September
20
 

Belgium grants prisoner’s request for euthanasia

Frank Van Den Bleeken  

A man serving a life sentence for rape and murder has been allowed by a Belgian court to undergo euthanasia. Claiming that he is unable to control his violent sexual urges, Frank Van Den Bleeken, who is 50, wants to die. He says that he is suffering “unbearable psychological anguish”. "He has clearly said that he didn't want to leave prison because he didn't want to risk creating further victims," his lawyer told AP.

Van Den Bleeken has been battling for permission in the courts for three years. This decision will make him the first prisoner to be euthanased since it became legal in 2002. He will be transferred to a hospital where the medical procedure will take place. The exact date is yet to be determined. Since applying for euthanasia prison authorities have placed him on click here to read whole article and make comments




 
September
20
 

On the front lines of the war on Ebola

Three thousand US military and healthcare workers are being sent to West Africa to fight the Ebola outbreak there in an operation which could cost US$500 million. The Americans will train local healthcare workers, build clinics and distribute supplies. 

"Faced with this outbreak, the world is looking to the United States and it is a responsibility we are prepared to embrace. We are prepared to take leadership on this," said President Barack Obama. "This is an epidemic that is not just a threat to regional security, it’s a potential threat to global security if these countries break down, if their economies break down and people panic."

The head of the World Health Organization, Dr Margaret Chan, is describing the epidemic in frightening terms: “None of us experienced in containing outbreaks has ever seen, in our lifetimes, an emergency on this scale, with this degree of suffering and with this magnitude… click here to read whole article and make comments




 
September
20
 

Ground shifts in UK debate over “three-parent embryos”

Is UK’s battle over “three-parent embryos”, as it is called in the media, or mitochondrial transfer, as it is called in the journals, becoming more transparent? Until now the government has dismissed concerns about replacing the 37 mitochondrial genes in an egg carrying mitochondrial disease with the genes from a healthy egg.

Earlier this year the Department of Health framed the issue in the following way in a consultation on draft regulations:

“Mitochondrial DNA comprises a very small proportion of total DNA (0.1% – only 37 of 20,000–30,000 genes)… It is generally agreed by scientists that it is genes in our nuclear DNA, together with environmental factors, rather than mitochondrial DNA, that shape our personal characteristics and traits.”

This approach was echoed in the media. In a typical example, New Scientist declared flatly last year:

“So what about the ‘three-parent’ issue? It is of questionable… click here to read whole article and make comments



 
September
20
 

Enhancing the chemistry of love

It works on prairie voles

Julian Savulescu and two of his colleagues at Oxford University in the UK, Brian D. Earp and Anders Sandberg, have made a case for latter-day love potions in the Cambridge Quarterly of Healthcare Ethics. Neuroscience research, they say, has shown that love is essentially “an emergent property of a cocktail of ancient neuropeptides and neurotransmitters”. If this is the case, drugs could be used to enhance or diminish romantic relationships.

One promising candidate as a love-potion is the hormone oxytocin. When injected into the brain of a small North American mammal called a prairie vole, they form lifelong pair bonds. When an oxytocin blocker is injected, voles split up and look for new sexual partners. Savulescu et al have been heartened by this experience.

“While ‘love’ is not simply reducible to these brain chemicals or pathways,” they… click here to read whole article and make comments



 
September
20
 

Probe into death of Joan Rivers

As more details of the death of American comedienne Joan Rivers come to light, her doctor’s behaviour is being questioned. The 81-year-old Ms Rivers died after a cardiac arrest during a routine endoscopy at Yorkville Endoscopy clinic in Manhattan. She was being investigated for a sore throat and hoarse voice.

The clinic issued a soothing statement to the press after the death about the kind of anaesthesia it used and the high quality of its care.

CNN alleges that the comedian’s personal doctor, Gwen Korovin, took a selfie while her patient was sedated and also, without her consent, took a biopsy of her vocal cords. "Even though you are a licensed physician, you still should have, if you will, the checks and balances to get your approval to practice in that particular place," said bioethicist Arthur Caplan, of New York University's Langone Medical Center. CNN says… click here to read whole article and make comments




 
September
20
 

Interview: the global trade in reproduction

Dr Carmel Shalev, of Israel’s Haifa University, is organising a session on helpful and harmful practices in the ethics and regulation of inter-country medically assisted reproduction in Jerusalem in January. It will be part of the 10th World Conference on Bioethics, Medical Ethics and Health Law.

