I’ve just returned from Malta where I came across a story that I had missed at the time. A decade ago a Catholic woman from the Maltese island of Gozo gave birth to conjoined twins. Doctors said the twins would both die unless they were operated on; but if this operation went ahead only one of the babies would survive.
A
provocative article soon to be published in the Journal of Bioethical Inquiry
argues that parental consent should not be a prerequisite for neonatal
euthanasia. At present, the only country to permit neonatal euthanasia is the
The Netherlands. Medical personnel there are not prosecuted for actively
euthanizing infants in great suffering, provided that they satisfy the
requirements of the Groningen Protocol, which include obtaining consent from
the infant's parents. In the forthcoming article, Jacob Appel argues that the
requirement for parental consent should be dropped.
Let's first consider the question of whether it
could be ethically permissible for medical staff to end the life of a child
without the consent of the parents.
The former head of the British Medical Association, Sir Sandy Macara, has called for the Measles Mumps and Rubella immunisation (MMR) to be a compulsory requirement prior to school entry. The UK has seen a surge in cases of measles over the last couple of years because of a fall in the immunisation rate. Many parents have chosen not to immunise their children as a result of the supposed (and now completely discredited) link between MMR and autism. Immunisation rates have fallen to 70% in some parts of the country. Is compulsory immunisation the answer, and if so, what degree of compulsion should we adopt?
Recently in
the news, a report published by the independent think-tank Demos reminds us of
the importance of the capacity for self-control (it also mentions empathy, to
which most of the following remarks apply) in determining life outcomes. It
argues that self-control lessons should be taught at school if children,
particularly from deprived backgrounds, are to be given the tools they need to
succeed in life – low-self-control has for instance been shown to positively
correlate with length of unemployment or criminal behaviour, and negatively
with academic achievement. The report echoes renewed interest in the United
States in a now famous experiment by Walter Mischel on deferred gratification,
dating back to the late 1960s. Mischel tested the capacity of a group of
four-year olds to resist the temptation to eat straightaway a marshmallow he
had given them. The children who were able to refrain turned out to be better
adjusted, more dependable and to do better academically on the whole later in
life.
The report
by Demos makes important points and its proposals deserve to be supported.
Nevertheless, even if they are put into practice, we might still feel concerned
about how effective we can expect them to be. There is indeed a body of
evidence suggesting that the capacity for self-control is to a large extent
genetically determined (Wright & Beaver, 2005; Beaver & al., 2009).
Read More »Self-control matters – but to what extent can it be taught?
The Swedish National Board of Health and Welfare has recently declared that it is impossible to deny abortions to women who base their decision on the sex of the foetus. This ruling came about after a case where a woman twice aborted foetuses because they were female. This upset not only the medical personnel, but also social minister Göran Hägglund who declared that it was horrible that people valued sexes differently. But while the majority of Swedes probably do think sex selection is immoral, the right to free abortion is equally strongly held. This poses an interesting problem for socially and politically liberal societies like Sweden: allow gender selection, or try to restrict abortion?
Read More »Biting into the sour apple: liberal society, abortion rights and sex selection
David King warns that we should modify society, not childrens' brains. This is a response to a recent Radio 4 documentary on "the criminal mind", which discussed recent evidence for biological underpinnings of some forms of antisocial behaviour and the possibility of reducing it using vitamins, drugs or early interventions. Dr King quite rightly points out that the image given by the program tends to oversimplify things and promote a reductionistic view of the causes of crime. But he also appears to contend that complex social problems cannot be solved through biological interventions. In this he is likely wrong.
Rubén Noé Coronado Jiménez is 25 and pregnant with twins. He is unusual in that he is a transsexual man, in the middle of hormone treatments and about to undergo a full operation to change his sex: http://www.guardian.co.uk/world/2009/mar/30/transexual-man-pregnant-twins . The operation has, of course, been postponed while he and his female partner await the birth… Read More »Contradicting Nature
Over the weekend a nine-month old infant, baby ‘OT’, died following a court ruling that allowed doctors to remove life support. As discussed in a post last week, his parents had wanted treatment to continue, but the court ruled that the hospital could withdraw the breathing machine that was keeping OT alive and allow him to die.
In the High Court this week, parents of nine-month old infant OT are fighting a request by doctors to turn off the infant’s life support. The infant has been on a breathing machine since 3 weeks of age, and apparently has severe brain damage. This case has obvious echoes with the highly publicised case of Charlotte Wyatt, and the earlier case of baby MB. In both those instances courts ruled in the parents’ favour and life support was continued.
Read More »Life or no-life on the ventilator: the argument from parental freedom
Designer babies are in the news again. The LA Fertility Institutes, headed by a 1970s IVF pioneer, have offered the opportunity for potential parents to choose traits such as the eye and hair colour of their children: http://news.bbc.co.uk/1/hi/health/7918296.stm Unsurprisingly, slippery slope arguments have already begun to appear: http://www.theage.com.au/world/la-delivers-first-designerbaby-clinic-20090302-8meq.html Marcy Darnovsky, director of the Centre for… Read More »Designer Babies and Slippery Slopes
