Why Bioethics Has a Race Problem

Why Bioethics Has a Race Problem
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DOI:
10.1002/hast.542
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发表时间:
2016-03-01
影响因子:
3.3
通讯作者:
Hoberman, John
Hoberman, John
中科院分区:
人文科学3区
文献类型:
--
作者:
Hoberman, John

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在2001年9月至10月的黑斯廷斯中心报告中,编辑格雷戈里·凯布尼克鼓励生物伦理学家将注意力转向容易被忽视的,相对较少谈论的社会话题,如种族。2000年,美国生物伦理学协会主席呼吁建立一种更具社会意识的生物伦理学。凯布尼克指出,种族是一个危险的领域,但这一挑战并不能成为逃避的理由。在接下来的15年里,对这位编辑的邀请的反应,以审查报告中的医学种族方面是有限的,无论是在数量上还是在所涵盖的主题范围内。总而言之,生物伦理学界没有响应编辑的呼吁,要求生物伦理学家参与医学的种族层面,报告也没有真正兑现2001年做出的默许承诺。《报告》和《美国生物伦理学杂志》证明了对种族问题缺乏兴趣,这在医学人文期刊中也很普遍,它们关于种族的少数文章往往以两种方式从我们当前的现实中消除种族关系:一些文章将医疗种族主义定位于美国过去或殖民地非洲,而另一些则分析虚构人物的医疗疾病。生物伦理学家还没有抓住机会,创造一个社会学和历史上知情的生物伦理学,可能适用于美国黑人的生活和他们无休止的健康危机。
In the September-October 2001 issue of the Hastings Center Report, editor Gregory Kaebnick encouraged bioethicists to turn their attention toward easily overlooked, relatively little-talked-about societal topics such as race. In 2000 the president of the American Society for Bioethics had called for a more socially conscious bioethics. Race was risky territory, Kaebnick pointed out, but this challenge did not justify avoidance. Over the next fifteen years, the response to this editor's invitation to examine the racial dimensions of medicine in the Report was limited both in quantity and in terms of the range of topics covered. All told, the bioethics community has not responded to the editor's call for bioethicists to engage with the racial dimension of medicine, and the Report has not really come through on the tacit commitment made in 2001. The lack of interest in race matters evidenced in the Report as well as the American Journal of Bioethics has also prevailed in medical humanities journals, whose few pieces on race have tended to remove race relations from our current realities in two ways: some articles locate medical racism in the American past or in colonial Africa, while others analyze the medical disorders of fictional characters. Bioethicists have not embraced the opportunity to create a sociologically and historically informed bioethics that might be applied to the lives of black Americans and their unending health crisis.