title: An engine, not a pyramid.
authors.affiliation: University of Oviedo, Departamento de Filosofía, C/Teniente Alfonso Martínez, s/n Campus de Humanidades, Oviedo, 33011, Spain. amv@uniovi.es
authors.forename: Armando Menéndez
authors.initials: AM
authors.lastname: Viso
authors.forename: Antonio Casado
authors.initials: AC
authors.lastname: da Rocha
mesh_terms: D026688:Bioethical Issues; D001675:Bioethics / Q000639:trends*; D003657:Decision Making / Q000941:ethics*; D036262:Empirical Research; D026689:Ethical Analysis; D028663:Ethical Theory; D006801:Humans; D010166:Palliative Care / Q000941:ethics; D013727:Terminal Care / Q000941:ethics