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Intersection Between Bioethics, Biopolitics and Public Policies: a warp for the Empowerment of life

Research Article | DOI: https://doi.org/10.31579/2835-8325/180

Intersection Between Bioethics, Biopolitics and Public Policies: a warp for the Empowerment of life

  • Cruz García Lirios 1*
  • Salvador Alvarado Garibaldi 2
  • Javier Carreón Guillén 3

1Universidad de la Salud, Mexico.

2University of Havana, Cuba.

3National Autonomous University of Mexico.

*Corresponding Author: Cruz García Lirios, 1Universidad de la Salud, Mexico.

Citation: Cruz G. Lirios, Salvador A. Garibaldi, Javier C. Guillén, (2025), Intersection Between Bioethics, Biopolitics and Public Policies: a warp for the Empowerment of life, Clinical Research and Clinical Reports, 8(3); DOI: 10.31579/2835-8325/180

Copyright: © 2025, Cruz G. Lirios. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Received: 26 June 2025 | Accepted: 15 July 2025 | Published: 05 August 2025

Keywords: categorization; análisis; bioethics; biopower; biopolitics; public policies

Abstract

This study analyzes the intersection between bioethics, biopolitics, and public policies, exploring how state regulations can function both as mechanisms of population control and as tools for the promotion of collective well-being. There are tensions between the exercise of power and individual autonomy, which raises the need for an approach that balances both dimensions. The objective of the research was to evaluate the possibility of a balanced articulation between these areas, considering bioethics as a critical tool in the face of biopolitical dynamics in the formulation of public policies. A qualitative design based on documentary analysis was adopted, using a theoretical sampling of relevant academic and normative texts. The main instrument was a categorization matrix that allowed the data to be organized and interpreted in a systematic way. The results showed that, although public policies can reproduce control logics, their structuring under solid bioethical principles can mitigate these effects and guarantee a more equitable regulation. As a contribution to the research area, the study highlights the importance of integrating bioethics in the design of public policies, promoting regulatory frameworks that prioritize human dignity and social justice, avoiding their instrumentalization in favor of governmental or economic interests.

Introduction

The objective of this work was to analyze the relationship between bioethics, biopolitics and public policies as a conceptual framework that allows to enhance life and generate conditions for collective well-being in contemporary societies.

How are bioethics, biopolitics and public policies articulated to generate strategies that enhance life in specific social and political contexts? What implications does this articulation have in the formulation of policies aimed at well-being and social justice?

The debate on the intersection between bioethics, biopolitics and public policy has gained relevance in the social sciences and political philosophy. Authors such as Foucault (1976) have addressed biopolitics as a mechanism for regulating life through state institutions and regulations, showing how modern power is exercised through the administration of bodies and the management of populations. From bioethics, Singer (1993) and Potter (1971) have developed approaches to the relationship between ethics and life, highlighting the need for normative principles to guide decisions in the biomedical and social spheres. In the field of public policies, Sen (1999) has emphasized the need for regulatory frameworks that promote human development, ensuring conditions of equity and justice in the distribution of resources and opportunities.

Martínez Posada (2022) proposes an integration between these three concepts, proposing bioethics not only as a normative field, but as a critical tool in the face of biopolitical practices and public policy decisions. Her work is framed in a perspective that seeks to enhance life through regulatory frameworks that go beyond merely disciplinary or technocratic approaches. Based on this analysis, it is concluded that, although public policies can operate as instruments of biopower, their design and implementation can also incorporate bioethical principles that favor collective well-being without violating individual autonomy.

One of the main achievements of this study lies in its contribution to the critical understanding of how bioethics can operate both as an emancipatory tool and as a mechanism for legitimizing state control. Likewise, it was possible to show that the formulation of public policies must consider a balance between population regulation and the guarantee of individual rights, avoiding falling into logics of exclusion. However, the study also has certain limitations, including the eminently theoretical approach, which prevents direct evaluation of policy implementation in specific contexts. In addition, the analysis focused on secondary sources, which leaves open the possibility of contrasting the findings with field studies that allow a greater approximation to the political and social reality.

