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Ethics

When autonomy trumps sense: the costs of refusal to allow withdrawal of life support.

In Canada this week, an 84 year old man died after 9 months of treatment
in an intensive care unit. He had severe brain damage and multi-organ
failure, but his family sought a legal injunction to prevent doctors in
the intensive care unit from withdrawing life-support. Over the course
of his long intensive care stay, intensive care beds at a major trauma
centre were closed
so that nurses could used instead to support his
care, and three doctors resigned from the hospital in protest at being
required to provide what they felt was ‘unethical’ treatment.

Read More »When autonomy trumps sense: the costs of refusal to allow withdrawal of life support.

My Genes, not a Doctor’s

California has sent cease-and-desist letters to firms offering Web gene tests to consumers. The legal reason is that California law requires a licenced physician to order any lab tests. This follows from a similar crackdown in New York. Wired responds by top 10 reasons that regulators should not hinder genetic testing. Is there any good reason to limit public access to genetic testing besides protecting incumbents and gatekeepers?

Read More »My Genes, not a Doctor’s

Setting a Minimum Price for the Sale of Organs

Professor Maqsood Noorani, a leading surgeon made the headlines asking for legalisation of the sale of organs to prevent the exploitation that exists in the black market. Yet his comments show that he is uneasy with the concept of a market in organs. He believes that the sale of organs in richer nations would ‘tarnish the process’, and suggests that even in poorer countries accommodation or education should be offered in exchange instead of cash. 

When two people want to freely exchange some good or service, we need good reasons in a free market to prevent the exchange. Moreover, when it comes to a market in organs, the good in question is life saving. Why then should we prevent such exchanges when there are willing buyers and sellers?

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A pill-full of sugar helps the medicine go down

A medicine for children that has been shown to be effective in a wide range of conditions is to be released soon in the UK and is already available in the US. It has been exhaustively studied, and has no side effects. It is extremely cheap to produce, and will be readily available. Yet GPs, academics and ethicists are up in arms about the new drug. What is all the fuss about?

Read More »A pill-full of sugar helps the medicine go down

Lex Orwell: When is a Surveillance Society OK?

The current Swedish debate about a bill to
allow military intelligence to intercept phone and Internet
communications
has produced something most unSwedish: a grassroots
"blogquake" that has upset the staid logic of traditional politics
. Given the threat that the bill may fall because of MPs disobeying their party whips
(normally unheard of in Swedish politics) there is a real chance the bill is even
withdrawn at the last minute. But even if it is, this is
an issue that will return again and again: exactly how much
information should the government be allowed to gather and for what purposes?

Read More »Lex Orwell: When is a Surveillance Society OK?

Same species, different needs: could ‘genes for’ improve the way we treat animals?

The New
Scientist recently reviewed a variety of studies showing that many traits often supposed unique to humans are in fact shared by
animals
.
There is evidence that apes, dolphins,
songbirds, elephants, and monkeys share with humans some of the
most important aspects of behaviour associated with speech; killer whales have
distinct cultural groups; great apes and some monkeys have a degree of
understanding of the minds of others, enabling them to deceive; chimpanzees,
gorillas, and crows use tools; and there is suggestive evidence that elephants,
magpies, baboons, whales, and chimpanzees demonstrate emotional behaviour, and
that monkeys and rats are capable of drawing primitive moral distinctions.

Claims that animals have capacities usually thought
unique to humans are controversial, and those who make them are often accused
of anthropomorphising animal behaviour. Plausibly,
there is often more to such accusations than concern for explanatory
parsimony. As humans, we profit from
using animals—for food, research, sport, and so on—in ways that we would not
use other humans, and suggestions that animals are more like humans than we
usually suppose place an unwelcome demand on society to rethink its ethical stance
towards animals. This suggests that a
clear division between humans and other species is important to us in justifying
the discrepancies between what we view as ethical treatment of other humans and
what we view as ethical treatment of non-human animals. Pragmatically speaking, if we
humans wish to retain a privileged moral status, and if our privileged moral
status is at least partly due to our being different to other animals in
certain important (usually biologically-based) respects, then it is in our
interests to resist attempts to draw similarities between humans and other
animals.

Read More »Same species, different needs: could ‘genes for’ improve the way we treat animals?

Abortion for Fetal Abnormality?

Abortion remains a crime for most Australians. Laws are inconsistent between states. In contrast, long ago the UK Abortion Act 1967 repealed and replaced its antiquated legal statutes on which much of Australian abortion law is still based.

The government in the state of Victoria asked the Law Reform Commission to provide legislative options to decriminalize abortion. Law reform is expected later this year.

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Cloning and animal exploitation

The Daily Mail reports this morning that 8 clone-offspring cows have been born in the UK. Also today, the first survey of public opinion on ‘clone farming’ has been released indicating significant unease and opposition to the idea of meat products or milk from cloned sources.

There are strict prohibitions on reproductive cloning for humans in most countries (for example, the recently debated HFEA bill in the UK, and the Human reproductive Cloning Act 2001). However there are few, if any, constraints on the cloning of animals. Is this the start of a new era of animal exploitation?

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Conditional gifts for the NHS

The Royal Bank of Scotland has donated a state-of-the-art three dimensional CT scanner to an Edinburgh hospital, but with strings attached. The scanner will be available for use by NHS patients, but the Bank wants its staff to have priority access to up to 25% of the scanner’s capacity.

Some politicians and academics are opposed to the gift. But would there be good grounds for rejecting it?

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