Abstract: JLU-NBBMS emphasizes ethical responsibilities in
cancer care, exploring patient
well-being and fairness in medical practice and corporate innovation.
In the context of rapid advance in modern medicine and biotechnology, the importance of social
ethics has become increasingly prominent. This is particularly evident in the complex field of
oncology, where social ethics has emerged as a crucial component of both clinical practice and
scientific innovation. As members of the JLU-NBBMS team at the Norman Bethune College of Basic
Medical Science, Jilin University, we are committed to exploring new approaches to cancer
treatment in the iGEM competition. Throughout this journey, we not only prioritize technological
innovation but also place significant emphasis on the ethical concerns underlying the
application of these technologies, particularly the responsibilities of doctors toward their
patients and the obligations of companies toward the people they serve. By engaging in deep
discussions about social ethics, we hope to raise awareness of these important issues and
contribute to the sustainable progression of medicine in the future.
I. Ethical Responsibilities of Doctors Toward Patients
In cancer treatment, doctors are not only tasked with executing medical interventions but also
serve as guides for the holistic recovery of patients, which includes both physical and mental
well-being. Cancer inflicts tremendous physical damage, but its psychological toll is equally
profound. Beyond threatening a patient's health, cancer can deeply affect their social roles and
sense of identity.
We understand that surgery, radiation therapy, and chemotherapy are often just the beginning of
a patient's journey. Long-term recovery and care require that patients navigate an extended
period of emotional and physical recuperation. Fluctuations in mental health can lead to
different outcomes, including recovery, relapse, or deterioration. Thus, the ultimate goal of
medicine is not only to prolong longevity but also to enhance life quality. We advocate that
hospitals and physicians prioritize not only physical health but also psychological
rehabilitation and the reintegration of patients into their social roles.
1. Humanistic Care and Psychological Support
Numerous cancer patients experience anxiety, depression, or even hopelessness after diagnosis.
Humanistic care is a vital aspect of medical ethics. Faced with this challenge, doctors must
demonstrate not only exceptional medical expertise but also profound empathy for their patients.
At such critical times, doctors should help patients fight cancer not only through medical
treatments but also by offering psychological support, encouragement, and companionship to
foster a more optimistic outlook on life.
Effective communication is essential throughout this process. Doctors should explain the
condition and treatment plan in clear and simple terms, promptly addressing patients' questions
and concerns. Humanistic care improves treatment adherence and strengthens psychological
resilience, helping patients to better cope with the the challenges posed by their illness.
2. Physical Rehabilitation and Holistic Care
Cancer treatments are often associated with severe side effects—such as nausea and fatigue from
chemotherapy or skin damage from radiation—that can negatively affect both the physical and
psychological well-being of patients. Doctors should therefore consider the patient's overall
condition when designing treatment plans, with the aim of minimizing side effects and ensuring
that patients undergo therapy in the best possible mental and physical state. Reducing such side
effects is one of the key considerations in this year’s JLU-NBBMS project.
3. Restoration of Social Roles and Identity
Numerous cancer patients, who were once the breadwinners of their families or held esteemed
positions in society, can suddenly find themselves beset by self-doubt and inadequacy following
the onset of their illness. We call on doctors to recognize and address these psychological
shifts,offering targeted support throughout the treatment process. By encouraging patients to
gradually reengage in work, family life, and social activities, doctors can help them restore
their sense of identity and social function. Additionally, doctors can guide patients to join
support groups, where they can share experiences and emotions, thereby fostering the confidence
and courage necessary to confront their illness. Restoring patients’ social roles not only aids
in their psychological recovery but also improves their quality of life and promotes long-term
rehabilitation.
4. Our Reflections
4.1 Suggestions for Hospital Administrators
Hospital administrators should actively foster a culture of compassionate care, ensuring that
doctors focus not only on treating diseases but also on addressing the broader human needs of
their patients. By establishing ethics committees and offering relevant training programs,
administrators can equip doctors with strong communication skills and the ability to provide
psychological support. Additionally, interdisciplinary collaboration should be encouraged, with
hospitals establishing comprehensive rehabilitation centers that integrate resources from
multiple departments to offer personalized recovery plans.
Moreover, hospitals should implement effective patient feedback mechanisms, regularly reviewing
and improving the quality of medical services. By setting up patient service departments to
collect feedback and allowing ethics committees to operate independently, hospitals can ensure
that all treatment programs adhere to ethical standards and raise the ethical awareness of all
staff, especially in high-risk fields like oncology.