Based on these results, future lines of research are proposed that could broaden the understanding of this problem. First, it would be relevant to analyze case studies that allow us to observe how the dynamics of biopower and bioethics materialize in the formulation of public policies in specific contexts. It is also suggested to investigate the role of citizens and social movements in the configuration of bioethical policies, considering their potential to influence government decisions. Finally, an emerging line of research could focus on the impact of new technologies and artificial intelligence on biopolitics and bioethics, exploring their implications in terms of control, autonomy and social justice.

In conclusion, this study highlights the importance of rethinking the relationship between bioethics, biopolitics and public policies from a critical and interdisciplinary approach. Only through deep and continuous analysis will it be possible to advance in the construction of policies that not only regulate life, but truly enhance it, ensuring respect for human dignity and social justice.

The analysis of the relationship between bioethics, biopolitics and public policies allows us to understand how bodies and populations are regulated within the framework of modern States. At the same time, it makes it possible to identify strategies that guarantee a dignified life for all, avoiding the instrumentalization of bioethics as a mechanism of social control.

From this perspective, it is crucial to study how public policies can incorporate bioethical principles without falling into biopower dynamics that restrict rights or deepen inequalities. A transdisciplinary approach is required to build normative frameworks that are sensitive to contemporary social problems.

If a balanced articulation is established between bioethics, biopolitics and public policies based on the empowerment of life and respect for human dignity, then it will be possible to generate normative strategies that promote collective well-being without reproducing structures of control and social exclusion.

Methods

The methodological approach adopted in this research was based on a qualitative design of a hermeneutical-analytical type, with the aim of interpreting the relationship between bioethics, biopolitics and public policies in the contemporary context. This design allowed for an in-depth analysis of the theoretical and normative discourses associated with the empowerment of life within the framework of state regulation.

The research design was based on the need to understand complex phenomena based on the interpretation of theoretical and normative sources. Following Gadamer (1998), hermeneutics allowed the critical analysis of texts and discourses related to bioethics and biopolitics, identifying how they are configured within public policies. In addition, the analytical method facilitated the identification of patterns and trends at the intersection of these fields.

Given the documentary nature of the research, the sample was made up of a corpus of academic, normative and philosophical texts that are key in the discussion on bioethics and biopolitics. Works by authors such as Michel Foucault (1976, 2007), Van Rensselaer Potter (1971) and Giorgio Agamben (1998) were included, as well as documents from international organizations on public policies on health and human rights (UN, 2019; WHO, 2021). The selection was made through intentional theoretical sampling, prioritizing texts that addressed the relationship between state regulation, ethics of life, and public policies.

For the analysis of the documentary corpus, a categorization matrix was designed based on the content analysis approach proposed by Krippendorff (2004). This matrix included categories such as "biopower and state control", "bioethics and autonomy" and "public policies and collective well-being", allowing the systematization and comparison of the findings. The instrument was validated through the review of experts in bioethics and public policies, guaranteeing its theoretical and methodological relevance.

The analysis procedure was carried out in three phases, following a qualitative documentary analysis approach (Bowen, 2009). In the first phase, an exploratory reading of the documentary corpus was carried out with the aim of identifying the predominant conceptual axes in the selected texts. This strategy made it possible to establish an initial basis for the categorization of the data, ensuring a structured interpretation and avoiding biases in the selection of relevant information (Krippendorff, 2018).

In the second phase, the categorization matrix was applied, which made possible a systematic interpretation of the data by organizing the key concepts into previously defined categories. Categorization made it possible to decompose the discourse of the texts into units of analysis that facilitated the identification of conceptual patterns and relationships between the different approaches addressed (Bardin, 2013). This process was essential to ensure the validity of the analysis and to avoid reductionist interpretations that could distort the findings.

Finally, in the third phase, the findings were contrasted with the theoretical framework, evaluating their coherence with the hypothesis raised. The data obtained were compared with the key concepts developed in the studies of Foucault (1976), Sen (1999) and Martínez Posada (2022), which made it possible to identify coincidences and discrepancies between the texts analyzed and the existing literature. This procedure guaranteed a rigorous and well-founded analysis, minimizing possible subjective interpretations and favoring a critical approach to the problem under study.

The hypothesis was tested through an interpretative and comparative analysis of the sources reviewed. The relationships between bioethical discourses, biopolitical structures and the formulation of public policies in different contexts were examined, identifying the dynamics that favor or limit a balanced articulation between these areas. Likewise, recurrent patterns in the literature that support or refute the hypothesis about the possibility of integrating bioethical principles in the configuration of public policies without them becoming tools of biopower were analyzed. This approach made it possible to assess the viability of a regulatory model that responds both to the demands of collective well-being and to the guarantee of individual autonomy.

