MORAL AND ETHICAL COMPONENT OF SCIENCE IN TIMES OF WAR

Abstract

Does science have a moral component? Today, as well as in the past, the perspectives of scientists diverge. Some scientists join political groups and work for them. They only care about financial benefits and waiving moral and ethical rules. Others take an alienated stance, arguing that science only has scientific objectives that must be addressed. They lack concern for ethical aspects and stand by the motto “science for the sake of science.” Others say it is important to have ethical rules in science and that we cannot preserve humankind and its movement towards the future without ethical and moral principles. Considering that the world is currently in the second decade of the 21st century, it is evident that it has been divided into two distinct axes: the first being democracy, with its significance to every human life, and the second being dictatorship and tyranny, where human life is deemed worthless in pursuit of a particular objective. Ukraine has become the first outpost of this division and an example for humankind, where moral and ethical rules serve as the foundation of its statehood, which it has been defending in the cruel war with the Moscow nuclear empire since 2014. Ukraine, through its centuries-old sacrifices and historical experience, has enlightened humanity with the authentic foundations of morality: the heroism of its defenders, the fervent patriotism of its people, spiritual principles, empathy, saving people and animals, aiding the needy, the volunteer movement, the humane treatment of prisoners of war, and adherence to international legal principles. Our main goal is to protect our personal freedom, which is vital for every scientist to be self-fulfilled. What is the distinction in morality/ethics between homo sovieticus and a doctor? The Hippocratic Oath has been a moral compass for all doctors for several millennia. Its essence has not changed. The Soviet government abolished the Hippocratic Oath in 1917 because it prevented their political objective of enslaving the population [1]. The Bolsheviks imposed a new healthcare system through a decree: they legalized abortions in 1920 and active euthanasia (by medical professionals) in 1922 [1,2]. The Presidium of the Verkhovna Rada reinstated the Hippocratic Oath in 1971. Called “The Oath of the Soviet Doctor,” it was meant to raise the doctor’s prestige and emphasize their duty before the Soviet state [3]. The decline of medical ethics in the Russian Federation also saw the abandonment of ancient traditions focused on the patient in the principles of medical practitioners’ activities and the continued functioning as a tool of the ruling government [4]. The oath of Russian physicians, with its patronizing and sexist language, completely disregards the rights of the patient and the physician’s responsibility to take preventive measures and fulfill their duties before society. The expert in medical ethics, Pellegrino, observed, “It’s hard to imagine a more devastating mutilation of the body of medical ethics.” The re-emergence of pre-existing medical behavior patterns, which were rooted in the Ukrainian environment and influenced by Greek-Catholic customs prior to the Soviet era, was observed with the declaration of Ukraine’s independence in 1991. Professor Bohdan Nadraha was a strong supporter of the creation of updated medical ethics [5]. As one of the initiators of the revival of the Ukrainian Medical Society in Lviv and as the head of the Court of Medical Honor from 1992 to 1996, he firmly advocated for the reinstatement of bioethical principles among physicians and their practice in accordance with the principles of Hippocrates. Professor Ihor Herych created a document called “The Hippocratic Oath of the Doctor”, and Lviv Regional Medical Administration officially accepted it in 2007 [6]. Article 81 describes the ethical behavior of a doctor, including the doctor’s attitude towards the patient, the quality of medical care, confidentiality, the doctor’s role in end-of-life care, transplantation issues, conducting clinical trials, patient’s informed consent, and responsibility of doctors before the society. During a meeting with members of the Medical Commission of the Shevchenko Scientific Society and the Ukrainian Medical Society in Lviv, His Beatitude Liubomyr Husar addressed the physicians regarding the observance of the Hippocratic Oath, “In my opinion, it is imperative to comprehend that medicine is not merely a profession, but a calling, regardless of the form of oath.” He further stated that “understanding the significance of one’s profession and performing it with the utmost diligence is essential” [7]. The doctor has a calling that obliges them to do everything possible for the patient’s benefit. His important advice on de-communization was, “Corruption is part of the Soviet legacy. In my perspective, it is imperative that the authorities, scientists, historians, and every member of society