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AbstractThe goal of this article is try to explain the progressive deficiencies, both theoretically and, above all, at the practical level, of the methodology of the principialist approach for the ethical analysis of the problems that arise daily in medical practice. The question is: are the ethical conflicts currently the result of poor management and poor institutional perspective? Are they inevitable in medical practice? Or are both?.Keywords: principialist approach, ethical conflict, hermeneutic, bioethical analysis.

Bioética hermenéutica: una revisión crítica del enfoque principialista