Guest Post by Charles Dupras & Vardit Ravitsky Re: The ambiguous nature of epigenetic responsibility Epigenetics is a recent yet promising field of scientific research. It explores the influence of the biochemical environment (food, toxic pollutants) and the social environment (stress, child abuse, socio-economic status) on the expression of genes, i.e. on whether and how they […]
Category: Guest Post
Are Doctors Who Know the Law More Likely to Follow it?
Guest Post by Ben White and Lindy Willmott, Australian Centre for Health Law Research This was the question we considered in a recent JME article about the role of law in decisions to withhold or withdraw life-sustaining treatment from adults who lack capacity. The short answer is ‘yes’. The longer answer is also ‘yes’ – although […]
An Accidental Expert
Guest Post by Derick Wade Re: Back to the Beside: Making Clinical Decisions in Patients with Prolongued Unconsciousness In 1994, not long after the Bland judgement, I was telephoned one day by the office of the Official Solicitor. “Was I familiar with the vegetative state, and if so would I be prepared to see two people for […]
The Challenge of Futile Treatment
Guest Post by Lindy Willmott and Ben White For decades, researchers from around the world have found evidence that doctors provide futile treatment to adult patients who are dying. Some discussion of this topic has turned on matters of definition (see our recent contribution to this debate), with a broader concept of “perceived inappropriate treatment” […]
Individualised and Personalised QALYs in Exceptional Treatment Decisions
Guest Post by Warwick Heale When NICE decides whether to make a treatment available on the NHS it considers both clinical effectiveness and cost effectiveness. Cost effectiveness is based on population-level QALY data, as is appropriate for a population-level policy. However, this can cause problems for exceptional individual patients. When a doctor wants to offer an […]
Enhancement as Nothing More than Advantageous Bodily and Mental States
Guest Post by Hazem Zohny Some bodily and mental states are advantageous: a strong immune system, a sharp mind, strength. These are advantageous precisely because, in most contexts, they are likely to increase your chances of leading a good life. In contrast, disadvantageous states – e.g. the loss of a limb, a sense, or the […]
Healthcare Ethics Consultants’ Place in the World of Health Care ‘Professionals’
Guest Post by Abraham Schwab During a recent meeting at a local hospital, I was asked what role a good Healthcare Ethics Consultant should play. I gave a more ambiguous answer than I would like. I pointed out that Healthcare Ethics Consultants can help patients, providers, and administrators come to a common understanding of the values […]
China’s Terrible Transplant Secret
Guest Post by Wendy Rogers Earlier this year, a Malaysian politician, Datuk Bung Moktar Radin, travelled to China to receive a kidney transplant. The details are scanty. There is no mention of the source of the kidney that the Malaysian MP received. Reports of foreigners travelling to China for transplants rarely make the media, yet […]
Special Obligations: What Can Physicians Learn from Parenting?
Guest post by Jon Tilburt and Baruch Brody Editor’s note: this post introduces a recent paper by the authors now in press at the Journal of Medical Ethics: “Doubly distributing special obligations: what professional practice can learn from parenting“ Gaps between our ideals and our behavior are common. Sometimes what we say we believe and what we actually practice […]
Where to Publish and Not to Publish in Bioethics
Guest Post by Stefan Eriksson & Gert Helgesson, Uppsala University * Note: this is a cross-posting from The Ethics Blog, hosted by the Centre for Research Ethics & Bioethics (CRB) at Uppsala University. The link to the original article is here. Re-posted with permission of the authors. Introduction Allegedly, there are over 8,000 so-called predatory […]