A Strategy of Clinical Tolerance for the Prevention of HIV and AIDS in China
Journal of Medicine and Philosophy. 2000 Feb; 25(1): 48-61.
HIV infection and AIDS create many dilemmas in Chinese AIDS/HIV prevention policy. A strategy of clinical tolerance is proposed to address these dilemmas. The immediate purpose of the strategy of clinical tolerance is to win the cooperation of members of stigmatized groups at high risk for contracting HIV infection and AIDS, which occurs as a result of acts done in private and thus beyond the reach of regulation. The strategy of clinical tolerance differs from both tolerance as liberal tolerance and tolerance as a moral ideal of tolerance. A strategy of clinical tolerance does not ask the government, health worker, health official or the public to change either laws or the disapproval of prostitution, homosexuality and drug use. A strategy of clinical tolerance asks, instead, that we weigh what we may regard as the wrong involved in prostitution, homosexuality, and drug use against the greater evil of an HIV/AIDS epidemic. A strategy of clinical tolerance offers the most effective and practical way to confront a growing and significant public health problem in China.
Aids; Attitudes; Compassion; Cultural Pluralism; Drug Abuse; Discrimination; Government; Government Regulation; Health; Health Personnel; HIV Seropositivity; Homosexuals; Laws; Medicine; Moral Obligations; Patient Advocacy; Patient Compliance; Prevalence; Preventive Medicine; Professional Role; Public Health; Public Opinion; Public Policy; Refusal to Treat; Regulation; Risk; Social Discrimination; Stigmatization;
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