analyze the legacy of the Soviet era and the remaining negative elements and swiftly eradicate these undesirable elements” [8]. Ukrainian scientists have a lot to be proud of because they started the foundations back in the 19th century when they founded the Shevchenko Scientific Society in Lviv in 1873 with support from philanthropists from Naddniprianshchyna. The Ukrainian intelligentsia and academics united and forged a solid foundation for the ethical values they pursued, embracing the ideals of liberty and tolerance being stuck among the two empires – the Austro-Hungarian Empire and the oppressive autocratic Russian Empire. This Society experienced significant development under the leadership of academician Mykhailo Hrushevskyi. The medical commission was established and supervised by Yevhen Ozarkevych, a prominent public figure, scientist, and physician, in 1898. As a global Ukrainian multidisciplinary academy of sciences, the medical commission has given impetus to the development of various directions of Ukrainian science, culture, and language and became the intellectual foundation of the Ukrainian state in 1918. The Shevchenko Scientific Society operated in Poland until 1939 and was destroyed by the Soviet authorities. In 1989, the Ukrainian diaspora recommenced its operations in Ukraine. The active intellectual diaspora, with its centers in the United States, Canada, Europe, and Australia, has been operational for 50 years (working outside Ukraine). So, we have a story about moral scientists who lived and worked for their country and the world [9]. Doctors and scientists who were forced to emigrate continued the traditions of the Lviv Ukrainian Medical Society and the Shevchenko Scientific Society during the 46 years of communist rule in western Ukraine. They started the Ukrainian Medical Society of North America in 1950 and published their works in the world’s only medical journal, “Medical Herald” (1954). Roman Osinchuk, who graduated from Lviv University and emigrated to New York in 1947, was its Editor-in-Chief. The basis of their activities were moral and ethical principles. Pavlo Dzhul, who edited the “Medical Herald” from 1967 to 2003, said it was better to follow the rules of medical ethics and follow the Hippocratic Oath instead of making a new code of ethics. “Hippocrates, in his oath, called for the honest fulfillment of duties according to one’s abilities and knowledge... a physician should alleviate the suffering of the sick and preserve human life... should lead a pure and blameless life, be committed to their profession to the fullest, and stay far from all that is malicious, unjust, and harmful. The aforementioned adage “primum non nocere” ought to remain relevant throughout time. A doctor who adheres to these principles will be able to fulfill their duties with a clear conscience, even during times of great revolutionary breakthroughs in medicine. Therefore, there is no need to draft a new code of medical ethics, but rather to reaffirm the ideals of our forefathers” [10]. In modern times, Ukraine is again fighting for the eternal principles of morality against the essence of the Russian Federation distorted by Soviet narratives and other dictatorial regimes. The democratic world underestimated the threats of dictatorial and terrorist regimes. Aggressors use economic and informational methods to manipulate people with a false ideology. They shape their supporters into “biomass” and instill in them a hidden “dark” morality also involving their religions. This is the second year that Ukraine is experiencing war particularly painfully, and this was also demonstrated during the attack on Israel. How methodically and uniformly the dictator-terrorist regimes operate! What a treachery, deceit, and cruelty! Someone teaches well, and executors learn quickly! The world must arrive at lucid and expeditious conclusions, as this poses a serious threat to the democratic principles of humanity. Joe Biden spoke about it in his special address from the White House on October 19, 2023: “We’re facing an inflection point in history... those moments where the decisions we make today are going to determine the future... History has taught us that when terrorists don’t pay a price for their terror, when dictators don’t pay a price for their aggression, they cause more chaos and death and more destruction... making sure Israel and Ukraine succeed is vital for America’s national security... global democracy” [11]. Everyone should reflect on these words, especially the intellectual elite. Scientists worldwide need to know which direction they are moving in by using their knowledge, abilities, and work. The everyday work and moral decisions made by scientists represent the symbolic placement of weights on various platforms of the historical scales: either for democracy or for dictatorship. They are two components of the real world today. What prevails now will be our future! This is a challenging question for scientists living in d