2022, Number 1
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Revista Colombiana de Bioética 2022; 17 (1)
Precision medicine and transhumanism: A bioethical perspective
Kottow M
Language: Spanish
References: 32
Page:
PDF size: 147.94 Kb.
ABSTRACT
Purpose/Background. To present the concatenation of medical digitalization that unravels
from the goal of therapeutic improvement through precision medicine and moves
on to enhancement medicine beyond the normal function and form of the human body
in order to reach the final purpose of creating transhuman beings.
Methodology/Approach. To select papers that discuss research and eventual practical
applications of precision medicine and encourage the possible development of transhumanism
through the progression of biomedical enhancement procedures.
Results/Findings. Both precision medicine and transhumanism have nourished public
expectations for more effective therapies, and the possibilities of functional enhancement
in the areas of cognition and ethics. Research has poured huge resources in anticipation
of products allowing for lucrative marketing.
Discussion/Conclusions/Contributions. Given the incertitude, excessive expectations
and vested interests that play a large part in biomedical digitalization, bioethics has been
unable to generate a robust debate on these matters. Some inevitable consequences
need to be addressed: Unequal access and the negative effects of biotechnological expansion,
have a destabilizing impact on adaptation between humans, nonhuman living
beings and global environment. It is urgent to call attention about the huge amounts of
resources poured into sophisticated biomedical research to the detriment of the ensuing
social and ethical problems.
REFERENCES
André, Arthur y Jean-Jacques Vignaux. 2019. “Precision medicine.” En Digital Medicine,editado por Arthur André, 49-58. París: Pitié-Salpêtrière Hospital. https://doi.org/10.1007/978-3-319-98216-8_5
Bostrom, Nick. 2013. “Existential Risk Prevention as Global Priority.” Global Policy4, no. 1: 15-311. https://doi.org/10.1111/1758-5899.12002
Char, Danton, Nigam Shah y David Magnus. 2018. “Implementing machine learningin health care—addressing ethical challenges.” New England Journal of Medicine378, no. 11: 981-983. https://doi.org/10.1056/NEJMp1714229
Collins, Francis y Harold Varmus. 2015. “A New Initiative on Precision Medicine.”The New England Journal of Medicine 379, no. 9: 793-795. https://doi.org/10.1056/NEJMp1500523
Day, Sophie, Charles Coombes, Louise McGrath-Lone, Claudia Schoenborn y HelenWard. 2017. “Stratified, precision or personalized medicine? Cancer servicesin the ‘real world’ of a London hospital.” Sociology of Health & Disease 39, no.1: 143-158. https://doi.org/10.1111/1467-9566.12457
de Sousa, Boaventura. 2021. El futuro comienza ahora. Madrid: Ediciones Akal.
De Waal, Alex. 2021. New Pandemics, old politics. Cambridge: Polity Press.
Galas, David y Leroy Hood. 2009. “Systems Biology and Emerging TechnologiesWill Catalyze the Transition from Reactive Medicine to Predictive, Personalized,Preventive and Participatory (P4) Medicine.” IBC 1, no. 2: 6.1-6.4. https://doi.org/10.4051/ibc.2009.2.0006
García, José. 2013. “Bioética personalista y bioética principialista. Perspectivas.”Cuadernos de Bioética XXIV, no. 1: 67-76.
Goldenberg, Maya. 2005. “Evidence-based ethics? On evidence-based practice andthe “empirical turn” from normative bioethics.” BMC Medical Ethics 6, no. 11.https://doi.org/10.1186/1472-6939-6-11
Greely, Henry. 2006. “Neurethics and ELSI: Similaities and Differnces.” The MinnesotaJournal of Law, Science & Technology 7, no. 2: 599-637.
Han, Byun-Chul. 2014. Psicopolítica. Barcelona: Herder.
Hughes, James. 2010. “Contradictions from the Enlightment Roots of Transhumanism.”Journal of Medicine and Philosophy 35: 622-640. https://doi.org/10.1093/jmp/jhq049
Iriart, Jorge. 2019. “Precision medicine/personalized medicine: a critical analysisof movements in the transformation of biomedicine in the early 21st century.”Cad. Saúde Pública 35, no. 3. https://doi.org/10.1590/0102-311x00153118
Juengst, Eric, Richard Settersten, Jennifer Fishman y Michelle McGowan. 2012.“After the Revolution? Ethical and Social Challenges in ‘Personalized GenomicMedicine’.” Personalized Medicine 9, no. 4: 429-439. https://doi.org/10.2217/pme.12.37
Keating, Peter y Alberto Cambrosio. 2003. Biomdeical Platforms. Londres: The MIT Press.
Khoury, Muin, Michael Iademarco y William Riley. 2016. “Precision Public Healthfor the Era of Precision Medicine.” American Journal of Preventive Medicine 50,no. 3: 398-401. https://doi.org/10.1016/j.amepre.2015.08.031
Kirchoffer, David. 2017. “Human Dignity and Human Enhancement: A MultidimensionalApproach.” Bioethics 31, no. 5: 375-383. https://doi.org/10.1111/bioe.12343
Maughan, Tim. 2017. “The Promise and the Hype of ‘Personalised Medicine’.” TheNew Bioethics 23, no. 1: 13-20. https://doi.org/10.1080/20502877.2017.1314886
More, Max. 1990. Transhumanism. Towards a Futurist Philosophy. Recuperado de https://www.ildodopensiero.it/wp-content/uploads/2019/03/max-more-transhumanism-towards-a-futurist-philosophy.pdf
Persson, Ingmar y Julian Savulescu. 2014. Unfit for the Future. The Need for MoralEnhancement. Oxford: Oxford University Press.
Porter, Allen. 2017. “Bioethics and Transhumanism.” Journal of Medicine and Philosophy42: 237-260. https://doi.org/10.1093/jmp/jhx001
Royakkers, Lambèr, Jelte Timmer, Linda Kool, y Rinie van Est. 2018. “Societal andethical issues in digitalization.” Ethics and Information Technology 20: 127-142.https://doi.org/10.1007/s10676-018-9452-x
Sadin, Éric. 2018. L’Íntelligence artficielle ou l’enjeu du siècle. París: Éditions Léchapéee.
Sebag, Valérie. 2007. Droit et bioéthique. Bruselas: Larcier.
Sgreccia, Elio. 2013. “Persona humana y personalismo.” Cuadernos de BioéticaXXIV, no. 1: 115-123.
Stengers, Isabelle. 2013. Une autre science es posible! París: La Découverte.
Sturdy, Steve. 2017. “Personalised Medicine and the Economy of BiotechnologicalPromise.” The New Bioethics 23, no. 1: 30-37. https://doi.org/10.1080/20502877.2017.1314892
ten Have, Henk. 2012. “Potter’s Notion of Bioethics.” Kennedy Institute of EthicsJournal 22, no. 1: 59-82. https://doi.org/10.1353/ken.2012.0003
Toombs, Kay. 1987. “The meaning of illness: A phenomenological approach tothe patient-physician relationship.” Journal of Medicine and Philosophy 12, no. 3:219-240. https://doi.org/10.1093/jmp/12.3.219
Vidal, María, Ileana del Rosario Morales Suárez, José Alberto Menéndez Bravo, LiliaGonzález Cárdenas y Miriam Portuondo Sao. 2020. “Medicina de precisiónpersonalizada.” Revista Cubana Educación Médica Superior, 34, no. 1.
Zuboff, Shoshana. 2019. The age of surveillance capitalism. Londres: Profile Books Ltd.