<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2594-2166</journal-id>
<journal-title><![CDATA[Medicina y ética]]></journal-title>
<abbrev-journal-title><![CDATA[Med. ética]]></abbrev-journal-title>
<issn>2594-2166</issn>
<publisher>
<publisher-name><![CDATA[Universidad Anáhuac México, Facultad de Bioética]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2594-21662019000100093</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[El feto enfermo: un ejemplo del ingreso gradual del principio de vulnerabilidad en la bioética]]></article-title>
<article-title xml:lang="en"><![CDATA[The sick fetus: an example of gradual entering of the vulnerability principle, into bioethics]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Velázquez]]></surname>
<given-names><![CDATA[Lourdes]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Panamericana Centro Interdisciplinario de Bioética ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2019</year>
</pub-date>
<volume>30</volume>
<numero>1</numero>
<fpage>93</fpage>
<lpage>119</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2594-21662019000100093&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2594-21662019000100093&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2594-21662019000100093&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen Entre las novedades más importantes introducidas en el discurso bioético se considera la afirmación del &#8220;principio de vulnerabilidad&#8221;, que fue propuesto con particular fuerza en la &#8220;Declaración de Barcelona&#8221;. Según este principio, la condición de vulnerabilidad de un cierto ser implica un deber de protección hacia él por parte de los que lo tratan. En este artículo nos proponemos examinar cómo este principio entró paulatinamente en el discurso bioético, considerando también un ejemplo concreto; es decir, el tema del tratamiento del feto enfermo y del neonato &#8220;terminal&#8221;. Por un lado, es claro que el cuidado del feto enfermo puede considerarse como protección de un ser vulnerable y particularmente frágil, pero esto no sería suficiente para justificar esta protección hacia un ser al cual &#8220;no le sirve de nada&#8221;. En otras palabras, no todo lo que es vulnerable o frágil merece protección. Hay que añadirle un valor a la cosa frágil para que surja la exigencia (moral o jurídica) de protegerla. En el caso del feto incurablemente enfermo y sin esperanza de sobrevivir un tiempo razonable, es el valor intrínseco que le reconocemos como ser humano lo que nos impone moralmente seguir guardándolo hasta cuando se presenta como &#8220;recién nacido&#8221; en los últimos momentos de su frágil existencia. Esta solidaridad entre seres humanos encuentra su explicación más completa cuando estos &#8220;seres&#8221; se reconozcan como «personas» dotadas en cuanto tales de una intrínseca &#8220;dignidad&#8221;.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The &#8220;principle of vulnerability&#8221; is among the most important novelties recently introduced in bioethics, strongly stressed in the &#8220;Barcelona Declaration&#8221;. According to this principle, the condition of vulnerability of a certain entity entails the moral duty of giving it protection. The aim of this paper is that of showing how this principle has gradually entered bioethics, and also of studying a concrete example, that is, the care of the sick fetus and of the terminal newborn child. On one hand, the care for the sick fetus can be seen as a protection of a vulnerable being but, on the other hand, this fragility does not seem sufficient for justifying a protection for something that cannot have a benefit from it. This because not everything that is vulnerable or fragile deserves protection. The ethical and legal duty of protections comes from the fact that the fragile entity has an intrinsic value. In the case of the incurable fetus this value consists in its being a human person, and also when it is a terminal newborn this condition remains intact, since in all cases this is a human &#8220;person&#8221; endowed as such with an intrinsic &#8220;dignity&#8221;. The same discourse applies to the care that must be offered to the parents of the baby: they are a different class of vulnerable persons with whom we feel a human solidarity.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[principios bioéticos]]></kwd>
<kwd lng="es"><![CDATA[vulnerabilidad]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico prenatal]]></kwd>
<kwd lng="es"><![CDATA[neonato terminal]]></kwd>
<kwd lng="es"><![CDATA[dignidad humana]]></kwd>
<kwd lng="en"><![CDATA[bioethical principles]]></kwd>
<kwd lng="en"><![CDATA[vulnerability]]></kwd>
<kwd lng="en"><![CDATA[prenatal diagnosis]]></kwd>
<kwd lng="en"><![CDATA[terminal newborn]]></kwd>
<kwd lng="en"><![CDATA[human dignity]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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