The practice of medicine has always carried profound moral weight. From the ancient Hippocratic Oath's promise to "first, do no harm," to today's complex debates over gene editing and artificial intelligence in healthcare, medical professionals have grappled with fundamental questions about life, death, and human dignity. Bioethics, as a formal discipline, emerged in the latter half of the twentieth century to address these increasingly complex moral challenges at the intersection of medicine, biology, and technology.
The term "bioethics" itself was coined in 1970 by biochemist Van Rensselaer Potter, who envisioned it as a bridge between the sciences and the humanities. Potter recognized that scientific advances were outpacing society's ability to understand their ethical implications, creating a dangerous gap between what we could do and what we should do. This prescient observation has only become more relevant as biotechnology continues to advance at an unprecedented pace.
The foundations of modern bioethics rest upon several key principles that guide ethical decision-making in medical contexts. The principle of autonomy emphasizes respect for patients' rights to make informed decisions about their own care. This principle has revolutionized the doctor-patient relationship, moving away from paternalistic models where physicians made decisions for patients toward a collaborative approach that honors individual choice and self-determination.