BioEdge: “inter-country medically assisted reproduction” – do you basically mean a market for surrogate mothers and babies? 

Shalev: Yes, that’s a major concern, but not the only one. For example, there is also a market in inter-country egg donations. The problem is that there have been too many cases of harm to children and to the third-party women who agree to take part in reproductive collaborations for the benefit of others, as genetic mothers (egg providers) and birth mothers (surrogate mothers).

What are the “products” in the market?  

The products in surrogacy are children. In other practices the products are… click here to read whole article and make comments




 
September
20
 

Remember Savita?

A new style of journalism has emerged in the UK: slow journalism. “Because today's ultra-fast news cycle rates being first above being right. It tells us what's happening in real time, but rarely what it means,” says the website for its flagship magazine, Delayed Gratification. Perhaps one of its writers should revisit the death of Savita Halappanavar in Ireland in 2012.

Mrs Halappanavar was an Indian dentist who began to miscarry her first child. Thinking that the child was dead, she asked for an abortion. The staff at Galway University Hospital refused and she died of a massive infection. The world media went wild: “Ireland's law and Catholic culture allowed Savita Halappanavar to die” was the headline in the normally sober UK magazine, New Statesman. The next year Ireland relaxed its strict laws on abortion.

However, a report released last week by Ireland’s… click here to read whole article and make comments




 
September
13
 

Defending human dignity

English barrister and medical ethicist Charles Foster has penned defence of “human dignity” as the foundation of bioethics in the Cambridge Quarterly of Healthcare Ethics. He believes that it is more adequate than the reigning view that autonomy is its fundamental principle. In particular dignity does a far better job of explaining why body parts or patients in a vegetative state deserve respect.

Foster is well aware that the concept of dignity has weaknesses:

 Dignity has a smug tendency to rest on its laurels. Its advocates have often responded to criticism of the use of dignity by philosophical name-calling—along the lines of “You don’t like dignity, and therefore you must be a Nazi/communist/utilitarian/shallow reductionist.” That’s not argument. It rightly produces derision from the dignity deniers. They tend to respond in kind, saying words to the effect of “You’re a credulous, theologically contaminated mystic.” And so… click here to read whole article and make comments



 
September
12
 

Ebola in West Africa: the stakes rise

Wrapped into US President Barack Obama’s speech on the threat posed by ISIS in the Middle East was a commitment to send the US Army to West Africa to contain the Ebola epidemic. “It is America – our scientists, our doctors, our know-how – that can help contain and cure the outbreak of Ebola,” he said.

The haemorrhagic fever, which has a fatality rate of between 50 and 90%, has spread from Guinea to Sierra Leone, Liberia, Democratic Republic of Congo and Nigeria. Over 2,000 people have died already and some experts believe that this could increase exponentially.

"The US Military is uniquely poised to help with this disease," says Timothy Flanigan, an infectious disease researcher at Brown University, told NPR from Monrovia. "We've trained for it, we've got the logistics, we've got the support and we have the matériel."

However, Obama has only… click here to read whole article and make comments




 
September
12
 

The ethics of running scared

It’s all very well to sit in an armchair and bloviate about Ebola. If you are a doctor or a nurse or a hospital cleaner with a dying patient in the next room, it is an altogether different question. If you help the poor soul, you and your family could die.

As one Liberian nurse told Associated Press, “We are not equipped to face the situation ... When you go through this and return home, you lie in bed asking yourself: I am still safe? Or I have contracted the disease?”

An article in the Journal of Medical Ethics by four Nigerians and two Americans argues that healthcare workers are not obliged to risk their lives if their government cannot provide adequate safeguards.

“In the absence of clear guidance, healthcare workers face a moral dilemma. Their conscience urges them to treat all patients, but a… click here to read whole article and make comments



 

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 Recent Posts
Belgium grants prisoner’s request for euthanasia
20 Sep 2014
On the front lines of the war on Ebola
20 Sep 2014
Ground shifts in UK debate over “three-parent embryos”
20 Sep 2014
Enhancing the chemistry of love
20 Sep 2014
Probe into death of Joan Rivers
20 Sep 2014