The analysis made it possible to verify that, although there are tensions between bioethics and biopolitics, it is possible to structure public policies that prioritize the empowerment of life without reproducing mechanisms of exclusion. This finding coincided with the approaches of authors such as Esposito (2008) and Rose (2006), who argue that critical bioethics can act as a counterweight to biopower dynamics.

Results

The documentary analysis allowed us to identify that the relationship between bioethics, biopolitics and public policies is mediated by conceptual and normative tensions. It was evident that, while bioethics seeks to establish ethical principles for the regulation of life, biopolitics operates as a mechanism of control over bodies and populations. This interaction is reflected in the formulation of public policies, which can adopt approaches that oscillate between the promotion of collective well-being and the implementation of social discipline strategies.

From the categorization matrix, three main axes were determined that structure the relationship between these concepts. In the first place, the axis of "biopower and state control" showed how public policies can become instruments of regulation that restrict freedoms under the argument of the management of life and security. Secondly, the axis of "bioethics and autonomy" highlighted the importance of regulatory frameworks that guarantee the self-determination of individuals in the face of biomedical and social decisions. Finally, the axis of "public policies and collective well-being" made it possible to identify strategies that seek to balance the dynamics of biopower with bioethical principles that favor social justice.

The analysis of relationships between these categories allowed us to observe that, in contexts of health crises and global emergencies, public policies tend to prioritize biopolitical mechanisms over bioethical principles, justifying restriction and control measures based on the need for social protection. However, in democratic contexts with solid legal frameworks, there was evidence of greater integration of bioethics in decision-making, which facilitates the construction of policies that are more inclusive and respectful of human rights.

From a critical perspective, it was identified that bioethical discourse can be co-opted by biopolitical dynamics, transforming itself into an instrument of legitimization of control practices instead of an emancipatory tool. In addition, it was evident that public policies do not always achieve an effective application of bioethical principles, since government decisions are usually conditioned by political and economic interests (see Table 1).

CategoryDefinitionRelationships between categoriesCriticism
Biopower and state controlIt refers to the mechanisms by which the State regulates the lives of citizens, establishing norms and restrictions that determine access to health services, mobility and other dimensions of existence (Foucault, 1976).It is linked to bioethics to the extent that state regulations can limit individual autonomy in the name of collective well-being. It also relates to public policies by establishing regulatory frameworks that affect entire populations.It can lead to the justification of restrictive measures that violate individual rights under the argument of public interest (Agamben, 1998).
Bioethics and autonomyIt refers to the discipline that establishes ethical principles for decision-making in relation to life, health, and technology, with an emphasis on respect for individual autonomy and human dignity (Potter, 1971).It has an ambivalent relationship with biopolitics: it can be a tool to question state control over life, but it can also be instrumentalized as a justification for regulatory measures. In the field of public policies, it serves as a criterion for the formulation of norms and protocols.There is a risk that bioethics will become a technical discourse that legitimizes political decisions without questioning them critically (Rose, 2006).
Public policies and collective well-beingIt encompasses the set of strategies and regulations designed to guarantee health, education and equitable access to basic resources in a society (Sen, 1999).It is related to biopolitics to the extent that many of its strategies may involve population control dynamics. In turn, bioethics acts as a regulatory mechanism that allows these dynamics to be balanced with principles of justice and equity.The implementation of public policies may respond more to governmental or economic interests than to true ethical and social welfare considerations (Esposito, 2008).

Table 1: Category matrix

These results reflect the complexity of the interaction between bioethics, biopolitics and public policies, highlighting the need for a critical approach to avoid the instrumentalization of bioethics as a function of state control mechanisms. In addition, they underscore the importance of strengthening regulatory frameworks that guarantee individual autonomy without neglecting collective responsibility in the formulation of public policies.

Discussion

The findings of this research show that the relationship between bioethics, biopolitics and public policies is marked by a constant tension between state control and individual autonomy. This conclusion is in line with the approaches of Foucault (1976), who argues that biopower operates by regulating the lives of populations through state institutions and regulations. In this sense, the analysis showed that public policies can become tools of biopower when they prioritize the management of life over respect for individual rights. However, it was also identified that an adequate bioethical framework can counteract these dynamics, promoting the formulation of more equitable regulations focused on collective well-being.

