BACKGROUND As suggested by Shook and Giordano, understanding and therefore addressing the urgent international governance issues around globalizing bio-medical/technology research and applications is limited by the perception of the underlying science. METHODS A philosophical methodology is used, based on novel and classical philosophical reflection upon existent literature, clinical wisdoms and narrative theory to discover a meta-science and telos of humankind for the development of a relevant and defendable global biomedical bioethics. RESULTS In this article, through pondering an integrative systems approach, I propose a biomedical model that may provide Western biomedicine with leadership and interesting insight into the unity beyond the artificial boundaries of its traditional divisions and the limit between physiological and pathological situations (health and disease). A unified biomedicine, as scientific foundation, might then provide the basis for dissolution of similar reflected boundaries within bioethics. A principled and communitarian cosmopolitan bioethics may then be synonymous with a recently proposed principled and communitarian cosmopolitan neuroethics based on a novel objective meta-ethics. In an attempt to help facilitate equal and inclusive participation in inter-, multi-, and transdisciplinary intercultural discourse regarding the aforementioned international governance issues, I offer: (1) a meta-science derived through considering the general behaviour of activity, plasticity and balance in biology and; (2) a novel thought framework to encourage and enhance the ability for self-evaluation, self-criticism, and self-revision aimed at broadening perspective, as well as acknowledging and responding to the strengths and limitations of extant knowledge. CONCLUSIONS Through classical philosophical reflection, I evolve a theory of medicine to discover a telos of humankind which in turn provides an 'internal' moral grounding for a proposed global biomedical bioethics.

中文翻译：

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全球生物伦理学和生物医学的元科学。

背景技术如Shook和Giordano所建议的那样，由于对基础科学的理解，因此对围绕生物医学/技术研究和应用全球化的紧迫国际治理问题的理解并因此而解决。方法使用一种哲学方法论，根据对现有文献，临床智慧和叙事理论的新颖和古典哲学反思，发现人类的元科学和宗旨，以发展相关且可辩护的全球生物医学生物伦理学。结果在本文中，通过思考集成系统方法，我提出了一种生物医学模型，该模型可以为西方生物医学提供领导力和对统一性的有趣理解，超越其传统部门的人为界限以及生理和病理状况（健康和疾病）之间的界限。统一的生物医学可以作为科学基础，从而为生物伦理学内相似的反映边界的消解提供基础。原则性的和社群主义的大都会生物伦理学可以与最近基于新的客观元伦理学提出的原则性和社群主义的大都会生物伦理学同义。为了帮助促进平等和包容性地参与有关上述国际治理问题的跨学科，跨学科和跨学科的跨文化讨论，我提出：（1）通过考虑生物学中活动，可塑性和平衡的一般行为而得出的元科学；以及 （2）一种新颖的思想框架，旨在鼓励和提高自我评价，自我批评和自我修正的能力，旨在拓宽视野，并承认和应对现有知识的优势和局限。结论通过经典的哲学反思，我发展了一种医学理论来发现人类的目标，从而为拟议的全球生物医学生物伦理学提供了“内部”道德基础。以及承认和回应现有知识的优势和局限性。结论通过经典的哲学反思，我发展了一种医学理论来发现人类的端倪，从而为拟议的全球生物医学生物伦理学提供了“内部”道德基础。以及承认和回应现有知识的优势和局限性。结论通过经典的哲学反思，我发展了一种医学理论来发现人类的端倪，从而为拟议的全球生物医学生物伦理学提供了“内部”道德基础。