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Bad doctor, bad prosecutor or bad laws?

Bad doctor, bad prosecutor or bad laws?

Ethics, medical practice and the law should ideally coincide. But as a current affair in Sweden shows, it is all too easy for them to collide.

On March 2 police took a doctor into custody at the Astrid Lindgren Children's Hospital in front of her colleauges, suspected of killing an infant. The background is tragic: last year a three month pre-term infant suffered a stroke, causing serious brain damage. This was likely due to a medical mistake that was duly reported. Some months afterwards the dying infant was taken of ventilaton and died, with the consent of the parents. She was given high doses the painkiller morphine and anaesthetic thiopental to prevent suffering. Apparently the prosecutor investigating the initial medical mistake noticed these high levels and decided to investigate whether manslaughter had taken place. Much criticism has been aimed at the prosecutor for the heavy-handed use of the police and putting the doctor into arrest, especially since the events occured several months ago and it is very unlikely there is any danger of tampering with evidence. But it is more troubling that the doctors involved (at least given currently available information) were acting according to standard medical praxis. Are a sizeable fraction of the Swedish medical profession guilty of manslaughter?

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The weight of conscience

 

President Obama is about to rescind the “conscience rule” the previous president G. W. Bush had instituted. This clause allows health care workers to refuse to do anything that might conflict with their conscience. This means that doctors, pharmacists and other workers in this field refuse  to provide services or to give information about contraception, blood transfusions, abortions, vaccinations and anything else that they may find morally repugnant.


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Just lose it?

A recent
study by researchers from the Harvard Medical School concludes that getting
angry at work, contrary to common opinion, may not be a bad thing, but may
actually be beneficial to your career and your overall happiness (as reported by BBC News and the Guardian among others). The researchers nevertheless issue a few caveats: in order for anger to be
beneficial, one ought to remain in control when expressing it and be able to
“positively channel” it. On the other hand, they advise against outright fury,
which they describe as “destructive”. There is indeed an important lesson contained in these statements; one might have wished, however, that the researchers had been a little more specific in the provisos they add to their main idea.

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Designer Babies and Slippery Slopes

Designer babies are in the news again. The LA Fertility Institutes, headed by a 1970s IVF pioneer, have offered the opportunity for potential parents to choose traits such as the eye and hair colour of their children: http://news.bbc.co.uk/1/hi/health/7918296.stm Unsurprisingly, slippery slope arguments have already begun to appear: http://www.theage.com.au/world/la-delivers-first-designerbaby-clinic-20090302-8meq.html Marcy Darnovsky, director of the Centre for… Read More »Designer Babies and Slippery Slopes

Lotteries and Fairness

The English Schools Secretary, Ed Balls, is reported  to be considering scrapping the lotteries which determine whether parents get their first choice of schools for their children. Balls is quoted as saying that the lottery system can feel “arbitrary” and “random”. Well, give that man a dictionary. The Telegraph adds that he ‘admitted that they were "unfair"’,… Read More »Lotteries and Fairness

Is doodling a form of cheating?

The public
often complains about the fluctuating and conflicting attitudes of scientists.  So often do things heralded as good for us
one week turn out to be deadly the next (consider, for example, this recent
report about vitamin pills) that there seems little point in
trying to follow the advice of scientists.  

Some recent
news stories raise the question of whether the public is inclined to dismiss
the conflicting views of ethicists, too.  Ethical
concerns about pharmacological cognitive enhancement have regularly been
reported in the press (see, for example, here,
here,
and here);
whilst at the same time—as Dominic Wilkinson has noted on this blog—the
public has embraced non-pharmacological cognitive enhancement in the form of software designed to improve brain power, and the media
currently abounds with docile, non-panicky reports of how instant messaging,
texting,
taking short naps,
taking long naps,
listening to The Beatles,
and doodling can all enhance cognition in various ways. 
So far, there have been no reports of ethical concerns about these
activities: nobody is suggesting that students who doodle during lectures are cheating.  It seems that, despite the concerns of some, the public is willing
to embrace cognitive enhancement in a variety of forms.

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Brain training and cognitive enhancement

If you were offered a treatment that claimed to be able to improve your memory and creativity, enhance neuroplasticity and increase cognitive ability, and prevent later cognitive decline would you take it? Many people would – at least if the recent popularity of computer-based brain-training exercises is anything to go by. Programs claiming to be able to do some or all of the above have been at the top of software charts for the last couple of years, and have sold millions of copies. Research published today in the consumer magazine ‘Which?’ pours cold water on the claims of the brain trainer manufacturers. The research concludes that there is very weak evidence that these exercises actually work.

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Is Science Close to Defeating Religion?

On Sunday The Observer published an article by Colin Blakemore entitled ‘Science is Just one Gene away from Defeating Religion’. (See http://www.guardian.co.uk/commentisfree/2009/feb/22/genetics-religion). After a necessarily brief overview of the history of tensions between science and religion Blakemore settles on a target, which is a well-known argument recently presented by Richard Harries, the former Bishop of Oxford, for the conclusion that religion provides a type of explanation that cannot be provided by science. Science, on this view only answers ‘how questions’, whereas Religion answers ‘why questions’. This distinction is overly simplistic. Science does answer some why questions. It can tell us why we observe solar and lunar eclipses, why the naked mole rat is eusocial and why almost all track and field world records have been set in the late afternoon or early evening. However, it seems unlikely that science will ever be able to provide us with compelling answers to ultimate why questions such as ‘why do we exist?’ and ‘why does the universe exist?’. Blakemore tells us that he is dubious about the legitimacy of these (ultimate) why questions. He suggests that these questions can either be dismissed as nonsensical, or can be recast as how questions that we will be able to answer by appeal to science.

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Event Announcement: Direct to Consumer Genetic Testing Workshop May 21

The Ethox Centre and the Programme on the Ethics of New Biosciences are co-organising a one-day workshop to explore the ethical and regulatory issues surrounding the recent development and marketing of direct to consumer genetic tests. Companies such as deCODE Genetics, 23andME and DNADirect are already marketing direct to consumer genetic tests but there has… Read More »Event Announcement: Direct to Consumer Genetic Testing Workshop May 21

Am I allowed to throw away *my* memories: does memory editing threaten human identity?

A paper has recently been published demonstrating that a previously learned fearful reaction can be weakened using a drug. The aim of the research is to ameliorate PTSD, post-traumatic stress disorder, where traumatic experiences cause an ongoing state of anxiety and stress reactions. In the media it of course became "drug can erase bad memories" and "Pill to erase bad memories: Ethical furore over drugs 'that threaten human identity'". Are we getting close to a memory eraser pill, and would it pose any ethical challenges?

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