In relation to the category of biopower and state control, the results showed that public policies tend to justify restrictive measures under the argument of collective interest, which coincides with Agamben's (1998) reflections on the state of emergency. In particular, the author warns that governments can instrumentalize health emergencies or social crises to strengthen control mechanisms, a phenomenon that was observed in various scenarios analyzed in this research. However, Esposito (2008) argues that biopower should not be understood exclusively as a form of oppression, but also as a space of dispute where alternatives can emerge to enhance life. Along these lines, the findings suggest that public policies, when well designed, can avoid the instrumentalization of biopower and be oriented towards social protection strategies with a bioethical approach.

The category of bioethics and autonomy revealed that bioethics plays a crucial role in limiting biopower, by providing normative principles that protect human dignity and the self-determination of individuals. This is in line with the contributions of Potter (1971), who conceived of bioethics as a bridge between science and moral philosophy, aimed at guiding decision-making in matters related to life and health. However, Rose (2006) warns that bioethics can be co-opted by political discourses and used to legitimize control practices. The results of this research confirm this concern, as it was 

identified that some public policies adopt bioethical principles in a superficial way, without really guaranteeing the autonomy of individuals. This suggests the need to strengthen bioethical frameworks within public 

policy, ensuring that these are not simply rhetorical tools, but effective principles of regulation.

Regarding the category of public policies and collective well-being, the results showed that there is a close relationship between the formulation of regulations and the dynamics of biopower, which is in line with the reflections of Sen (1999). The author argues that public policies must guarantee the necessary conditions for human development, ensuring equity and social justice. However, the present research showed that, in many cases, these policies respond more to governmental or economic interests than to principles of justice and well-being. This reinforces the critique of Esposito (2008), who points out that contemporary biopolitics not only regulates life, but also defines which lives are worthy of protection and which are excluded from the benefits of the State.

Based on these findings, the need to integrate a critical bioethical approach into public policies is raised, which allows counteracting biopower dynamics and guaranteeing a more equitable state regulation focused on human well-being. A comparison with other state-of-the-art authors reinforces the idea that bioethics should be an active tool in the construction of public policies and not just a discourse that legitimizes government practices. It also highlights the importance of strengthening citizen participation in decision-making, as a strategy to avoid the instrumentalization of bioethics and ensure that public policies really respond to the needs of the population.

Conclusion

The findings of this research show that the relationship between bioethics, biopolitics and public policies is complex and mediated by tensions between state control and individual autonomy. It was identified that, although public policies can act as tools of biopower, they also have the potential to articulate bioethical principles that guarantee collective well-being without violating fundamental rights. However, the instrumentalization of bioethics by governments and the subordination of public policies to economic and political interests represent challenges that limit its transformative capacity.

One of the main achievements of this study lies in its contribution to the critical understanding of how bioethics can operate both as an emancipatory tool and as a mechanism for legitimizing state control. Likewise, it was possible to show that the formulation of public policies must consider a balance between population regulation and the guarantee of individual rights, avoiding falling into logics of exclusion. However, the study also has certain limitations, including the eminently theoretical approach, which prevents direct evaluation of policy implementation in specific contexts. In addition, the analysis focused on secondary sources, which leaves open the possibility of contrasting the findings with field studies that allow a greater approximation to the political and social reality.

Based on these results, future lines of research are proposed that could broaden the understanding of this problem. First, it would be relevant to analyze case studies that allow us to observe how the dynamics of biopower and bioethics materialize in the formulation of public policies in specific contexts. It is also suggested to investigate the role of citizens and social movements in the configuration of bioethical policies, considering their potential to influence government decisions. Finally, an emerging line of research could focus on the impact of new technologies and artificial intelligence on biopolitics and bioethics, exploring their implications in terms of control, autonomy and social justice.

In conclusion, this study highlights the importance of rethinking the relationship between bioethics, biopolitics and public policies from a critical and interdisciplinary approach. Only through deep and continuous analysis will it be possible to advance in the construction of policies that not only regulate life, but truly enhance it, ensuring respect for human dignity and social justice.

References

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