對學位撤銷糾紛進行審理時,一般僅會審查高校在學位撤銷過程中是否遵循正當程序原則,至於實質性學術不端問題,法院一般不會進行審查。本文以北京大學撤銷于艷茹博士學位案為例,分析學位撤銷存在的爭點,企盼更全面認識中國大陸學生權益救濟法制。</p> <p>&nbsp;</p><p>In recent years, college students often take their alma mater to court because they have been punished or can not accept the corresponding punishment. Students think that the results of the school seriously infringe on their right to education or other basic rights. On the one hand, the legal consciousness of College Students’ self-protection is constantly improving, on the other hand, it also reflects the illegality of the student rights relief procedure in dealing with students’ violations. degree is not only a symbol of academic level, but also a prerequisite for obtaining corresponding economic and social status. When colleges and universities make the decision to cancel their degrees, they must take into account both substantive justice and procedural justice, not only to maintain academic value and academic ethics, but also to fully protect the legitimate rights and interests of students. In particular, the negative impact of degree revocation on the parties is extremely significant, in addition to directly affecting the party’s right to reputation, privacy and work, and even the party’s personal dignity. This kind of behavior will cause serious consequences of the parties, we must improve the way of relief. At present, the disputes caused by the revocation of degree have been included in the scope of judicial review. However, because it is related to the &quot;academic freedom&quot; of colleges and universities, when the court tries the dispute of revocation of degree, it generally only examines whether colleges and universities follow the principle of due process in the process of revocation of degree. As for the substantive academic misconduct, the court generally does not review it. Taking the case of the Yu Yanru’s doctorate degree from Peking University as an example, this paper analyzes the dispute points of degree withdrawal and hopes to have a better understanding of the legal system of student rights relief in Chinese mainland.</p> <p>&nbsp;</p>
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YANG, Guoli. "從儒家到生命倫理學四原則." International Journal of Chinese & Comparative Philosophy of Medicine 8, no. 1 (January 1, 2010): 99–119. http://dx.doi.org/10.24112/ijccpm.81487.

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LANGUAGE NOTE | Document text in Chinese; abstract also in English.要解決諸如個人或國家因醫療引發的經濟上的“雙崩潰”,伴隨醫生個人權威的沒落和患者個人權利的提升造成醫療領域的“禮崩樂壞”和醫患之間道德異鄉人等的問題,首要是需要選擇一種文化為指引以便思想和行動。本文從多方面思考,認為儒家是最佳的和最具比較優勢的可選擇的文化。儒家生命倫理學的核心基礎是雙重人性觀和均衡發展論。儒家生命倫理學本質特徵是利他主義,它提供了一系列指令性、指導性和約束性的道德規範或道德標準,而這些標準在內容上更具備多樣性和包容性的價值和行為譜系,例如“仁”、“孝”。根據“孝”的道德規範,安樂死可以選擇,而自殺則不能被選擇;根據“禮”要求,儒家要建立一種基於禮樂文明的醫療衞生保健制度以進行衞生保健資源配置,這種制度完全不同於西方文化的現代財產制的分配制度。根據中庸的法則,生命倫理學的四原則可以被簡化為一個簡單的原則:微創原則。This paper discusses the possible application of the four principles of medical ethics advocated by Beauchamp and Childress to the current healthcare reform and transition in China from the perspective of someone who has many years of experience as a physician. It aims to show that many of the medical problems and solutions identified in the West also make sense in the Chinese context, although different moral language may be used. I believe that traditional resources such as the Confucian moral/ritual system can be reconstructed to handle ethical questions both in theory and in practice in China. It is argued that hospitals and physicians administer medicine through the art of benevolence. Using Confucian morality as a guide for healthcare reforms may help to make the transition period easier, and the four principles may help to standardize the regulations needed for hospitals.DOWNLOAD HISTORY | This article has been downloaded 505 times in Digital Commons before migrating into this platform.
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ZHAI, Xiaomei. "知情同意的若干問題." International Journal of Chinese & Comparative Philosophy of Medicine 4, no. 1 (January 1, 2002): 131–47. http://dx.doi.org/10.24112/ijccpm.41424.

