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在本文中卫生保健工作组的第１７伦理学工作组双主席之一讨论了该组的形成、组织过程和活动，并对经验提供了分析和批评。这提示伦理学工作组的建立及其包括在过程中，是向社会声明，使伦理学合法地成为公共政策审议的一个重要部分。同时，提出了有关伦理学在公共政策领域所起作用的重要问题。在公共政策领域战略妥协成为惯例。也许平衡和客观只是幻想。伦理学，例如知情同意，是一个过程，不是一个事件，并且永远演变着。那些试图将伦理学考虑引入公共政策世界的人，有义务仔细思考构成合适的理论框架的应该是什么，努力确定什么是伦理学独特的，并考虑使各种伦理学科一起有效工作的机制。根据这个经验，作者个人认为应该集中于普遍覆盖全体美国人的特别重要意义。
In this article, one of the two chairmen of the 17th Ethics Working Group of the Health Care Working Group discussed the formation, organization process and activities of the group, and provided analysis and criticism of the experience. This suggests that the establishment of the Ethics Working Group and its inclusion in the process is a statement to the society that legal ethics are an important part of public policy deliberation. At the same time, important issues concerning the role of ethics in public policy are raised. Strategic compromises in the public policy area have become the norm. Perhaps balance and objectiveness are only illusions. Ethics, such as informed consent, is a process, not an event, and it evolves forever. Those who are trying to bring ethical considerations into the world of public policy are obliged to think carefully about what constitutes a proper theoretical framework, to try to determine what is unique to ethics, and to consider mechanisms that allow various ethical disciplines to work together effectively. Based on this experience, the author personally believes that it should focus on the special importance of universal coverage of all Americans.