New global realities

Abstract

We have reached the second half of 2022 and Revista Bioética continues to tread its path, celebrating 30 years of history with many tributes and bringing about reflections, renewal, and updates. We thus seek hope for the post-pandemic future in a scenario of new global realities.Since its establishment as a discipline and field of knowledge, between the late 1960s and the early 1970s, bioethics has evolved in many contexts, spreading in various scientific and academic areas, especially in the biological and health sciences. Moreover, as it is intrinsically linked to ethics and philosophy, in the journey of construction and application of knowledge, bioethics provides references to advance in the complex postmodern social and human discussions 1 .Therefore, considering the relevance of technology and innovation-which advance with all areas of knowledge and their processes-the journal's perspective of a future is to motivate these discussions without forgetting that contradictions of poverty and inequality between peoples still persist.In this issue, the journal brings the discussion of topics that reveal much about the studies on scientific production, with emphasis on access to drugs for patients with rare diseases, in the view of clinical trials and drug efficacy. Regarding care, the review on health care for HIV patients provides a new and complementary perspective to strategies and planning, as well as a new approach to the role of health care teams involved in providing care and sharing decisions at the end-of-life situations.In another sphere, the autonomy of adolescents facing challenges brings us the agenda of human rights in a bioethical view. We also see that society evolves in the recurring issues surrounding mourning due to fetal death, with a discussion from an anthropological, legal, and medical view.Also in this issue, we highlight the position of Brazilian Federal Council of Medicine regarding assisted reproduction, in view of resolutions published over time, with scientific, ethical, and bioethical updates. These discussions are complemented by an article that addresses bioethical considerations in various situations, such as post mortem homologous artificial insemination, as well as other topics of interest about genetic testing.The reality of medical education in Brazil has been the subject of several instances. Medical schools must discuss the improvement of the teaching of ethics, bioethics, and humanities, aiming at greater involvement of students, who should be guided according to educational standards committed to ethical and bioethical principles 2 . This has also happened in other training courses, such as nursing, in the face of the new reality of patient safety, biosafety, ethics, and health education.