By Emma Cave. Common law and ethics require that consent is voluntary, that it is made by a person with capacity and that it is sufficiently informed. But it does not follow that consent that is insufficiently informed will necessarily be considered in law to be invalid. Since Montgomery in 2015, the requirement of informed […]
Latest articles
Refusal redux: Revisiting debate about adolescent refusal of treatment
By Dominic Wilkinson. Last month, in an emergency hearing, the High court in London heard a case that characterises a familiar problem in medical ethics. A 15 year old adolescent (known as ‘X’) with a long-standing medical condition, sickle cell disease, had a very low blood count and required an urgent blood transfusion. However, X […]
Financing the Covid-19 Health Response: Resource Allocation, Accountability & Social Bonds
By Edana Richardson & Aisling McMahon. Adequate financing of healthcare infrastructure, supplies and personnel is a crucial element of pandemic preparedness. It is key to limiting the need for healthcare rationing, to achieving global health justice and ultimately to saving lives. In a Covid-19 context, issues have arisen around public sector obligations to provide funding […]
The COVID-19 vaccine, informed consent and the recruitment of volunteers
By Jennifer O’Neill. Last week, in an announcement which offered hope in a time of growing despondence, Pfizer declared that their COVID-19 vaccine had “outperformed expectations in the crucial phase 3 clinical trials, proving 90% effective in stopping people falling ill.” If approved, Pfizer’s jab will be the first in a new era of vaccines. […]
How to ethically manage the double agency of physicians during a pandemic
By Thibaud Haaser The Covid-19 constitutes a real global crisis, going beyond the sole medical dimension. Medical, socio-economic or educational issues have highlighted the need to identify specific therapeutic or preventive agents as soon as possible. The necessity to build reliable medical knowledge is part of the response to such a crisis. Although the crisis […]
Removing the legal barriers to treating the excruciating pain of cluster headaches
By Jonathan Leighton. There is nothing worse than extreme pain and suffering. Patients experiencing unbearable pain may take their lives to escape it. The highest priority of medicine and of society in general – the issue with the most urgent call to action – is arguably to alleviate such suffering. Although the ethical framework I […]
Why ‘gestaticide’ is morally equivalent to infanticide
By Daniel Rodger, Nicholas Colgrove, Bruce P. Blackshaw Artificial womb technology may one day permit a fetus to be surgically removed from its mother’s body and placed into an artificial environment, mimicking life in utero. Following Elizabeth Chloe Romanis, let’s call the subjects living inside artificial wombs ‘gestatelings.’ An important question that arises is how […]
Fine-tuning the impairment argument against abortion
By Bruce Blackshaw and Perry Hendricks Why is it immoral to deliberately give a fetus fetal alcohol syndrome (FAS)? In our paper Strengthening the Impairment Argument Against Abortion, we provided one possible answer: it is wrong because it deprives the fetus of a future of value. In other words, the future of an unimpaired fetus […]
Healthcare must stop ignoring future patients!
By Christian Munthe, Davide Fumagalli and Erik Malmqvist Most countries with publicly funded healthcare systems have ethically informed priority setting schemes to decide how to allocate scarce resources. Established principles in such schemes recognise patients’ need of care, the effects of interventions, and background requirements of equal consideration and cost-effectiveness. However, the typical use of […]
Vaccine distribution ethics: monotheism or polytheism?
By Alberto Giubilini, Julian Savulescu and Dominic Wilkinson. Pfizer has reported preliminary results that their mRNA COVID vaccine is 90% effective during phase III trials. The hope is to have the first doses available for distribution by the end of the year. Discussion has quickly moved to how the vaccine should be distributed in the […]