By Austin Lam. With recent news of a major private donation to transform addictions care in Vancouver, British Columbia, I have reflected on my experiences as a resident physician taking care of patients with substance use disorders. Drawing from her personal exposure to the devastating effects of addiction through the death of her brother, Jill […]
Latest articles
When and why does a genetic variation become a result?
By Rachel Horton, William Macken, Robert Pitceathly and Anneke Lucassen. We’ve each got four to five million ways in which our DNA differs from the ‘standard’ or ‘reference’ genetic code. When our genome is looked at in a test, all these differences are logged. Most won’t affect our health at all, they’re just natural genetic […]
“We could use that as a tiebreaker” – Yes, but why should we?
By Borgar Jølstad and Erik Gustavsson. Health care priority setting should be based on morally relevant factors such as need, severity, and maximizing health outcomes. But sometimes we must choose between health care allocations where these primary considerations are tied. It is sometimes suggested, and implemented in practice, that in these situations other, perhaps more […]
Vaccine mandates can result in people losing their jobs. Does that make them unethical?
By Maxwell J. Smith. Consider: Kelly is a nurse who has been employed by her city’s general hospital for nearly thirty years. She is single, has two kids preparing to go to university, and a mortgage to pay. Her job is threatened when she is told that, as a condition of continuing her employment, she […]
Why we can almost guarantee that genetic enhancement will never be fairly distributed
By Sinead Prince. We’ve been discussing the possibility of genetic enhancement, and the ethics of such technology, for some time now. Many people are quite cautious about the idea of genetically modifying embryos as well as adults, but others have begun waving the green flag rigorously. Genetic enhancement is the modification of genes using technologies […]
Consent for medical treatment: What is ‘reasonable’?
By Abeezar I Sarela. Consent is fundamental to good medical practice. The General Medical Council (GMC) advises doctors to comply with the law in obtaining patients’ consent for medical treatment. Currently, the law on consent derives from the judgment of the Supreme Court in the case of Montgomery v Lanarkshire Health Board. This judgment emphasizes […]
A new argument on personhood, based on pregnancy
By Heloise Robinson. This blog post is about a JME article I have just written, in which I make a new argument on personhood, in relation to pregnancy. I argue that, if we follow a threshold concept of personhood, there are reasons to recognise a second threshold that would be reached because of pregnancy, and […]
Patient data for companies: Patient privacy, private profits and the public good
By Adrian Thorogood and Eva Winkler. Our paper tackles a question that policymakers and public healthcare systems are wrestling with around the world: should for-profit companies be given access to medical data derived from patients for research? In public healthcare systems, medical data is generated as part of the routine care of patients, and through […]
Should we routinely reinterpret genomic results?
By Gabriel Watts and Ainsley J. Newson. Data obtained from genomic sequencing has an interesting quality. Unlike most other kinds of health results, the stored information remains accurate over time, because it reflects a largely stable property of our bodies: our DNA. Of course, during this time, sequencing methods themselves are likely to have advanced […]
Does our preoccupation with resilience mean we must tolerate the morally intolerable?
By Rebecca Farrington, Louise Tomkow, Gabrielle Prager, and Kitty Worthing. Healthcare professionals are increasingly expected to be hardy and ‘suck it up’ to survive in complex and demoralising workplaces. As NHS clinicians, we saw staffing shortages and limited resources firsthand during the COVID-19 pandemic. These experiences magnified our scepticism about the onus on us, as […]