By Dominic Wilkinson @Neonatalethics
and Keyur Doolabh, Medical Student, Monash University
Towards the end of last year, and over the first months of 2016, there were alarming reports of the explosive spread of Zika virus infection in South America. As many as 1.5m Brazilians were thought to have contracted the virus. More, worrying still, there were reports of thousands of cases of congenital microcephaly – infants born with abnormally small heads because of brain damage in the womb. Each week there appeared to be more reports and larger numbers of infants affected.
But the latest estimates from Brazil have reversed this trend. Last week, the total number of confirmed and suspected cases of Zika microcephaly is reported to be 4,759, 500 less than two months ago.
Why are the numbers of cases falling? Does this mean that earlier reports about Zika were wrong? Is the Zika panic over? Continue reading
I am a bitter opponent of private education. All my political hackles rise whenever the subject is mentioned.
Yet of my four currently school-aged children, one (‘A’) is educated privately (at a specialist choir school), and another (‘B’, who is dyslexic) will shortly be in private education (at a hip, Indian-cotton swathed, high-fibre, bongo-drumming, holistic school). The two others (‘C’ and ‘D’) are currently in state primary schools. There are two older children too (‘E’ and ‘F’) They were both educated privately, at a fairly traditional school.
How can I live with myself?
One way would be to avert my eyes from the apparently plain discrepancy between my actions and my political convictions. That’s often been my strategy. But I want to attempt some kind of defence – at least in relation to A and B, and lay the ground for a potential defence in relation to C and D, should we choose to educate them privately. Continue reading
Quick announcement: A podcast interview between Brian D. Earp (a.k.a. myself) and J. J. Chipchase for Naturalistic Philosophy has just been released: we talk about the relationship between science and morality, the is/ought distinction, free will, the replication crisis in science and medicine, problems with peer review, bullshit in academia, and Sam Harris’s The Moral Landscape, among other things. Check it out here:
The UK became the first country to officially approve gene editing research in human embryos on Monday. The HFEA decision means experiments in which the genes of embryos are manipulated will likely begin at the Francis Crick Institute within the next few months.
Gene editing (GE) technologies are immensely powerful. They have already been used to manipulate mosquitos so they cannot carry diseases like malaria or Zika. They have been used in medicine to reprogram human immune cells to target cancer. When used for research purposes, they promise to greatly increase our knowledge of genetics and human heredity. This will lead to a better understanding of disease, which in turn will allow better treatments – including better drugs.
In an interview with Dr Katrien Devolder, Professor Julian Savulescu (Oxford) argues that doctors should not impose their religious or non-religious values on patients if this conflicts with the delivery of basic public healthcare.
Marriage is not well served by its defenders. The loudest and best reported of them are often fundamentalist bigots. It’s a shame, for marriage has a lot going for it.
Even if you think that marriage is an anachronistic/bourgeois/theologically contaminated institution, you’ll probably agree that the breakdown of marriages is best avoided. Of course incurably dysfunctional marriages should be ended, but most people aspire to enduring relationships, and the wrench of marital dislocation is emotionally and financially traumatic. If there are children, marriage breakup is painful for the parents and can be enduringly damaging for the children. There are, in short and quite uncontroversially, some significant harms associated with the breakdown of marriages.
How can marriage breakdown – and hence those harms – be avoided? Continue reading
Please note: this blog is was first published at the Journal of Medical Ethics Blog.
The Journal of Medical Ethics is pleased to announce the addition of a new article type – Extended Essays – that will allow authors up to 7,000 words to provide an in-depth analysis of their chosen topic.
In an interview, Associate Editor Tom Douglas said the new category was created “in recognition of the fact that some topics warrant sustained and nuanced analysis of a sort that can’t be laid out in less than 3,500 words.”
He went on to say that at the Journal of Medical Ethics “we don’t want to miss out on the best papers in medical ethics, many of which currently get sent elsewhere simply because of our strict word limits.”
Understanding is a fundamental concept in medical ethics. I want to discuss two contrasting senses in which medical treatments require understanding on behalf of the patient. The first of these is very familiar, and much discussed. The second is less so. Continue reading
Written by Andreas Kappes
The school year just started, but surprisingly, the half-term break is already lurking around the corner, when children have a week off. For a lot of parents this implies seeing their own parents, having them take care of the kids. And whenever families come together, there will be many sentences starting with: If I were you… Adult children don’t hesitate to give unsolicited advice on, for instance, the outfit choices of their partners (“If I were you I would only wear this at midnight, when it is dark and nobody can see you”), parents give advice to their own parents (“If I were you, I would take it slow), and grandparents can’t resist either (“If I were you, I would buy a house and stop renting”). Even outside the family, unsolicited advice is everywhere1. Obama telling the United Kingdom how much money to spend on the military, David Cameron advising Europe on how to handle immigration, or this blog post suggesting ways to offer advice; it is readily available. And all of these different forms of advice – hopefully with one obvious exception – have one thing in common; they backfire. While people love to dish out advice and it seems to them to be a good idea, we are not great in taking it; we rather hate it. So how to give it right?