Intervention Bioethics: A Proposal For Peripheral Countries in A Context of Power and Injustice

Abstract

The bioethics of the so-called 'peripheral countries' must preferably be concerned with persistent situations, that is, with those problems that are still happening, but should not happen anymore in the 21st century. Resulting conflicts cannot be exclusively analysed based on ethical (or bioethical) theories derived from 'central countries.' The authors warn of the growing lack of political analysis of moral conflicts and of human indignation. The indiscriminate utilisation of the bioethics justification as a neutral methodological tool softens and even cancels out the seriousness of several problems, even those that might result in the most profound social distortions. The current study takes as a theoretical reference the fact that natural resources (which affect us all) are relevant. Based on these premises, and on the concept that equity means 'treating unevenly the unequal', a proposal of a hard bioethics (or intervention bioethics) is introduced, in defence of the historical insights and rights of economically and socially excluded populations that are separated from the international developmental process.

Sociedade Brasileira de Bioética: uma bioética de compromissos

“…In another sphere, intervention bioethics points to the global and plural need to address persistent or emerging bioethical and moral issues in the concrete reality of the lives of individuals, collectivities and countries. Its aim is to seek solutions to conflicts from the perspective of equity, justice and universal human rights 7 .…”

Críticas ao principialismo em bioética: perspectivas desde o norte e desde o sul

“…As críticas aqui descritas são aquelas apresentadas principalmente por bioeticistas da América Latina (Schramm;Kottow, 2001;Garrafa;Porto, 2003;Garrafa, 2005;Tealdi, 2006;Garrafa;Azambuja, 2007;Tealdi, 2008) que incorporaram a percepção histórica na discussão sobre o principialismo. Essas críticas se aproximam da ideia de que "pensar desde o Sul implica em dialogar com os conceitos produzidos pelo Norte, atentos ao risco de subordinação a eles" (Nascimento; Garrafa, 2011, p. 291).…”

“…Por outro lado, diversos autores já lançaram críticas contra essa corrente de pensamento da bioética Gert, 1990;Holm, 1995;Culver;Clouser, 1997;Schramm;Kottow, 2001;Garrafa;Porto, 2003;Garrafa, 2005;Tealdi, 2006;Garrafa;Azambuja, 2007;Tealdi, 2008) utilizando como objeto críticas de diferentes aspectos e origens. A própria expressão "principialismo" nasce no contexto crítico a essa perspectiva bioética Gert, 1990).…”

A bioética de intervenção no contexto do pensamento latino-americano contemporâneo

“…Among the bibliographic production of its most prominent authors, we can highlight the following articles: Ethics and public health: the issue of equity and a proposed hard bioethics for peripheral countries 10 ; Hard Bioethics: a peripheral perspective to traditional bioethical theories 11 ; Bioethics, power and injustice: for intervention ethics 12 ; Intervention bioethics: a proposal for peripheral countries in the context of power and injustice 15 ; Gender, race and intervention bioethics 16 ; Intervention bioethics: considerations of the market economy 17 ; From a 'bioethics of principles' to a critical and socially committed 'intervention bioethics' 18 ; Social Inclusion in the political context of bioethics 19 ; Bioethics of intervention and access to healthcare and medicine 20 ; The influence of health reform in the construction of Brazilian bioethics 6 ; Expansion and politicization of the international concept of bioethics 21 . In addition to these articles the following chapters of books and other publications are worthy of attention: "Intervention Bioethics: retrospective of a utopia" 13 ; "Multi-inter-transdisciplinarity, complexity and concrete totality in bioethics" 22 ; "Mercosur Regional Bioethics Convention: a proposal of the UNESCO Chair in Bioethics at UNB" 23 and "Intervention Bioethics" 24 .…”