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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.
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YANG, Tianming. "簡析老子的生命倫理觀及其現代意蘊." International Journal of Chinese & Comparative Philosophy of Medicine 5, no. 2 (January 1, 2007): 105–20. http://dx.doi.org/10.24112/ijccpm.51448.

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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.
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ENGELHARDT, H. Tristram. "走向中國生命倫理學——重審後基礎之醫學道德." International Journal of Chinese & Comparative Philosophy of Medicine 10, no. 1 (January 1, 2012): 11–27. http://dx.doi.org/10.24112/ijccpm.101510.

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LANGUAGE NOTE | Document text in Chinese; abstract also in English.當代西方面臨多重挑戰,有些是理論層面的,有些是實踐層面的。目前佔主導地位的西方世俗文化的普世主義的道德和生命倫理學工程認為道德基礎可以從道德哲學系統中的有效論證來獲得。這種思維方式源於西元前5 世紀希臘的世俗化,並在13 世紀的西方獲得新生。其後的體系基於對理性的信仰,喪失了維繫西方基督教信仰的承諾,導致康德的理性主義道德工程。1970 和80 年代出現的西方生命倫理學對個體自主性的強調試圖得到這一道德工程的印證,但這種努力已經擱淺:期望依賴普世主義的術語,通過有效理性論證來確保具體內容的所有嘗試,到頭來都不過是乞題論證、循壞論證、或無窮後退,因為人們沒有可能通過對基本前提和證據規則的理性反思來必然地達成共識。人們總是需要進一步的背景前提和規則。從歷史的脈絡來看,一旦西方世俗道德反思拋棄其上帝之眼的視角,標杆化的世俗道德體系就會陷入麻煩。一切強調無名氏的道德視角,無論是以沒有境遇的道德主體身份出現,還是以大多數人的最大利益原則出現,都無法提出標杆化的規範內容。文章認為,西方現代社會-民主制福利國家醫療資源的配置方式所引發的財政上的不可持續的危機帶來三個基本難題:(1) 醫療權利一旦確立,它們所帶來的道德風險;(2) 依靠後人為今人交付醫療服務的做法所帶來的人口風險;(3) 社會保險計劃誘發政治家玩弄空頭支票所帶來的政治風險。西方社會所面臨的危機,無論是經濟上的,還是文化上的,都為我們提供了很好的理由說明我們需要重新考量構建在中國文化視域下的、更有能力迎接21 世紀倫理學挑戰的生命倫理學。Unnoticed by many bioethicists, the very foundations of the dominant Western secular morality, and by extension the foundations of the dominant secular bioethics of the West, have been brought into question. After Immanuel Kant (1724-1804) and in the light of arguments by philosophers from G.W.F. Hegel (1770-1831) to Richard Rorty (1931-2007) and Gianni Vattimo (1936-), it has become ever clearer that neither the content of the dominant Western secular morality nor the content of the dominant Western bioethics can be secured as canonical through sound rational argument. Western secular morality and Western secular bioethics have become foundationless. They are not secured by a canonical moral rationality or by being anchored in being as it is in itself. Theimplications are wide-ranging. This paper sketches both what it means to do bioethics after foundations, and what opportunities exist for rethinking the possibilities for a Chinese bioethics.Among the difficulties of the Enlightenment moral project is that it attempted to understand individuals in anonymously universalist terms. To do this, individuals had to be considered outside of their social and historical contexts. They were as a consequence portrayed as bare moral agents. This is most saliently the case with Immanuel Kant, who understands his morality in terms of the kingdom of ends, within which all members, save God, are fully interchangeable. The members of the kingdom of ends are persons without sex, sexual orientation, species-membership, history, or family. This state of affairs is tied to a universalist, egalitarian vision of persons and society, which in the West has been understood in terms of a social-democratic morality and political agenda. The difficulty is that it is now clear that there is a challenge to the financial sustainability of healthcare allocation within social-democratic welfare states. The difficulties stem from at least three challenges to its sustainability: (1) the moral hazard due to the inclination to overuse entitlements once they are established, (2) the demographic hazard due to relying on future generations to pay for the health care of current recipients (i.e., when there are fewer children, financing becomes difficult), and (3) the political hazard due to social insurance schemes that reward politicians for promising benefits even when sufficient funds may not be available.For scholars doing bioethics in China, this state of affairs means that Chinese bioethicists are freed from having to meet secular Western bioethicists on the terms established by secular Western bioethicists. Instead, they can fashion an authentically Chinese bioethics, which nests its own moral commitments within the traditional Confucian moral narrative of China. A Chinese bioethics need not, and should not, in content or form be like the bioethics of the dominant secular morality and bioethics of the West. Given the character of secular morality and bioethics, given its inability to establish a universal, canonical morality through sound rational argument, as well as given the particularity of all morality and bioethics that possesses content, and given the promising moral content salient in Chinese culture, a move by Chinese to establish a Chinese bioethics becomes quite plausible.DOWNLOAD HISTORY | This article has been downloaded 46 times in Digital Commons before migrating into this platform.
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LIANG, Li. "患者利益至上——傳統情懷與現實挑戰." International Journal of Chinese & Comparative Philosophy of Medicine 10, no. 2 (January 1, 2012): 35–49. http://dx.doi.org/10.24112/ijccpm.101519.

