Reflexões sobre a necessidade da hierarquização no principialismo em bioética

Abstract

Introduction: This paper presents an analysis of biomedical principlism as proposed by Beauchamp and Childress, establishing non-hierarchical posture based on the four principles of (autonomy, beneficence, non-maleficence and justice). Development: It is argued that a hierarchy of principles is needed to establish an ethical foundation, without which medical practice can fall into a relativism that is damaging to the integrity and dignity of patients. Furthermore, it is argued that the strengthening of the autonomy principle would hierarchically privilege opportunities to generate a non-patronizing medical perspective and medical practices commensurate with the defense of primary human rights. Conclusion: The strengthening of the principle of autonomy will allow to generate a more horizontal doctor-patient relationship by allowing the recognition of it’s faculty in regards to the solution of ethical dilemmas.