Written by MSt in Practical Ethics student Dr Jeremy Gauntlett-Gilbert Human beings, as a species, love to tell stories and to imagine that there are person-like agents behind events. The Ancient Greeks saw the rivers and the winds as personalised deities, placating them if they appeared ‘angry’. Psychologists in classic 1940s experiments were impressed at… Read More »Caution With Chatbots? Generative AI in Healthcare
written by Ben Davies and Gabriel De Marco Many illnesses that risk death or serious harm are at least partly due to behaviours such as smoking, lack of exercise, or extreme sports. The WHO notes that the global prevalence of preventable, noncommunicable diseases is rising, and accounts for a large proportion of deaths worldwide. Some… Read More »Book Launch: Responsibility and Healthcare
In a special lecture on 14 June 2022, Professor Steve Clarke presented work co-authored with Justin Oakley, ‘Hope in Healthcare’. It is widely supposed that it is important to imbue patients undergoing medical procedures with a sense of hope. But why is hope so important in healthcare, if indeed it is? We examine the answers… Read More »Event Summary: Hope in Healthcare – a talk by Professor Steve Clarke
Written by Dominic Wilkinson, Alberto Giubilini, and Julian Savulescu
The UK government recently announced a dramatic U-turn on the COVID vaccine mandate for healthcare workers, originally scheduled to take effect on April 1 2022. Health or social care staff will no longer need to provide proof of vaccination to stay employed. The reason, as health secretary Sajid Javid made clear, is that “it is no longer proportionate”.
There are several reasons why it was the right decision at this point to scrap the mandate. Most notably, omicron causes less severe disease than other coronavirus variants; many healthcare workers have already had the virus (potentially giving them immunity equivalent to the vaccine); vaccines are not as effective at preventing re-infection and transmission of omicron; and less restrictive alternatives are available (such as personal protective equipment and lateral flow testing of staff).Read More »Cross Post: Is This the End of the Road for Vaccine Mandates in Healthcare?
Written by Angeliki Kerasidou & Ruth Horn, The Ethox Centre, Nuffield Department of Population Health, University of Oxford
Recently, a number of media reports and personal testimonies have drawn attention to the intense physical and emotional stress to which doctors and nurses working in the NHS are exposed on a daily basis. Medical professionals are increasingly reporting feelings of exhaustion, depression, and even suicidal thoughts. Long working hours, decreasing numbers of staff, budget cuts and the lack of time to address patients’ needs are mentioned as some of the contributing factors (Campbell, 2015; The Guardian, 2016). Such factors have been linked with loss of empathy towards patients and, in some cases, with gross failures in their care (Francis, 2013).Read More »Invited Guest Post: Healthcare professionals need empathy too!
Professor Walter Sinnott-Armstrong (Duke University and Oxford Martin School Visiting Fellow) proposes to use the market forces to solve problems of conscientious objection in healthcare in the US. (He also has a suggestion for how to deal with conscientious objection in a public healthcare system + gives a controversial answer to my question regarding discriminatory… Read More »Video Series: Professor Walter Sinnott-Armstrong on Conscientious Objection in Healthcare
Dr Steve Clarke (Charles Sturt University) argues that we should use military tribunals for conscientious objectors in the military as a model for dealing with conscientious objection in healthcare.
In an interview with Dr Katrien Devolder, Professor Julian Savulescu (Oxford) argues that doctors should not impose their religious or non-religious values on patients if this conflicts with the delivery of basic public healthcare.
In the second of a series of interviews by Dr Katrien Devolder which the Practical Ethics in the News blog is currently hosting Alberto Giubilini argues against conscientious objection in healthcare. See the interview here: https://www.youtube.com/watch?v=hY2XY7uXUfA Please see here to read further on this issue, and to see information on the recent conference on conscience and conscientious objection… Read More »Video Interview with Alberto Giubilini on conscientious objection in healthcare
Guest Post by Bill Gardner @Bill_Gardner
Many researchers and physicians assert that randomized clinical trials (RCTs) are the “gold standard” for evidence about what works in medicine. But many others have pointed to both strengths and limitations in RCTs (see, for example, Austin Frakt’s comments on Angus Deaton here). Nancy Cartwright is a major philosopher of science. In this Lancet paper she provides insights into why RCTs are so highly valued and also why they are by themselves insufficient to answer the most important questions in medicine.
