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In
the opening ceremony of the International Congress of Bioethics 2005, Tehran,
the President of the Islamic Republic of Iran, Mohamed Khatami, declared the
production of Weapons of Mass Destruction (WMDs) unethical.
“God
gave me this opportunity to begin the Farsi New Year by speaking about ethics.
Bioethics is a part of ethics,” commenced Khatami in the opening ceremony.
Khatami continued his speech illustrating with various verses of poetry the
importance of adhering to ethics, moral values and one’s religion.
Khatami
emphasized that the “world is seriously threatened by the production and
proliferation of weapons of mass destruction. Despite the fact that weapons of
mass destruction are manufactured by the order of politicians and military
authorities, they are unfortunately developed and tested in scientists’
laboratories.”
Elaborating
further on the subject, the Iranian President continued by saying, “In the
name of ethics and in the name of respecting the lives of people all over the
world, we have to oppose categorically, with no exception and no precondition,
the manufacturing and proliferation of WMDs at all times and in all places.”
The
President elaborated on other issues such as the relation of ethics, philosophy
and science to each other. He also mentioned that “science and ethics share
mutual collaboration; scientific advancements pose new ethical questions.”
The
Ultimate Question
The
remaining sessions of the day commenced after the opening ceremony ended with
heated enthusiasm. The session that was received with much interest from the
Congress attendees asked the ultimate question, “Can there be a Universal Code
of Bioethics?” Answering that question was Dr. Kerry Bowman from the
University of Toronto. Dr. Bowman has been working with many diverse
communities, and had just recently been doing work in the Bakka tribal society
in Central Africa. In his introduction he discussed how the roots of bioethics
are almost exclusively “Western in origin,” which he believes emerged due to
medical abuse and resource allocation problems. An example such as the very
Western question of “who can get the limited amount of kidneys we have?”
However, “a significant concern,” according to Bowman, “is bioethics may
blunt deeper social critiques of modern Western medicine by focusing on what
ought to be done in challenging ethical dilemmas, rather than looking at the
broader systemic factors and injustices which create such problems.”
Bowman
argued that having a universal code of bioethics may be rather difficult due to
the vast cultural differences between some societies. An example of this would
be the West’s value of moral agency and individual autonomy which he believes
to have stemmed from the European Enlightenment. Whereas in many “non-Western
philosophical traditions” such as Taoism and Confucianism, their "moral
perspective and direction [are] illuminated by interdependence rather
than independence,” he explained. Some societies such as the Bakka of Central
Africa have virtually no concept of ‘self’ and much of their decision-making
depends on the opinions of the elders in their communities which they look upon
with respect.
This
difference is significant especially in cases of end-of-life decisions, where in
the West individual autonomy is prevalent. According to Bowman, Western society
has been leaning towards a more secular approach to bioethics which is
understandable since the secular approach “seeks to apply a unitary approach
to the demands of complex and diverse Western cultures,” he said. Some would
say, explained Dr. Bowman, that secularism is an alternative to “religious
perspectives and is better able to serve pluralistic, spiritual and social
context to achieve an institutionally sanctioned method of resolving
conflict.” However, Dr. Bowman argued that, “our effort to examine issues
from a non-spiritual or non-religious perspective makes our approach limited,
incomplete, and devoid of meaning as well as difficult to understand for many
non-Western observers.”
The
Dilemma
Unfortunately,
explained Bowman, the greatest problem is in the profound inequality and
distribution of health care. However, bioethics is devoted more to the developed
countries complex situations instead of the many inequalities societies face.
According to Bowman, 87 percent of the US$ 2 trillion spent on health care
globally, is spent on only 16% of the world’s population. As Bowman put it,
“These inequalities exist because in most of the developing world the health
care needs of individuals and societies are driven by poverty and privation.
Questions of autonomy are barely relevant in the face of macro questions of
distributive justice and access to preventative and curative interventions.
These staggering realities have virtually nothing to do with the genesis of
Western bioethics which arose and was first applied to tackle cases of access to
dialysis, transplants and assisted reproduction. Can bioethics shift its focus
to this extent?”
In
response to a question from IslamOnline.net about the Terry Schiavo case, Dr.
Bowman said it was a complex situation that has been highly politicized. His
main comment was that these cases should be resolved outside of the courts and a
mutual agreement reached. Bowman was reluctant to support a certain side in this
case due to the complexity of the situation. However, he noted that in the
United States, the next of kin is the husband and this should be respected.
**
Lamya Hamad
is IslamOnline.net’s Health & Science Assistant Editor. She is a graduate
of Cairo University’s School of Pharmacy. Lamya is currently in Tehran
covering the International Congress of Bioethics 2005 for
IslamOnline.net. She can be reached at: sciencetech@islam-online.net
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