By Mayli M. Consider Chris, an unconscious coma patient in intensive care. Suppose that, according to tests of Chris’s brain activity, he is predicted to have a ‘poor outcome’, which could be death or a prolonged disorder of consciousness like vegetative or minimally conscious state. This prognosis informs treatment decisions about this patient, specifically the […]
Latest articles
Split liver transplantation: Is saving more lives always the ethical option?
By Tae Wan Kim, John Roberts, Alan Strudler, and Sridhar Tayur. In 2016, the Organ Procurement and Transplant Network (OPTN) and United Network for Organ Sharing (UNOS) posed an increasingly consequential question: Should a large liver always be split if medically safe? During a split liver transplantation (SLT), a whole human liver is divided into […]
Balancing speed and equity in the rollout of COVID-19 vaccines
By Maxwell J. Smith COVID-19 vaccines are in limited supply, and so it’s crucial that their harm-reducing powers are deployed strategically. This likely requires two things: (1) prioritizing vaccines to those at greatest risk of mortality, hospitalization, transmission, and/or infection; and (2) administering vaccinations as rapidly as possible. Yet, it is sometimes not possible to […]
The review of the global first SARS COV 2 Human Infection Challenge studies
By the UK ad hoc specialist Research Ethics Committee Expert and lay members of UK RECs recognised to review Clinical Trials of Investigational Medicinal Products (CTIMPs) or Phase 1 studies in healthy volunteers, particularly those with experience of vaccine studies, were invited to join an ad hoc Research Ethics Committee to review SARS COV 2 […]
The Values of Life, Liberty, and the Law: A Tale of Two (As)Sumptions
By John Coggon Lord Sumption, a retired Justice of the UK Supreme Court, has been a prominent contributor to debates on government pandemic responses. Representing an uncompromising libertarianism, he is a consistent, highly critical commentator on restrictions regulations and associated official guidance. However, there are some perplexing tensions between his practical and ethical assumptions when […]
What’s yours is ours: intellectual property protections for COVID-19 vaccines
By Nancy S. Jecker. The extraordinary circumstances of a global pandemic warrant waiving intellectual property protections for COVID-19 vaccines. The World Trade Organization (WTO) is currently considering such a move, which over 100 Nobel laureates and 75 former heads of state have backed, calling it a “vital and necessary step” that would “expand global manufacturing […]
Enough already about conscientious objection in voluntary assisted dying – what about the conscientious participants?
By Jodhi Rutherford There is a copious literature on conscientious objection in voluntary assisted dying (VAD), also known as MAID, voluntary euthanasia, physician-assisted suicide, or death with dignity. Yet, there has been relative silence in the bioethics literature on what might motivate ‘conscientious participation’ in VAD, whereby clinicians may actively, morally, and purposively support the […]
Persuading anti-vaxxers: Stop talking about facts
By Michelle Bach. Even before the coronavirus pandemic, the WHO named vaccine hesitancy as one of the top ten threats to global health. The WHO attributes vaccine hesitancy to factors such as a lack of confidence, complacency, and convenience. In the UK, hesitancy has been associated with certain demographic factors such as race, age, and […]
FDA approves aducanumab – do not get carried away!
By Erik Gustavsson, Pauline Raaschou, Gerd Lärfars, Lars Sandman, Niklas Juth. In spring 2019 Gerd Lärfars (head of the pharmaceutical division at the Stockholm Region in Sweden) suggested that we put together an interdisciplinary group consisting of clinicians, medical ethicists, and scholars with experience in health care administration. The aim for this group would be […]
Coerced sterilization of women in immigration detention: how did we get here?
By Mariam O. Fofana, On September 14 2020, the news broke that Dawn Wooten, a former nurse at the Irwin County Detention Center (ICDC), a privately operated Immigration and Customs Enforcement (ICE) facility, had blown the whistle regarding coerced sterilization of women at the facility. Wooten reported an alarmingly high rate of hysterectomies sometimes performed […]