生命伦理原则冲突条件下安乐死的解释

Vitaliy Seredyuk
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摘要

该研究文章的目的是对在生物伦理原则冲突中解释安乐死的问题进行理论和法律分析,考虑哲学,医学,生物学和法律立场。本文的新颖之处在于,面对不同的生物伦理原则,对安乐死的法律规制进行了比较分析,以寻找最佳的方式来解释法律,并适用于安乐死相关过程的控制形式。作者考察了安乐死合法化存在的伦理依据,并从人类生命的普遍和客观价值的角度对这一现象进行了解释。安乐死概念的模糊性自然包含了一系列相互关联的生物伦理、医学、法律和宗教方面,这些方面不能单独考虑。他们每个人都充满了极端的想法。“仁慈地死去”和“允许死去”之间的道德差异是基于尊重自由和不伤害的原则。在监管层面,“谋杀”和“允许死亡”的分类是有区别的。从生物伦理学的角度来看,安乐死关注的是“不杀人”的原则,这与慈善、不伤害、尊重人类自由的原则相冲突。生物伦理原则的冲突可以通过区分“谋杀”和“允许死亡”等类别来解决;“拒绝维持治疗”和“停止维持治疗”;“直接或间接终止生命”;“病人安乐死的权利”和“拒绝治疗和其他医疗干预的权利”等。在乌克兰,安乐死是法律禁止的。为了使乌克兰的安乐死合法化,有必要对乌克兰宪法进行适当的修改,并建立适当的监管框架。就在联合国和世卫组织层面制定允许安乐死的实质性和程序性标准的便利性提出了建议
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Interpretation of euthanasia in conditions of conflict of bioethical principles
The purpose of the research article is a theoretical and legal analysis of the issue of interpretation of euthanasia in a conflict of bioethical principles, considering philosophical, medical, biological, and legal positions. The novelty of the article is a comparative analysis of the legal regulation of euthanasia in the face of differences in bioethical principles to find optimal ways to interpret the law and apply forms of control of processes related to euthanasia. The author examines the existence of ethical grounds for the legalisation of euthanasia and interprets this phenomenon from the standpoint of the universal and objective value of human life. The ambiguity of the concept of euthanasia naturally contains a set of interrelated bioethical, medical, legal, religious aspects that cannot be considered separately. Each of them is filled with polar thoughts. Moral differences between “death with mercy” and “permission to die” are based on the principles of respect for freedom and non-harm. At the regulatory level, there are differences between the categories of “murder” and “permission to die”. From a bioethical point of view, euthanasia is focused on the principle of “do not kill”, which conflicts with the principles of charity, non-harm, respect for human freedom. The conflict of bioethical principles can be resolved by distinguishing between categories such as “murder” and “permission to die”; “refusal of maintenance treatment” and “discontinuation of maintenance treatment”; “direct and indirect termination of life”; “the patient’s right to euthanasia” and “the right to refuse treatment and other medical intervention”, etc. In Ukraine, euthanasia is prohibited by law. To legalise euthanasia in Ukraine, it is necessary to make appropriate amendments to the Constitution of Ukraine and create an appropriate regulatory framework. A recommendation is made on the expediency of forming substantive and procedural criteria at the UN and WHO levels for permitting euthanasia
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