title: [The endless bonds and the challenges to medicine].
abstract: This paper summons to contest some of the bonds that will be severed, probably, by the new eugenics, and may be repaired by narrative-based medicine, two of the most extreme and contradictory challenges to today's--and tomorrow's--medical practice. Accordingly, I intend to frame its development into the unbounded mathesis of biomedicine with the hindsight intention of questioning the foundations both of the ethical basis of the beginning of life medical decisions and of the end of life medical decisions. I will defend that, since clinical experience always embodies existential and anthropological density, and always has moral value, medical decision making seems not to be totally reducible to any algorithm or to the genetization of the live world.
authors.affiliation: Instituto Português de Oncologia Francisco Gentil, Faculdade de Medicina, U.L. Lisboa, Lisboa.
authors.forename: Manuel Silvério
authors.initials: MS
authors.lastname: Marques
mesh_terms: D026688:Bioethical Issues; D005053:Eugenics / Q000639:trends; D005307:Fertilization in Vitro / Q000941:ethics; D006801:Humans; D018447:Medical Futility / Q000941:ethics; D009014:Morals; D010166:Palliative Care / Q000941:ethics*; D010686:Philosophy, Medical; D013727:Terminal Care / Q000941:ethics