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Facilitating, Condoning, and Preventing HIV

Facilitating, Condoning, and Preventing HIV

The Eighteenth International AIDS Conference is currently underway in Vienna, and one of the issues that has been under discussion is how to reduce HIV transmission within the various at-risk groups. One such group is the prison population, among whom HIV transmission occurs due to both illicit sexual activity and intravenous drug abuse. But prison authorities have often resisted putting in place public health measures such as condom or needle distribution that have been shown to be effective, because they regard sexual activity and drug use as prohibited in their prisons, and do not want to to be seen as condoning these activities. Is this concern a reasonable one?

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Performance Enhancement – Athletes are Victims not Delinquents

To describe the obvious power dynamic in modern sports industry from my personal point of view, I’m going to make use of a little metaphor. Therefore you have to imagine sport as a squash game played by several opponents. The competitors, hitting the ball from one corner into the other, represent the different stakeholders in elite-sports. Spectators, coaches, sponsors, national and international associations to mention a few. Of course there’s also one tiny ball incarnating the athlete himself as a kind of focal point, trying to satisfy the different demands. As a ball you’re certainly one of the most important parts of the game. But simultaneously you might be very easy to manoeuvre, because your being spherical, which could imply your lack of personal influence. Merely your ability to leave behind a little black marking on the squash court “wall of fame” is your only chance to colour your sport individually. As an elite sportsperson you’ve almost no opportunity to defend yourself against the prevailing key-players in the system. Otherwise you’re going to risk your career or even your status as a moral competitor. In the following lines, I’ll try to explain my position by disclosing the maladministration and mild coercion top-athletes are confronted with, emphasising four different issues of the “sports-system”.

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Greeks and geeks

At Harvard Medical School someone is screaming, reports the Boston Globe. ‘Death!’, he shrieks, ‘Why after all these years have you not appeared?’ He begs for euthanasia, tormented by his pain. Medical students listen to him.

His lines were written by Sophocles, and the students are listening because they have to: it is part of their curriculum.

The remarkable thing is not that Harvard medical students are being marinated in Sophocles, but that the Globe thought it worth reporting. Most medical students in mainstream western universities will get some ethics teaching. Sophocles is just one tool in the teachers’ toolkit. It’s a very effective one, by all accounts, but no different in kind from the lectures and seminars more conventionally deployed. Ethics teaching aims to teach students some problem-solving strategies, and to help them to recognise, evaluate, criticise, cull or cultivate the values that they themselves bring to the wards. 

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Between Life and Death…

A powerful BBC documentary, “Between Life and Death”, screened this evening on BBC One. The documentary (which can be viewed online for the next week in the UK) examined the life and death decisions made for critically ill patients with severe brain injury. Neuro-intensive care provides a way to interrupt the process of dying for such patients. But it raises difficult questions for medical staff and for families about the wishes of patients, the wishes of family members, and about uncertainty. Should treatment continue at the risk of the patient surviving in a severely impaired state? Or should patients be allowed to die, with the risk that perhaps if treatment had continued they may have recovered?

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The Age of the Genome – on BBC radio tomorrow night

Genetic tests at birth, designer babies, synthetic life and resurrected mammoths. In the final part of this series, Richard Dawkins talks to Craig Venter and other leading scientists about the potential powers of genome science in the future. The program also includes an interview with Julian Savulescu and others about the ethical implications of these… Read More »The Age of the Genome – on BBC radio tomorrow night

Artificial Performance Enhancement in Sports – Are we Overreacting?

by Roman Gaehwiler

Within human history sport consistently has been abused as a platform of political disputes and athletes came to be exploited by governments to benefit the economy. The simple competitor has been transformed into a nationalized single warrior and pushed to represent his country as perfectly as possible. This spirit of the “idealized hero”, whose ability stands for the strength and force of a whole nation persisted until the twenty-first century. Of course not in the same dimensions, but there’s no doubt elite-sportspeople are a kind of mirror for society. In connection with the increasing influence of monetary incentives, a simple comparison of physical strength became an inexorable business. Excessive artificial performance enhancement is just an unavoidable result of that. The paradox obviously is that the audience calls for supernatural performances, but at the same does not approve the athlete to do so by taking performance enhancing substances.Therefore it’s legitimate to ask ourselves: “Are we taking sport too seriously?”

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The Costs of a Right to Demand Treatment

by Bridget Williams

Who has the right to decide when life prolonging treatment
should be withdrawn? Should doctors have the right to refuse to use costly and
scarce resources to continue to treat a permanently unconscious, dying man? Is
there a limit to the medical resources we can reasonably claim for ourselves
and our families when there are others who have the potential to receive much
greater benefits from those same resources?

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Special Guest Blog – The problem of militarism

by Tony Coady

Israel’s decision to institute an inquiry into the military misadventure with the flotilla attempting to break its blockade of Gaza and its subsequent partial relaxation of restrictions on aid to Gaza represent grudging concessions to international outrage about the flotilla episode. Any recognition by Israel that its military policies are offensive to so many in the outside world is surely welcome. But the flotilla episode will be misunderstood if it is seen only as a failure in public relations or an instance of military mismanagement. Certainly it constitutes both of these since it has badly damaged Israel’s image throughout the world and alienated its few friends in the region as well as called into question the competence of its much-vaunted armed forces. But there is a deeper lesson to this tragic fiasco and that concerns the influence and failings of the spirit of militarism.

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Critical Care ethics series – the ethics of maxiple pregnancies

by Dominic Wilkinson Quads, Quins, Sexts, Septs, even Octs! High order multiple pregnancies such as the Suleman octuplets in California generate enormous media attention. However, they also raise some unique ethical questions. In the second of a series of seminars on critical care ethics, the neonatal grand round today looked at ethical questions arising from… Read More »Critical Care ethics series – the ethics of maxiple pregnancies