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LANGUAGE NOTE | Document text in Chinese; abstract also in English.以患者利益為重被視為醫學的傳統美德,也是醫生的職責。它的基本宗旨是將患者的利益放在首位。當醫生的利益不受其他因素干擾時,他們較能承擔“患者利益至上”這一責任。而當出現利益衝突時,醫生則會面臨特殊的挑戰,有時還有可能需要做出一定的自我犧牲。西方醫學倫理在強調醫師職業道德的同時也通過制度建設盡量避免利益衝突的發生,以更好維護患者和醫生雙方的利益。中國傳統醫學倫理中,“患者利益至上”雖然沒有作為具體道德原則予以規定,但在醫療實踐中卻常常可以體現出醫生“患者利益至上”的情懷。之所以如此,與儒家文化的影響密不可分。儒家“仁”的思想強調愛人,提出對待病人要“皆如至親之想”。儒家將愛親的情感擴展到病人身上,同時也將“博施於民而能濟眾”視為自己高尚的道德追求。在義利關係問題上,儒家提出了獲取利益的正當性問題,即“不以其道得之,不處也”。醫生受其影響,反對“恃己所長,專心經略財物”,強調維護病人健康利益的重要性。另一方面,儒家修身的實踐精神有助於“仁”、“義”等從一種自然情感上升為真正意義上的道德德性,而古代重視家庭親情的傳統對於醫生的品德修養也起到了重要作用。醫生在修德的同時注重自身專業技能的訓練和提高,良好品德和精湛的技藝為維護患者的利益提供了重要條件。目前,患者利益至上的職業精神正面臨著經濟、政治、科技等多方面的挑戰,中國傳統文化缺失帶來的個體道德情感的弱化使這一問題更為突出。The doctor-patient relationship in China is currently experiencing a crisis of trust brought on by the absence of traditional morals and values in healthcare. The Confucian doctrine of ren (benevolence) is based on the possibility of moral perfection in humanity, which in turn guides one how to treat others in family and non-family social relationships. Ren as a relational virtue is particularly important for the doctor-patient relationship. That is why the Confucian idea of “treating a patient like a family member” was popular in traditional medical practice. However, current medical practice is designed around the people who deliver the care, who happen to pay more attention to their own interests and benefits than those of their patients.The essay contends that although Confucian teaching does not exclude the pursuit of self-interest or self-benefit, it does emphasize virtue and personal character, especially for doctors. No doctor is expected to make a profit that is not within the scope of moral principles, even in a resource-constrained setting. It is thus time to realign the values of the Chinese healthcare system based on Confucian virtues so that the patient is again the center of attention. The essay puts forward suggestions for medical professionals to discipline themselves by ensuring good professional and interpersonal skills.DOWNLOAD HISTORY | This article has been downloaded 228 times in Digital Commons before migrating into this platform.
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