Medicina y Ética

The new issue of Medicina y Ética presents six articles addressing various bioethical dilemmas related to clinical practice, highlighting the importance of maintaining a dialogue between science, medicine, and ethics.

The first article examines CRISPR/Cas9 gene editing, its applications in personalized medicine, and its ethical and regulatory challenges, emphasizing the distinction between somatic and germline editing. The second analyzes decision-making regarding human fertility from a personalist bioethical perspective, as well as the role of nursing and the dilemmas associated with reproductive technologies. The third examines palliative sedation in patients with terminal non-oncological diseases as a measure to relieve refractory suffering, distinguishing it from euthanasia. The fourth reflects on the concept of “dying with dignity,” proposing a dignified life until the end through palliative care, support, and respect for human dignity. The fifth article addresses the bioethical dilemmas of ECMO in critically ill patients and the importance of continuously assessing its risks, benefits, and therapeutic proportionality. The sixth analyzes adolescents’ decision-making capacity through the Bell v. Tavistock case, considering progressive autonomy, vulnerability, and scientific uncertainty. Finally, the review of The Doctor Who Wasn’t There examines telemedicine and its ethical, social, political, and economic challenges.

Overall, the issue highlights the importance of bioethical reflection in the face of medical and technological advances, placing human dignity, autonomy, integrity, and well-being at the center.