চকৎস নতকতর সকট পরকষত বলদশ

Medical ethics in Bangladesh has become a complex, multi-layered challenge where universal ethical ideals repeatedly collide with local socioeconomic constraints, cultural values, and institutional limitations.This article provides a structured conceptual analysis grounded in Kantian deontological duty, Mills utilitarian reasoning in public health and resource allocation, and the World Medical Associations Declaration of Geneva as a modern professional ethical pledge.It frames the ethical crisis across three linked levels: (1) policylevel gaps between ethical rules and implementation, (2) value-level tensions between individual autonomy and family-cantered decision-making shaped by cultural-religious norms, and (3) practical constraints driven by scarce resources, high patient load, weak infrastructure, and urban-rural inequities.Based on this diagnosis, the article proposes an integrated reform pathway combining institutional/legal strengthening, ethics-focused medical education and continuous training, culturally adapted consent and communication practices, improved data governance and privacy protection, and fairer mechanisms for allocating limited healthcare resources.