Bioethics in and from Asia.

摘要: The majority of the world's population live in Asia, popular international religions world originated and largest English-speaking country (India) is Asia. Con sidering this, we may ask why there have hitherto been so few papers from Asia published Journal Medical Ethics (or most other journals dealing with medical or environmental ethics)? While economic centre has shifting to people are using prod ucts made by Asian-based companies, bioethics written In this editorial I want discuss whether any Asian bioethic, where readers can find "missing" on bioethics. issue journal see a welcome mini-symposium no less than five East Akabayashi et al1 two central issues cross-cultural ethics, namely, respect for individual autonomy informed consent should be universal, who told truth about diagnoses first. faced not only Japan but traditional societies. common response "paternalism" against dominant health care professionals who, despite general public desire know truth, think it patient's best interest else do feel competent explain counsel patient. Some also consider that family knows patient better they do, share responsibility con sultation members, so-called "familial autonomy". There some families all societies which function as one, relationships between individu als. It difficult type fam ily each one is. case discussed al, had explained while still healthy mentioned them her wish if she developed cer. Therefore physician used consent". However, cite, numerous opinion surveys since 1960s suggesting clear individuals told. Actually long tradition controlling our own death, prac tice lover's suicide (shinjuu), tale 46 samurai killed themselves after enacting revenge their leader's murder, 1703. learned respected use artificial means cause death. They natural seen Yamaoka Tesshu, influential swordsman 19th century Japan. He was Zen predicted time his control led respiration naturally die. This could ultimate choice death! We living will extension Japanese tradition, awaited return discouraged second war. not, however, mean land samurai, rather history survey physicians conducted Asai, al persistent vegetative state (PVS) pro vides more data care.2 really need in-depth dialogue study defining ethics not. interesting point at what you call something distinctly "Japanese" "Asian" "British". answer depend upon literature practices familiar with. People unwilling take decisions alone, even family, when comes matters. Chinese Liu suggests do-not-resuscitate (DNR) orders seldom signed patients themselves.3 Tsai shows ancient follow four principles approach, emphasis beneficence autonomy.4 persons too dependent physician,5 side barrier consent. A contrasting paradox question trust. International Bioethics