Suitable Bases for Global Bioethics: A Critical Response to Marco Annoni.

IF 2.3 2区 哲学 Q2 ETHICS
Bioethics Pub Date : 2026-09-21 DOI:10.1111/bioe.70179
James F Childress, Ramin W Parsa-Parsi, Raanan Gillon, Urban Wiesing
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引用次数: 0

Abstract

Marco Annoni argued in Bioethics that neither the specified principlism of Beauchamp's and Childress's Principles of Biomedical Ethics (PBE) nor the 2022 revision of the International Code of Medical Ethics (ICoME) by the World Medical Association can provide a suitable basis for global bioethics. In response, we first show that Annoni's effort to disqualify PBE's specified principlism as a suitable basis for global bioethics fails, primarily because of its faulty assumptions about the nature, dominance, and authority of PBE's specifications of principles, whether for particular decisional contexts or for particular moralities. We then turn to his attempt to discredit the ICoME as a possible basis for global bioethics because of what he views as its "lack of political legitimacy," its "undefined moral foundation," and its "lack of an explicit procedure to solve internal conflicts between its principles." We present a range of arguments to show that these efforts also fail, leaving both the ICoME and PBE's specified principlism as viable contenders for a suitable basis in global bioethics.

全球生命伦理学的适宜基础:对马可·安诺尼的批判性回应。
Marco Annoni在《生命伦理学》中认为,无论是Beauchamp’s and Childress’s Principles of Biomedical Ethics (PBE)的具体原则,还是世界医学协会2022年修订的《国际医学伦理学准则》(ICoME),都不能为全球生物伦理学提供合适的基础。作为回应,我们首先表明,Annoni将PBE的特定原则作为全球生物伦理学的合适基础的努力失败了,主要是因为它对PBE的原则规范的性质、主导地位和权威的错误假设,无论是针对特定的决策背景还是特定的道德。然后,我们转向他试图质疑ICoME作为全球生命伦理学可能基础的努力,因为他认为ICoME“缺乏政治合法性”,其“不明确的道德基础”,以及“缺乏解决其原则之间内部冲突的明确程序”。我们提出了一系列的论点来表明这些努力也失败了,使得ICoME和PBE的具体原则成为全球生物伦理学中合适基础的可行竞争者。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Bioethics
Bioethics 医学-医学:伦理
CiteScore
4.20
自引率
9.10%
发文量
127
审稿时长
6-12 weeks
期刊介绍: As medical technology continues to develop, the subject of bioethics has an ever increasing practical relevance for all those working in philosophy, medicine, law, sociology, public policy, education and related fields. Bioethics provides a forum for well-argued articles on the ethical questions raised by current issues such as: international collaborative clinical research in developing countries; public health; infectious disease; AIDS; managed care; genomics and stem cell research. These questions are considered in relation to concrete ethical, legal and policy problems, or in terms of the fundamental concepts, principles and theories used in discussions of such problems. Bioethics also features regular Background Briefings on important current debates in the field. These feature articles provide excellent material for bioethics scholars, teachers and students alike.
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