Thirty years of history and towards the future

Abstract

In 2022, the Federal Council of Medicine elected a new board of directors, continuing its trajectory in Brazilian medicine. Helena Maria Carneiro Leão MD, elected by the state of Pernambuco, was invited by José Hiran da Silva Gallo MD to become second secretary, succeeding Tatiana Bragança de Azevedo Della Giustina MD, who performed the role brilliantly and carried out her mission in a remarkable way.Understanding the responsibility, Helena Leão MD has the support of the new board and staff, who are devoted to this journal. We will thus move forward, with new ideas, without straying from the path set by or discarding the achievements of our predecessors. We will continue to reiterate the change of the editorial plan implemented when Prof. Rui Nunes, Prof. Natália Teles, and CFM's president Dr. José Hiran da Silva Gallo took on the roles of honorary scientific editor, assistant scientific editor, and scientific editor, respectively.In 2022, Revista Bioética celebrates 30 years of existence. Many transformations took place in Brazil, especially after 1988, with the promulgation of the Federal Constitution, which provided for principles on human dignity and autonomy. Therefore, in 1992, following the country's ethical and bioethical context, council members realized the dream of creating this journal, which provides great contributions to the most diverse themes, not only in the field of biomedicine, but also in philosophy, law, and others, addressing bioethics regarding human and planetary survival 1 .The COVID-19 pandemic, which began in 2020 2 , raised bioethical reflections for humanistic discussions that would guide that moment of transformations we were living and the difficulties faced worldwide. The pandemic put education, health care, social responsibility, and the role of the government on the agenda, considering all circumstances faced by health professionals and managers, besides new communication technologies.The ethics in the use of prognostic scores in intensive care units 3 was discussed during the pandemic, showing that new updates are extremely important for future perspectives, which must consider death and dying in medical education. This theme must be discussed in undergraduate courses, based on humanistic principles, so that future professionals can deal with terminability. In this context, discussions and studies on brain death and other issues such as death, finitude of life, and palliative care are relevant.Discussions on training in ethics and bioethics for health professionals present challenges in Brazil and worldwide, since many medical schools are opened but fail to ensure the quality of education nor the training of professionals. Thus, concerns arise regarding the future of medicine and health as a whole, as all ethical, humanistic, and bioethical principles are consolidated during graduation.