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Bioethics

Three Arguments Against the Belgian Child Euthanasia Bill Criticised

By Luke J Davies. Follow Luke on Twitter.

Last week the upper house of the Belgian Federal Parliament voted (50 to 17) that euthanasia should be legal for children suffering from a terminal illness that is causing severe physical pain. [1] The bill legalizing the practice requires that the child understand what euthanasia is, and that parents provide their written consent. Unlike the Netherlands, which allows euthanasia for children over the age of 12, there will be no minimum age in Belgium. (Find the story here, here, here, and here.)

The passing of this bill, which has yet to be turned into a law [2], has been met with severe criticism in Belgium and abroad, mostly from religious and conservative groups. From what I have read, there are three main lines of argument against allowing euthanasia for children. The first maintains that allowing euthanasia for children is the first in a long series of steps that will lead to some Third Reich-like eugenics program. The second maintains that children do not have the capacity to make a decision to be euthanized. The third maintains that the legalization of euthanasia for children would lead to parents or health care professionals putting pressure on children to opt for that choice. I believe that each of these arguments fails to demonstrate that the bill should not pass, and will spend the remainder of this post explaining why.  

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Emergence’s devil haunts the moral enhancer’s kingdom come

It is 2025. Society has increasingly realised the importance of breaking evolution’s chains and enhancing the human condition. Large grants are awarded for building sci-fi-like laboratories to search for and create the ultimate moral enhancer. After just a few years, humanity believes it has made one of its most major breakthroughs: a pill which will rid our morality of all its faults. Without any side-effects, it vastly increases our ability to cooperate and to think rationally on moral issues, while also enhancing our empathy and our compassion for the whole of humanity. By shifting individuals’ socio-value orientation towards cooperation, this pill will allow us to build safe, efficient and peaceful societies. It will cast a pro-social paradise on earth, the moral enhancer kingdom come.

I believe we better think twice before endeavouring ourselves into this pro-social paradise on the cheap. Not because we will lose “the X factor”, not because it will violate autonomy, and not because such a drug would cause us to exit our own species. Even if all those objections are refuted, even if the drug has no side-effects, even if each and every human being, by miracle, willingly takes the drug without any coercion whatsoever, even then, I contend we could still have trouble.

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Should exceptional people receive exceptional medical treatment?

There are approximately 150,000 human deaths each day around the world. Most of those deaths pass without much notice, yet in the last ten days one death has received enormous, perhaps unprecedented, attention. The death and funeral of Nelson Mandela have been accompanied by countless pages of newsprint and hours of radio and television coverage. Much has been made of what was, by any account, an extraordinary life. There has been less attention, though, on Mandela’s last months and days. One uncomfortable question has not been asked. Was it ethical for this exceptional individual to receive treatment that would be denied to almost everyone else?Read More »Should exceptional people receive exceptional medical treatment?

Podcast: Genetic Parenthood, Assisted Reproduction, and the Values of Parental Love

On the evening of Thursday 28 December, Prof. Justin Oakley, Deputy Director of the Centre for Human Bioethics at Monash University, gave a fascinating and suggestive lecture on whether there is reason for the state to broaden access to IVF treatment for childless people as well as facilitating adoption.Read More »Podcast: Genetic Parenthood, Assisted Reproduction, and the Values of Parental Love

Beyond 23andMe’s Shutdown: The Role of the FDA in the Future of Direct-to-Consumer Genetic Testing

Kyle Edwards, Uehiro Centre for Practical Ethics and The Ethox Centre, University of Oxford Caroline Huang, The Ethox Centre, University of Oxford An article based on this blog post has now been published in the May – June 2014 Hastings Center Report: http://onlinelibrary.wiley.com/doi/10.1002/hast.310/full. Please check out our more developed thoughts on this topic there!

Caesarean Sections, Autonomy and Consent

 

In the past week in the UK, an Italian woman has claimed that a health trust had carried out a Caesarean section on her against her will. Whilst details of the case are still emerging, it appears that the woman had been detained under the Mental Health Act whilst pregnant after suffering a panic attack (which, it is reported, was possibly a result of a failure to take medication for a pre-existing mental health condition). Having been hospitalized for a number of weeks, the woman was given a Caesarean section whilst under sedation without consent. It appears that a health trust had been granted permission to carry out the procedure from the Court of Protection. Further to this, Essex social services also decreed that the mother was unfit to raise the child, and took the child into its care.Read More »Caesarean Sections, Autonomy and Consent

Invasion from the blue planet: are we protecting Mars too much?

Are we overprotective of Mars? That is the claim made by Alberto G. Fairén and Dirk Schulze-Makuch in a recent commentary in Nature Geoscience. They argue that current planetary protection policies that try to prevent bodies in the solar system from becoming contaminated by Earth-life are too costly, inhibit scientific exploration and might actually be unnecessary because of natural contamination. How much value does a pristine non-terrestrial environment have?

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Ethics of Editing the Book of Life

It’s got Nobel Prize written all over it. The scientific innovation, CRISPR, which enables accurate ‘editing’ of DNA (compared to current techniques where a viral vector introduces the DNA at random), has had one team member “jumping out of my skin with excitement”. Still at basic science level, it has already been hailed as a potential new treatment for Huntington’s Disease, HIV and other disorders. It is apparently so easy to use that Professor Mello, who was involved in the project, has said, “a total novice in my lab got it to work”.

One possible application that has been suggested is ‘correcting’ the germline: changing the genetics of sperm, eggs and embryos, to eliminate diseases not just in individuals, but in future generations. The designer baby is in production.

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Financial Incentives, Coercion and Psychosis

In a recent editorial in the British Medical Journal, Tim Kendall draws attention to a recent study that suggests that modest financial incentives can significantly improve adherence in people treated with depot drugs for schizophrenia and other psychoses in the UK. This study looks set to reignite the debate regarding the moral permissibility of offering financial incentives as a part of medical care. Whilst those who support this practice point out that we already offer non-financial rewards to many patients, others have criticised the practice as, among other things, amounting to coercion. In this post, I shall contest this particular objection to the practice of offering financial incentives to patients as part of medical care.Read More »Financial Incentives, Coercion and Psychosis