4.2 Suggestions for Doctors
Doctors should closely monitor their patients' psychological well-being, promptly recommending
professional counseling when necessary. When communicating with patients, technical jargon
should be avoided to ensure full understanding and reduce anxiety. Additionally, doctors should
respect patients' autonomy by being transparent about the benefits and risks of each treatment
option to help them make well-informed decisions.
II. Ethical Responsibilities of Companies Toward Patients
In today’s healthcare system, companies—especially those involved in developing new technologies
and producing drugs—bear significant social responsibility. While technological advancements
offer new hope for cancer treatment, they also bring numerous ethical challenges. In the pursuit
of innovation, companies must place patients’ well-being at the forefront, ensuring that the
benefits of new technologies reach all patients, regardless of their economic standing.
1. Technological Equity and Fair Treatment
Technology equity is a pressing issue in oncology. The high cost of developing new technologies
and drugs often makes advanced treatments inaccessible to economically disadvantaged patients.
As drivers of innovation, companies must acknowledge their social responsibility by adopting
fair pricing policies and launching charitable initiatives to guarantee that all
patients,regardless of their financial situation,have access to high-quality medical care.
Technological equity also involves transparency and information-sharing. Companies should openly
communicate their development processes and clinical trial results so that patients and doctors
can fully understand the potential risks and benefits, enabling them to make informed treatment
decisions. Moreover, companies should actively promote the widespread adoption of new cancer
treatment technologies, ensuring they are integrated into clinical practice quickly and benefit
a broader range of patients.
2. Patient-Centered Design Philosophy
The development of cancer treatment technologies should not focus solely on innovation but also
be guided by the actual needs of patients, ensuring that every design decision enhances the
patient experience and quality of life. Companies should solicit feedback from both patients and
doctors to better understand the pain points and needs of the treatment process and incorporate
this valuable information into product design.
For example, many cancer patients feel uncomfortable due to the side effects of medications or
the complexity of treatment procedures. Companies should strive to reduce these side effects and
simplify treatment methods, making the process more comfortable and convenient. Additionally,
companies should consider the psychological needs of patients and design complementary products
that aid in psychological recovery and help patients adapt to treatment.
3. Our Reflections
As pioneers of technological innovation, companies should implement pricing strategies that
ensure all patients, regardless of their financial status, can afford new treatments. To achieve
this, companies can collaborate with governments and charitable organizations to establish
special funds or discount programs, ensuring low-income patients have access to advanced medical
services. Companies can set prices based on market demand and public interest strategies while
also establishing charitable funds specifically to support underprivileged patients.
When developing new drugs or technologies, it is imperative for companies to engage patients and
clinicians from the very onset of the design and testing phases.. This collaboration allows
companies to better understand patient needs and avoid developing products that are detached
from real-world application.By establishing dedicated patient feedback committees or clinical
advisory boards, companies can ensure that every stage of the development process remains
centered around prioritizing patient experiences and addressing treatment needs.
In addition to launching innovative products, companies should also build comprehensive patient
support systems, offering continuous health education and psychological counseling to help
patients navigate the treatment process. Companies could, for instance, establish hotlines or
online platforms that provide advice on drug side effects, treatment procedures, and mental
health, ensuring patients feel supported throughout their journey.
Technological equity also involves promoting the global dissemination of medical advancements.
Companies can collaborate with international organizations to introduce cutting-edge cancer
treatment technologies to underdeveloped regions, advancing the global sharing of medical
resources. In their pursuit of innovation, companies should adopt a global perspective, catering
not only to developed markets but also addressing the healthcare needs of developing nations,
contributing to the advancement of global health.
In the commercialization of JLU-NBBMS’s innovation, we have deeply considered these ethical
issues, integrating our reflections on social ethics into our project. For instance, we are
deeply concerned about whether families with weaker financial foundations have equal access to
medical care. Therefore, from the outset, our project has been committed to reducing the
economic burden caused by chemotherapy resistance and exploring cost-control strategies for our
solutions.
Outlook
Social ethics is an indispensable part of cancer treatment. It is not only about preserving
patients’ lives but also about safeguarding their dignity and quality of life. In the oncology
track of the iGEM competition, we aim to explore the ethical responsibilities between doctors
and patients, as well as between companies and patients, to provide cancer patients with more
comprehensive care and support. By balancing ethics with technology, we can achieve holistic
care for cancer patients and promote the sustainable development of medicine.