-
Knowing is half the battle: preconception screening
In a recently released report the UK Human Genetics Commission said there are “no specific social, ethical or legal principles” against preconception screening. If a couple may benefit from it, testing should be available so they can make informed choices. Information about this kind of testing should also be made widely available in the health…
-
The Second Coming of the Placebo Treatment
The German Medical Association has recommended that doctors should sometimes make use of deceptive placebo treatments when those treatments may be more effective than pharmacologically active alternatives. This recommendation stands at odds with the position of nearly every other international medical association, including the British Medical Association and the American Medical Association, which ruled in…
-
Autonomy: amorphous or just impossible?
By Charles Foster I have just finished writing a book about dignity in bioethics. Much of it was a defence against the allegation that dignity is hopelessly amorphous; feel-good philosophical window-dressing; the name we give to whatever principle gives us the answer to a bioethical conundrum that we think is right. This allegation usually comes…
-
Above and Beyond …?
After the tsunami of 11 March, many thousands of people in northern Japan have lost their homes or are in dire need of medical and other supplies. The Oxfam website has a special page on the disaster through which you can donate using a debit or credit card. Other pages enable you to help Ivory…
-
Suicide for sale in Oregon: a “valuable service”?
Oregon is currently the scene of a controversy about the sale of so-called “suicide kits” or “helium hoods” (see here and here). These kits are sold by mail by a two-person company called The Gladd Group; one of its owners is reported to be a 91-year-old San Diego County woman who has been selling the kits…
-
Should surgeons other than cardiac surgeons publicise performance information?
Mortality rates for common forms of cardiac surgery have been made public in the United Kingdom for several years now. This information is individualised. If you are considering having a particular surgeon perform a common form of cardiac operation on you, you can make a better-informed decision by getting on the internet and finding out…
-
Catholic bishops condemn France’s first ‘bebe medicament’
Last month, doctors in France announced the arrival of the country’s first so-called ‘saviour sibling’. Born to parents of Turkish origin, Umut Talha (Turkish for ‘our hope’) was conceived through in vitro fertilisation (IVF) using preimplantation genetic diagnosis (PGD). This technique, in conjunction with Human Leukocyte Antigen (HLA) typing, commonly known as ‘tissue-typing’, has enabled…
-
The patient vanishes
by Dominic Wilkinson If a patient’s family refuse to allow withdrawal of breathing machines should doctors provide long-term support in an intensive care unit for a patient who is clinically brain dead? Should doctors provide heart-lung bypass (ECMO) for a child with anencephaly? Should doctors perform a tracheostomy and provide a long-term breathing machine for…
-
Libya and Moral Responsibility
Much of the ongoing debate about Libya has rested on what I believe to the mistaken philosophical premise that the United States, or any other potential intervening party, becomes more morally responsible for the fate of Libya if it chooses to intervene than if it doesn’t. Ross Douthat presents the most sophisticated defense in this…
-
Murder in an English Village
Midsomer Murders is an ITV drama based around English village life: it pulls in millions of viewers and has been running for over a decade. The co-creator of the series has just been suspended for saying he deliberately kept ethnic minorities out of the series. “It wouldn’t be an English village with them”. Cue outrage…