Associate Professor and Consultant Neonatologist Dominic Wilkinson (Oxford Uehiro Centre for Practical Ethics) argues that medical doctors should not always listen to their own conscience and that often they should do what the patient requests, even when this conflicts with their own values.
Written by: Rajiv Shah, PhD Candidate, Faculty of Law, University of Cambridge
Donald Trump suggested that women who have abortions should face punishment. For that he was criticised by both the pro-choice side and the pro-life side. The latter claimed that their view is that women should not face punishment for having abortions but that only providers should. This raises the interesting question of whether the pro-life position is coherent. It would seem that it is not. If the foetus has the right to life then having an abortion is like murder and so those who abort should be treated as such. This post argues that the pro-lifer can coherently reject this implication whilst still holding that the foetus has the right to life. Since it considers the responses a pro-lifer could make this post will assume for the sake of argument that the foetus does have a right to life. Continue reading
In Roald Dahl’s short story, William and Mary, William dies of cancer. But a novel procedure allows his brain, with one eye attached, to be kept functioning in a clear plastic vat. His wife convinces William’s neurosurgeon to allow her to take William (or rather his brain and eye) home with her.
When home, Mary places William in a prominent place in the sitting room from where he can survey all her actions. He had been a domineering and controlling husband. He forbade her to have a TV and to smoke. Now, Mary purchases a TV and takes up smoking, blowing smoke in the direction of William. She will punish him for his abuse and his brain may stay alive, utterly powerless, for up to 200 years.
This story was science fiction. But yesterday, the first step to creating the brain in a vat was reported in the US. Back in July 2013, scientists reported the first organ grown from stem cells: a liver. A kidney, heart and other organs have followed. The potential of these technologies to eventually provide replacement organs is also an opportunity to sweep away complex ethical issues: most obviously in avoiding the need for organ donation, but also in enhancing the ability to test drugs on lab grown organs before testing in humans- reducing the risk of harm to research participants, hopefully some day to a negligible amount.
Now, just 2 years later, the first brain has been grown in a laboratory. The organoid has been grown for 12 weeks, the equivalent of a 5 week old foetus.
Lead researcher Professor Rene Anand, from Ohio State University in the US,
“It not only looks like the developing brain, its diverse cell types express nearly all genes like a brain.”
Many share an intuition that self-consciousness is highly morally significant. Some hold that self-consciousness significantly enhances an entity’s moral status. Others hold self-consciousness underwrites the attribution of so-called personhood (or full moral status) to self-conscious entities. On such views, self-consciousness is highly morally significant: the fact that an entity is self-conscious generates strong moral reasons to treat that entity in certain ways (reasons that, for example, make killing such entities a very serious matter).
Why believe that? Continue reading
For a long time, Ann Furedi (chief executive of bpas) has been advocating women’s right to choose regarding their pregnancies. She is quite radical with regard to this pro-choice principle. For example, she questioned the 24-week limit of abortion, saying that every limit is arbitrary, and women have good reasons when they request an abortion after the 24-week limit. She defends gender selection. She argues that abortion is justified when the continuation of the pregnancy is likely to cause injury to the mental or physical health of the woman and having a child with an undesired gender could cause such suffering. According to her, you are either pro-choice or you are not. You can’t reject women’s right to choose when you don’t like her choice and still be pro-choice. There is no middle ground. What is at stake is the principle of moral autonomy with respect to reproductive decisions. If we set limits to this principle, then we violate the principle all-together. We should trust women to make their own decisions, as only they best know their own circumstances.
Left to make their own moral judgements, some women will inevitably make decisions that we would not; perhaps even those we think are ‘wrong’. And we must live with that: tolerance is the price we pay for our freedom of conscience in a world where women can exercise their human capacity through their moral expression. We either support women’s moral agency or we do not. (…) We can make the judgement that their choice is wrong – but we must tolerate their right to decide. There is no middle ground to straddle.
The latest issue of the Journal of Medical Ethics is out, and in it, Professor Nigel Biggar—an Oxford theologian—argues that “religion” should have a place in secular medicine (click here for a link to the article).
Some people will feel a shiver go down their spines—and not only the non-religious. After all, different religions require different things, and sometimes they come to opposite conclusions. So whose religion, exactly, does Professor Biggar have in mind, and what kind of “place” is he trying to make a case for?
1. Many think that the wrongness of killing has at least partly to do with the harm and/or badness of death. I assume that is right.
2. Many think that the harm and/or badness of death has primarily to do with the deprivation of a future. In particular, many think that the future contains valuable experiences and states of affairs, and that death robs an entity of experiencing or otherwise attaining these valuable things. Although there are different ways of making explicit how a future is valuable, I assume that the general idea is right.
3. The value in the future is prima facie problematic for those who find abortion permissible. Fetuses seem to have valuable futures. If so, then at the very least there is a (potentially defeasible) moral reason against killing a fetus (cf. Marquis 1989). Continue reading
I was recently lucky enough to receive an advance copy of Charles Camosy’s forthcoming book to review – ‘Beyond the abortion wars: a way forward for a new generation’. In this book, Camosy masterfully traverses the ‘battleground’ between the ‘pro-life’ and ‘pro-choice’1 camps in order to show that this battleground is in fact no such thing. In fact, as Camosy notes, the majority of the American public actually agree on a middle-ground position on abortion. Despite what one might think from reading certain media outlets and Twitter wars, there is actually a large consensus in the public regarding abortion. This insight is deceptively powerful. By demonstrating the areas of agreement, Camosy is able to help guide us beyond the abortion wars to allow a way forward for a new generation.
Feminists are kicking up quite a storm in Oxford at the moment. Oxford Students for Life have organized a debate on abortion to happen tomorrow (the 18th November, 2014), which has inspired some rather troubling attacks. Now, Oxford feminists (‘WomCam’) are generally rather intolerant of any pro-life rhetoric (or, indeed, anyone that disagrees with them), but what has really got their goat this time is that the debate is between two men.
“It is absurd to think we should be listening to two cisgender men debate about what people with uteruses should be doing with their bodies. By only giving a platform to these men, OSFL [Oxford Students for Life] are participating in a culture where reproductive rights are limited and policed by people who will never experience needing an abortion.”
Apparently some UK doctors have been aborting babies because their parents don’t want a baby of that sex. In response the government is now planning to outlaw abortion on the grounds of sex. It is already illegal, however, so we must wonder what the politicians are up to. A question being ignored is whether it is right or wrong to abort on the grounds of sex. I am going to consider various grounds on which abortion is considered permissible and examine whether that permissibility is consistent with abortion on the grounds of sex being forbidden.