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 […]
Category: JME
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 […]
IAB 2016: Graeme Didn’t Say “None”…
Every two years, I write a little post-mortem of the IAB conference, mentioning particular high and low points. But since I’ve heard near-blanket praise for this year’s Edinburgh fandango, there won’t be too many of the latter. And everyone with whom I’ve been in contact since has been highly impressed; we’re all still on a bit […]
Writers Whose Expertise is Deplorably Low
Something popped up on my twitter feed the other day: this document from Oxford’s philosophy department. (I’m not sure quite what it is. Brochure? In-house magazine? Dunno. It doesn’t really matter, though.) In it, there’s a striking passage from Jeff McMahan’s piece on practical ethics: Even though what is variously referred to as ‘practical ethics’ or […]
Special “Editor’s Choice” Issue of the Journal of Medical Ethics Now Online
by Brian D. Earp / (@briandavidearp) On behalf of the Journal of Medical Ethics, I am excited to announce the publication of a special “Editor’s Choice” issue, now online at the journal website. In a rare turn for the journal, the entire issue made up of “Editor’s Choice” papers, with invited (peer-reviewed) papers from both up-and-coming and established […]
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 […]