基本説明
The authors argue against spending almost unlimited amounts of money on medical treatment, and explore the serious biases in the way that medical research is conducted.
Full Description
Andrew Thompson, Norman J. Temple We humans are an extraordinary species. One of our finest achievements is the development of morality, of a sense of right and wrong. We articulate and then impose this sensitivity upon ourselves in the form of ethical guidelines, rules, regulations, and laws. We have, regrettably, also developed marvelously clever ways of justifying our behavior whenever it runs afoul of these prescriptions. We have, for example, developed the concept of objectivity to guide scientific pursuits and subsequently established rights which undermine the possibility of ever coming close to attaining the goal of being objective -- rights which entitle participating scientists to gain personal, tangible profits from scientific discoveries. Formerly, we envisaged gods who kept us in place, who reminded us that we were not all-powerful or especially wise. Now we tend to worship our achievements, especially our technological ones, and ourselves. Mary Midgley' aptly names this phenomenon, "humanolatry." We have lost our respect for nature in our enthusiasm for changing it to that which suits our shortsighted ends. We must, as she says, "unlearn" this way of thinking.
Contents
How Essential is Medical Research?.- Cost, Distributive Justice And Noblesse Oblige.- Research Design.- Disseminating the Results.- Leaping Over the Species' Gap: The Substitution of Humans by Other Animals in Testing of Procedures and Substances.- The Moral Justification for Substituting Other Animals in Medical Research.- How To Make A Mountain And A Mint Out Of, At Most, A Molehill: Statin Drugs.- The Right Heart Catheter: Evidence versus Bias.- The Dubious Merits of Screening for Cancer of the Breast and Prostate.- The Genomics Revolution in Medicine: A Case of Extreme Information Overload.- Disease Prevention: The Low-Tech, Low-Cost Road Less Travelled.- Postscript.
