Abstract

TACUMA PRADA, Claudia Patricia  and  TOVAR RIVEROS, Blanca Elpidia. The relationship between Bioethics and Public Health. rev.latinoam.bioet. [online]. 2021, vol.21, n.2, pp.143-156.  Epub Dec 31, 2021. ISSN 1657-4702.  https://doi.org/10.18359/rlbi.5020.

Public Health (PH) decision-making is based on what is and the ought-to-be. In Colombia, the bioethics, research ethics, and clinical ethics committees have operated with their own bylaws to guarantee the right to health, despite social security reforms. The antecedents resulted in a fragmented health system characterized by neoliberal axiology (market economy according to the ability to pay) and the regulations of a Social State under the rule of law. The system tries to solve this fragmentation, but the structural problems in the market would only be overcome if the regulatory mechanisms and the role of the State worked. In other words, the system is insufficient to meet health needs due to interactions between socio-political agents. This process leads to utilitarian choices that sustain the trend in research topics. PH values, along with PH ethics, are variable. For PH ethics, practice values related to PH objectives and professionals are of public importance.

Keywords : Bioethics; bioethics committees; ethics committees; public health.

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