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首页> 外文期刊>Journal of Medicine and Philosophy >Long-Term Care: The Family, Post-Modernity, and Conflicting Moral Life-Worlds
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Long-Term Care: The Family, Post-Modernity, and Conflicting Moral Life-Worlds

机译：长期护理：家庭，后现代性和道德生活世界的冲突

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摘要

Long-term care is controversial because it involves foundational disputes. Some are moral-economic, bearing on whether the individual, the family, or the state is primarily responsible for long-term care, as well as on how one can establish a morally and financially sustainable long-term-care policy, given the moral hazard of people over-using entitlements once established, the political hazard of media democracies promising unfundable entitlements, the demographic hazard of relatively fewer workers to support those in need of long-term care, the moral hazard to responsibility of shifting accountability to third parties, and the bureaucratic hazard of moving from individual and family choice to bureaucratic oversight. These disputes are compounded by controversies regarding the nature of the family (Is it to be regarded primarily as a socio-biological category, a fundamental ontological category of social reality, or a construct resulting from the consent of the participants?), as well as its legal and moral autonomy and authority over its members. As the disputes show, there is no common understanding of respect and human dignity that will easily lead out of these disputes. The reflections on long-term care in this issue underscore the plurality of moralities defining bioethics.
机译：长期护理存在争议，因为它涉及基础性纠纷。有些是道德经济的，取决于个人，家庭或国家是否主要负责长期护理，以及在道德上考虑如何建立道德和财务上可持续的长期护理政策一旦确立权利，人们就会过度使用权利；媒体民主国家承诺无法获得应得的权利的政治隐患；为需要长期照料的人提供支持的工人相对较少的人口统计学危险；将责任追究责任转移给第三方的道德隐患；以及从个人和家庭选择转向官僚监督的官僚主义风险。这些争议因家庭性质的争议而变得更加复杂（是否主要将其视为社会生物学类别，社会现实的基本本体论类别或参与者的同意所导致的构想？），以及其在法律和道德上的自治权和对其成员的授权。正如争端所表明的那样，对于尊重和人的尊严尚无共识，这些共识很容易导致这些争端。在这个问题上对长期护理的思考强调了定义生物伦理学的多种道德。

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