Analisis Etika Biomedis Terhadap Pasien Transgender dalam Mengakses Layanan Kesehatan di Yogyakarta

https://doi.org/10.22146/jf.53016

Rona Utami(1*), Rizky Anandasigit Nugraha(2), Moch Najib Yuliantoro(3), Hastanti Widy Nugroho(4)

(1) Universitas Gadjah Mada Yogyakarta
(2) Universitas Gadjah Mada
(3) Universitas Gadjah Mada
(4) Universitas Gadjah Mada
(*) Corresponding Author

Abstract


This research focuses on transgender patients discrimination in Yogyakarta in accessing healthcare services. There are two questions on this research: what is the obstacle faced by the transgender-patients in accessing healthcare services? How is the analysis of biomedical ethics seeing this issue? Theresults on this research are despite the facttheywere notbeing discriminated inthehospital, they did not getthe health insurance by the governmentbecause of the administrative issuewhichcan not accommodatetheir genderchoice. Therefore, this researchseeks to understand the barriers of transgender patients in accessing healthcareservices through the perspective of biomedical ethics ofTom L. Beauchamp and James Childress. The researcher concludes that thegeneral ruleon social benefitsappliedin society isstill limitedonlyto the specificgenders. Itis not in accordance with the two principles in biomedical ethics:the principle of justice states that the transgender who is physically harmedhasright to getsocial benefitsto remedy the effect of thedisadvantagesdue to theirnatural property and to have more equal chance of life;and the principle of autonomy states that an autonomous decision of the transgender people to choose their gender is related to the individual rightsalthough they have different view with others andas long as their action do not leave the disadvantage toothers,it must be respected as a moral obligation.

Keywords


transgender patients, biomedical ethics, obstacles, healthcare service

Full Text:

PDF


References

Arras, J. D. (2001). A Case Approach. In A Companion To Bioethics(eds., pp. 117–125). New York: Blackwell.

Beauchamp, T. L., & Childress, J. F. (2008). Principles of Biomedical Ethics (Principles of Biomedical Ethics. Oxford University Press. https://doi.org/10.1016/S0033-3182(95)71674-7

Bertens, K. (2011). Etika Biomedis(eds.). Yogyakarta: Kanisius.

Daniels, N., Kennedy, B. P., & Kawachi, I. (1999). Why justice is good for our health: The social determinants of health inequalities.Daedalus. https://doi.org/10.13016/pzec-ghne

Deustch, M. B. (2016). Guidelines for the primary and gender-affirming care of transgender and gender nonbinary people(ed.). San Fransisco: University of California San Francisco.

et al. Oetomo, D. . (2013). Hidup Sebagai LGBT di Asia: Laporan Nasional Indonesia. Tinjauan dan Analisis Partisipatif tentang Lingkungan Hukum dan Sosial bagi Orang dan Masyarakat Madani Lesbian, Gay Biseksual dan Transgender. Retrieved from https://www.usaid.gov/sites/default/files/documents/2496/Being_LGBT_in_Asia_Indonesia_Country_Report_Bahasa_language.pdf

Hann, M., Ivester, R., & Denton, G. D. (2017). Bioethics in Practice: Ethical Issues in the Care of Transgender Patients. The Ochsner Journal, 17(2), 144–145. Retrieved from https://pubmed.ncbi.nlm.nih.gov/28638286

Hardiman, F. B. (2011). Konsep Hak dan Kewajiban di Asia. In Hak-Hak Asasi Manusia: Polemik dengan Agama dan Kebudayaan,(7th ed., pp. 111–127). Yogyakarta: Kanisius.

Kant, I. (2004). Dasar-dasar Metafisika Moral, terj. Robby H. Abror. Yogyakarta: Insight References.

Mill, J. S. (2005). Perihal Kebebasan, terj. Alex Lanur. Jakarta: Yayasan Obor Indonesia.

Pratama Rahmaini; Fadli, Fatmawati, M. R. A. F. (2018). Lesbian, Gay, Biseksual dan Transgender: Tinjauan Teori Psikoseksual, Psikologi Islam dan Biopsikologi. Psikis, (Vol 4 No 1 (2018): Psikis: Jurnal Psikologi Islami), 27–34. Retrieved from http://jurnal.radenfatah.ac.id/index.php/psikis/article/view/2157

Rawls, J. (1951). Outline Of A Decision Procedure For Ethics.The Philosophical Review, 60(2), 177–197. Retrieved from https://www.jstor.org/stable/2181696

Richardson, H. S. (1990). Specifying norms as a way to resolve concrete ethical problems. Philosophy & Public Affairs, 19(4), 279–310. Retrieved from https://www.jstor.org/stable/2265316

Sa’dan, M. (2017). Waria, Pemerintah, dan Hak Seksual: Kasus Implementasi Perda Gepeng di Daerah Istimewa Yogyakarta. IAIN Palangka Raya,Vol 1, No.

Yansyah, R., & Rahayu, R. (2018). Globalisasi Lesbian, Gay, Biseksual, dan Transgender (LGBT): Perspektif HAM dan Agama dalam Lingkup Hukum di Indonesia. PROGRAM STUDI MAGISTER ILMU HUKUM FAKULTAS HUKUM UNIVERSITAS DIPONEGORO SEMARANG, Volume 14,.



DOI: https://doi.org/10.22146/jf.53016

Article Metrics

Abstract views : 7620 | views : 32319

Refbacks

  • There are currently no refbacks.




Copyright (c) 2020 Jurnal Filsafat

Jurnal Filsafat Indexed by:

Google ScholarSinta (Science and Technology Index)


Jurnal Filsafat ISSN 0853-1870 (print), ISSN 2528-6811 (online)