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Tragedy and delight: the ethics of decelerated ageing

机译:悲剧与喜悦:衰老的伦理

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摘要

Biogerontology is sometimes viewed as similar to other forms of biomedical research in that it seeks to understand and treat a pathological process. Yet the prospect of treating ageing is extraordinary in terms of the profound changes to the human condition that would result. Recent advances in biogerontology allow a clearer view of the ethical issues and dilemmas that confront humanity with respect to treating ageing. For example, they imply that organismal senescence is a disease process with a broad spectrum of pathological consequences in late life (causing or exascerbating cardiovascular disease, cancer, neurodegenerative disease and many others). Moreover, in laboratory animals, it is possible to decelerate ageing, extend healthy adulthood and reduce the age-incidence of a broad spectrum of ageing-related diseases. This is accompanied by an overall extension of lifespan, sometimes of a large magnitude. Discussions of the ethics of treating ageing sometimes involve hand-wringing about detrimental consequences (e.g. to society) of marked life extension which, arguably, would be a form of enhancement technology. Yet given the great improvements in health that decelerated ageing could provide, it would seem that the only possible ethical course is to pursue it energetically. Thus, decelerated ageing has an element of tragic inevitability: its benefits to health compel us to pursue it, despite the transformation of human society, and even human nature, that this could entail.
机译:生物老年医学有时被视为与其他形式的生物医学研究相似,因为它试图理解和治疗病理过程。然而,就将导致的人类状况的深刻变化而言,治疗衰老的前景非同寻常。生物老年医学的最新进展使人们可以更清晰地了解人类在治疗衰老方面面临的伦理问题和困境。例如,它们暗示了机体衰老是一种疾病过程,在晚年生活中会引起广泛的病理后果(导致或消除心血管疾病,癌症,神经退行性疾病等)。此外,在实验动物中,可以减缓衰老,延长健康的成年期并减少各种与衰老有关的疾病的年龄发生率。这伴随着寿命的整体延长,有时会大大延长。关于治疗衰老的伦理学的讨论有时会涉及明显延长寿命的有害后果(例如对社会的危害),这可以说是增强技术的一种形式。然而,鉴于衰老可以带来的健康状况的巨大改善,看来唯一可能的道德路线就是积极追求。因此,减速的衰老是不可避免的悲剧性因素:尽管对人类社会,甚至人类本性进行了改造,但衰老对健康的好处迫使我们追求这一目标。

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