Together with new research priorities, objectives and strategies, a competition emerges between two concepts which differ with respect to the meaning and primacy of autonomy. In the context of individualism, individual rights and interests are regarded as most important because they limit the ability of the state, the community, or family to govern the individual (Engelhardt, 1996). In the context of communitarian concepts, individual rights are regarded as secondary to the needs of the community or the state, who has the obligation to guarantee law and order, stabilize social structures, set health policy goals, and so on (Callahan, 2003). https://unesdoc.unesco.org/ark:/48223/pf0000212116/PDF/179844eng.pdf.multi.nameddest=212116