Medically assisted procreation and the right to found a family.
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In this article we focus on female genital mutilation. We analyse this problem as one of the most important issues of multiculturalism, which is also coming to the attention of the public in Italy as a consequence of the growing number of immigrants from African countries. The fundamental problem is about the acceptability of this practice: can female genital mutilation be permitted and, if so, on what basis? We will try to cope with this as a genuine conflict between culture-relative values and universal values, such as human rights. Some attention will be drawn to Italian law. Finally, the impact on nurses of requests for genital mutilation will be described.
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The Medical Sciences School of the University of Santiago de Chile, is an institution inserted in the occidental culture and therefore on its conceptions and traditions. It subscribes the Principles defined in the Universal Declaration of the Human Rights of the United Nations and especially the importance of the human person, as an entity irrepetible, different to others. The human rights are over the institutions, the society and the laws of science. The Faculty considers the family as the cell or natural and fundamental element for the development of the human being in the society. It defines its historic mission as the search of the truth and the achievement of a society in pro of the welfare and health of the people in a frame of excellence, justice, humanism, efficiency and participation. As an expression of the cultural patrimony it should create and transfer knowledge. As guarantor of the ethical principles it should protect the dignity that emanates from the transcendent nature of the person and its moral principles and therefore its right to life, justice, freedom, equality, health, education, and happiness. As a paradigm of progress it must be involved in modernization and should impulse the development. As an entity committed with Society it should participate in the search of solutions for politics and programs looking for a higher level of life and a better model of health. The profile of our graduated students will identify them due to their profound spirit of welfare of the person, his family, his community, ethical sense, solidarity, justness and humanity, their orientation to the community and the environment with a solid professional formation in the strategy of Primary Health Care. They will provide education in health for the whole family in order to improve a better way of life. They will be trained to detect and solve the risks of individual, communities and environment. Research is also a priority of the Faculty in order to contribute to solve the problems of health of the Nation, since there is no development without education and there is no education neither development without health. For the Faculty the achievement of these purposes is mandatory and we will make them reality through the Prometeo Project 1997-2001.
While UNESCO's Universal Draft Declaration on Bioethics and Human Rights highlights appropriate ethical values, its principles are stated in absolute terms and conflict with one another. The Draft Declaration fails to sufficiently address the possibility of conflict between principles, and it provides no real guidance on how to strike a balance between them in cases where conflict occurs. The document's inadequate treatment of conflicting values is revealed by examination of cases where principles aimed at the promotion of autonomy and liberty conflict with those aimed at benefit maximization and harm minimization. I argue that liberty (and autonomy) may be less important in the context of health care than in other contexts, and I conclude by suggesting specific ways in which some of UNESCO's principles should be revised in order to better address the reality of conflicting values.
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