Guest Post: Information Disclosure Post-Montgomery: Are English Courts Likely to use Causation as a “Control mechanism” to Limit Liability, like in Australia?

Authors: Malcolm K Smith and Tracey Carver, Australian Centre for Health Law Research, Queensland University of Technology, Australia. Paper: Montgomery, informed consent and causation of harm: lessons from Australia or a uniquely English approach to patient autonomy? The UK Supreme Court decision of Montgomery v Lanarkshire Health Board [2015] 1 AC 1430 establishes that a […]

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Guest Post: Who Calls the Shots?  Teens and the HPV Vaccine

Suchi Agrawal Paper: Who calls the shots? The ethics of adolescent self-consent for HPV vaccination  During my pediatric hospital medicine rotation, I stopped the team before we entered the room of our sixteen-year-old patient and her parents.  “Just a reminder, the patient does not want her parents to know she was tested for gonorrhea and chlamydia.”  […]

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Guest Post: Philosophical Tradeoffs in Psychotherapy

Authors: Sahanika Ratnayake, David Merry. Paper: Forgetting ourselves: epistemic costs and ethical concerns in mindfulness exercises Unlike pharmaceuticals, psychotherapy is often presented as an effective treatment without any side effects. Mindfulness exercises, popularised by Jon Kabat-Zinn in the 1970s and ‘80s, are seen as particularly gentle. According to Kabat-Zinn, mindfulness is nothing more than ‘paying attention’. […]

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Moving Towards a New Ethical Governance Framework for Research-Clinical Hybrid Genomic Medicine

Authors: Gabrielle Samuel, Sandi Dheensa, Anneke Lucassen, Bobbie Farsides Paper: Towards a national genomics medicine service: the challenges facing clinical-research hybrid practices and the case of the 100 000 genomes project [OPEN ACCESS] The Chief Medical Officers’ 2017 report Generation Genome calls for a move towards integrated research and clinical practice in genomic medicine (i.e., research-clinical […]

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Advance Euthanasia Directives in the Spotlight

Guest Post: David Gibbes Miller, Rebecca Dresser, Scott Y H Kim Paper: Advance euthanasia directives: a controversial case and its ethical implications Dutch law allows advance directives to authorize euthanasia for people who can no longer make a voluntary and well-considered choice to end their lives.  People make advance euthanasia directives (AEDs) with the goal of protecting themselves from […]

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Guest Post: Lesbian Motherhood and Mitochondrial Replacement Techniques: Reproductive Freedom and Genetic Kinship

Authors Giulia Cavaliere, Department of Global Health and Social Medicine, King’s College London César Palacios-González, Centre of Medical Law and Ethics, Dickson Poon School od Law, King’s College London Full Paper: Lesbian Motherhood and Mitochondrial Replacement Techniques: Reproductive Freedom and Genetic Kinship [open access] Since the UK parliamentary vote that led to their approval in February […]

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More on Conscientious Objection: a Repy to a Reply

Guest post by Divine Banyubala A couple of days ago, Iain raised an interesting question about the draft Conscientious Objection (Medical Activities) Bill, and its compatibility with existing law (both civil and criminal) in respect of withdrawal of life-sustaining treatment.  In an insightful reply, Mary Neal made the points that “in key areas of practice […]

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Conscientious Objection: A Quick(ish) Answer

Guest post by Mary Neal, Law School, University of Strathclyde The Conscientious Objection (Medical Activities) [HL] Bill, introduced by the crossbench peer Baroness O’Loan, received its second reading in the House of Lords on Friday 26th January and successfully proceeded to the committee stage.  In a post on this blog the following day, Iain posed […]

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Consent and the Ethical Duty to Participate in Health Data Research

Guest Post: Angela Ballantyne and G. Owen Schaefer Paper: Consent and the ethical duty to participate in health data research Health systems are producing exponentially more data about patients and there is increasing demand to use that data – for predictive modelling, precision medicine, funding decisions and health system design. One of the features that makes […]

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Past Health is Relevant in Priority-setting

Guest Post: Samuel Altman, University of Oxford Full Article: Against Proportional Shortfall as a Priority-Setting Principle Past health is regularly considered irrelevant in priority-setting decisions. Often, people mistakenly think of past health, or rather past ill-health, as a ‘sunk’ cost which can be ignored when making decisions about present and future health. However, past health is […]

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