The Covid-19 pandemic has exposed four myths in bioethics. First, the flood of bioethics publications on how to allocate scarce resources in crisis conditions has assumed authorities would declare the onset of crisis standards of care, yet few have done so. This leaves guidelines in limbo and patients unprotected. Second, the pandemic's realities have exploded traditional boundaries between clinical, research, and public health ethics, requiring bioethics to face the interdigitation of learning, doing, and allocating. Third, without empirical research, the success or failure of ethics guidelines remains unknown, demonstrating that crafting ethics guidance is only the start. And fourth, the pandemic's glaring health inequities require new commitment to learn from communities facing extraordinary challenges. Without that new learning, bioethics methods cannot succeed. The pandemic is a wake-up call, and bioethics must rise to the challenge.

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Covid-19在生物伦理学中暴露了什么？四个神话

Covid-19大流行在生物伦理学方面暴露了四个神话。首先，关于如何在危机条件下分配稀缺资源的大量生物伦理学出版物假定当局会宣布危机护理标准的开始，但很少有人这样做。这使边缘状态指南和患者不受保护。其次，大流行病的现实已经打破了临床，研究和公共卫生伦理学之间的传统界限，要求生物伦理学必须面对学习，做事和分配的相互交叉。第三，在没有实证研究的情况下，道德准则的成败仍然未知，这表明制定道德准则仅仅是开始。第四，大流行病严重的不平等现象需要作出新的承诺，向面临巨大挑战的社区学习。没有这种新的学习，生物伦理学方法无法成功。大流行是一个警钟，生物伦理学必须迎接挑战。