BIOETHICS FOR THE GLOBAL ERA
- $BFqL1$N7r9/5Z$S0eNE$HF|K\$NLr3d(J -
- Refugee's Health Care Issues and the Role of Japan -
BIOETHICS FOR THE GLOBAL ERA
Japan contributes a great amount of funding for many international refugee organizations such as UNHCR (US $ 72 million in 1989), UNBRO (US $ 27 million in 1989), UNRWA (US $ 16 million in 1989) and ICRC (US $ 15 million in 1989). However, Japan's rigid immigration policy of unwillingness to accept refugees has been internationally criticized. Japan reluctantly ratified "The United Nations Convention relating to the Status of Refugees" (1951) in 1982. Relevant domestic legal amendments for social security benefits etc. for refugees and foreign residents in Japan have been made since that year.
Japan needs to have more open domestic and international policies toward such things as emerging refugee issues focusing particularly on their health and medical service needs and migration of foreign labor power.
The Japanese accumulation of experience in human resources in the developing aids program since 1960's is not yet ample. The use of these experts in GOs and NGOs for the work of refugee services should be strongly encouraged as an expression of Japanese contributions to the global community.
In the International Symposium on Health Care for the Displaced Persons and Refugees, organized by Georgetown University together with UN, UNHCR, WHO, ICRC, and PAHO, the author who was a panelist in the plenary session and resource person in the group session proposed three bioethical perspectives to be applied in the field of refugee health care services :
1. Respect for the refugee's cultural and value system and recognition of the importance of "supra-interdisciplinary" bioethical approach in health care problems are needed. Staff experts should be strongly encouraged to acquire language skills necessary for successful health communication.
2. Bioethical principle of autonomy should be secured for each refugee and assistance for independent living in a community should be systematically arranged through national and international codes of standard for the protection of human rights.
3. Bioethical analysis of just distribution of medical and human resources must have priority reviews including the participation of the refugees themselves. Relevant medical, social and legal reform in a community for the care of refugees as well as foreign workers should be done as soon as possible.
Refugees, Refugee Health Care, Medical Services, Bioethics, United Nations, UNHCR, WHO, NGOs, Human Rights, Migrant Workers, Undocumented Aliens, Japan.
$BFqL1(J, $BFqL1%X%k%9%1%"(J, $B0eNE(J, $B%P%$%*%(%7%C%/%9(J, $B9q:]O"9g(J, $B9qO"FqL19bEyJ[L341;vL3=j(J, $B@$3&J]7r5!9=(J, $BHs@/I\5!4X(J, $B?M8"(J, $B0\L1O+F/
$B!!FqL15_1g$N$?$a$N9qO"!"@/I\5!4X5Z$SHs@/I\5!4X(J (NGOs) $B$N%9%?%C%U$d%\%i%s%F%#%"4V$N?ME*!&AH?%E*$K6[L)$JAj8_6(NO$rL\;X$7:FAH?%2=$r?d?J$9$k$3$H!#(J
$B!!0eNE!&J]7r@lLg2H$NFqL15_1g3hF0$K$*$1$kLr3d$N=EMW@-$r:FG'<1$7!"GI8/=tCDBN$NET9g$h$j$bFqL1$N0eNE$H7r9/$rM%@h$9$kN)>l$+$iFqL1 6. $B
$B!!FqL1 7. $BFqL1$N$?$a$N650i$H8&=$!'(J
|$B$*$o$j$K(J - $B?M8"1?F0$H$7$F$NFqL10eNE3hF0(J|