In New York state last week legislators passed an extraordinary bill that, effectively, indicts the practice of New York doctors. That the bill was thought necessary, and, even more so, that it was opposed by the Medical Society of New York is a sad reflection of medical practice in that part of the world.
In a paper released today in the Journal of Medical Ethics, a large survey of UK doctors found that doctors’ religion influenced their views and practice of end-of-life care. Why does this matter? A number of headlines highlighted that atheist or agnostic doctors were more likely to report having participated in “ethically contentious end-of life actions”: ie taking part in terminal sedation or in actions that they expected or partly intended would hasten the patient’s death. But other headlines emphasised the obvious flip-side: doctors who identified themselves as ‘very religious’ or ‘extremely religious’ were about 35% less likely than non-religious doctors to report having taken this sort of step.
Read More »Should doctors come clean? Religion makes a difference to end-of-life decisions
Is drug addiction a disease? Substance Dependence appears as a diagnosis in the influential Diagnostic and Statistical Manual of Psychiatric Disorders (DSM-IV). There are medical specialists in the field who use a range of different drug and non-drug treatments for patients who are addicted. There are hospitals and clinics where those who are addicted can seek help. But if it is a disease why is it treated as a crime? After all we do not lock people up because they have cancer, or hepatitis, or heart disease.
One issue emerging from the recent media circus over Craig Venter’s apparent creation of a synthetic life form is the potential danger … of ethics commentary itself.
In a case that is probably echoed daily across this country and many others, an amphetamine addict Michael Hunter was jailed yesterday for attacking a friend with a hammer. The judge noted that
"amphetamine had clearly affected
Hunter’s mental health, but he highlighted the fact that he had been
responsible for two unprovoked attacks using weapons."
The judge alluded to the question of responsibility and the influence of addiction. Are addicts morally responsible? Should drug addiction excuse or mitigate blame for actions taken under their influence?
Read More »The hammer or the nail – are addicts morally responsible?
The American Academy of Pediatrics (AAP) has come under fire for a policy statement that has a more nuanced approach to female circumcision (FC) than its previous absolute opposition. The new policy proposes that the law be changed to allow pediatricians to perform a ritual ‘nick’ as a compromise where families request female circumcision. The AAP document strongly opposes all female circumcision that would lead to physical or psychological harm, but suggest that pricking or incising the skin of the external genitalia in females is less harmful than ear piercing. This has led to outrage from groups who oppose female circumcision in all forms.
by Dominic Wilkinson and Julian Savulescu
There are 8000 patients on transplant waiting lists in the UK. Every year 400 patients die while waiting for an organ to come available.
We are all far more likely to be in need of an organ transplant than to be a donor. Most of us expect that if we needed a transplant that someone would donate one. On the basis of the ethical golden rule – do unto others as you would want them to do for you, we should all think seriously about whether and how we could donate our organs if we no longer need them.
Is it wrong for documentary film makers to film intimate moments in the lives of non-human animals? David Attenborough has used fibroptic cameras to obtain views of the inside of a platypus’ nest, providing never-before-seen images of the birth and feeding of a newborn platypus. But imagine that he had used similar technology to obtain pictures from a human home birth, or to take pictures of copulating couples in their homes? Brett Mills, a lecturer in television studies at the University of East Anglia has controversially suggested that animals may have a right to privacy that is breached by filming them without their consent.
When are placebos ethical in medical research? One common answer is that it is only appropriate to use placebos in research when there is no proven effective treatment for the condition (1). On this view, if there is a proven treatment placebos would be unethical, and any trial should compare new drugs or treatments with the existing proven one. But what if the question of ‘proof’ is in dispute? For new medical treatments there often comes a point where some researchers and doctors are convinced that the new treatment is effective and safe while others remain unconvinced. When placebo-controlled trials take place in this setting they are often controversial.
Read More »The equal air-time solution for controversial research
Headlines in a number of newspapers in the last day or two have claimed scandalous failures in organ donation consent in the UK. According to ‘Sky News’, organs were “taken without consent”, while the Sun claims that “NHS doctors took the wrong organs from the bodies of donors”. But it is important to put these claims in context. There are some bigger and more serious scandals when it comes to organ donation consent.
