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社会主义市场经济体制的建立,必然使社会各行各业发生深刻的变化,尤其在医疗卫生行业,传统的医德观念正经受着严格的检验,对医德建设提出了许多新的问题。医德建设如何克服市场经济的负效应,永远坚持“救死扶伤、防病治病,实行革命的人道主义,全心全意为人民的健康服务”这一社会主义医德的基本原则,是摆在我们面前的一个重大课题。1 市场经济对医德建设的双重影响 马克思唯物史观认为,社会存在决定社会意识,经济基础决定上层建筑。恩格斯指出:“一切以往的道德归根到底都是当时的社会经济状况的产物”。医德是社会道德的一部分。同
The establishment of the socialist market economic system will inevitably lead to profound changes in all walks of life in the society. Especially in the medical and health industry, the traditional concept of medical ethics is undergoing rigorous testing, and many new questions have been raised on the construction of medical ethics. How to overcome the negative effects of the market economy in medical ethics construction, and always insist on “rescuing death, injuring, preventing and curing diseases, practicing revolutionary humanitarianism, and wholeheartedly serving the people’s health” are the basic principles of socialist medical ethics and are a major challenge before us. Question. 1 The dual impact of the market economy on the construction of medical ethics Marx’s materialist conception of history holds that social existence determines social awareness and the economic base determines the upper structure. Engels pointed out: “Everything in the past was, in the final analysis, a product of the social and economic conditions of the time.” Medical ethics is part of social morality. with