September
28
 

Mexico, the new surrogacy hotspot

Surrogate mothers photographed last year at Planet Hospital, a surrogacy agency which has been forced into involuntary bankruptcy. 

With India and Thailand, the destination of choice for people seeking surrogate mothers, closing their doors to foreigners, where has the market gone?

To Tabasco, in the far south of Mexico, one of its poorest states, according to a feature in The Guardian. Tabasco's legislation has permitted altruistic surrogacy since 1998, so surrogacy agencies are moving in to take advantage of the shift in demand. They advertise on the internet, mainly to the gay market, offering wombs for less than half the price charged in the United States.

“This is going to take off,” said Carlos Rosillo, who runs an agency called Mexico Surrogacy. “At the moment there are maybe 10 to 15 surrogate babies being born a month, but when… click here to read whole article and make comments




 
September
28
 

Genetic testing backfires

You cannot possibly improve on this headline: “With genetic testing, I gave my parents the gift of divorce”. But it is strictly accurate, unlike most sensational headlines. The online magazine Vox earlier this month featured a first-person essay by George Doe, a pseudonym for an American biologist who used the results of tests from the company 23andMe as part of an undergraduate genetics curriculum.

One day he gave the test to his mother and father as a gift. The results turned out to be devastating for his family. They linked George to a hitherto unknown half-brother, sired by his father. When the family found out, there was an eruption of repressed emotions. His parents divorced and no one is talking to his father. “We're not anywhere close to being healed yet and I don't know how long it will take to put the pieces back together,”… click here to read whole article and make comments




 
September
28
 

When doctors suffer from VIP syndrome

The unexpected death of American comedienne Joan Rivers after a routine procedure in a Manhattan endoscopy clinic may have been an example of the baneful effects of the “VIP syndrome”, according to the New York Times. The phrase was coined in 1964 by a psychiatrist, Dr Walter Weintraub. “The treatment of an influential man can be extremely hazardous for both patient and doctor,” he wrote.

For physicians, “The VIP, cursed with the touch of Midas, arouses only resentment and fear.” They regard these patients as demanding and manipulative and to resent them for it, which can diminish the quality of their care. But for hospital administrators, “The VIP is more than just a patient. He is also an object to be bartered for future favors.”

The most famous victim of the VIP syndrome may have been entertainer Michael Jackson, who died after his personal physician gave… click here to read whole article and make comments




 
September
28
 

US doctors update gamete donation guidelines

After five years the American Society for Reproductive Medicine has updated its guidelines for gamete donation in the light of the growing recognition that offspring may have a right to know their genetic parents.

The thread running through all sections of the lengthy “opinion” is uncertainty. Until now almost all gamete donation was anonymous. However, offspring who want to find their parents and donors who want to become involved in the lives of their children are becoming more and more common.

In some countries, such as the United Kingdom, children can access donor information once they turn 18. This is not the case in the US, but laws could change. “Programs should make it clear to donors that they cannot give guarantees regarding immunity from future contact by offspring,” the ASRM says. Perhaps as a consequence, it offers no firm recommendations which are binding on its… click here to read whole article and make comments




 
September
27
 

Debate over history of US Christian bioethics

One of the puzzling features of the history of bioethics – which is now nearly 50 years old – is that its “founders” were nearly all Christians, but Christian bioethics has become a marginal interest, at least in the US. How did this happen?

The conventional account is that initially Christian bioethicists like Joseph Fletcher and Paul Ramsey (both Protestants) or Richard McCormick (a Catholic) were quite influential in shaping bioethics debates in the 1960s, serving on national committees and helping to draft government reports. However, as society became more secular, they were shouldered aside and their contributions were ignored.

In a provocative article in the journal Christian Bioethics, Tristram Engelhardt, Jr offers a very different interpretation. Engelhardt is a heavyweight in American bioethics – one of the few Christians with clout. He originally delivered this article on the occasion of receiving a Lifetime Achievement Award… click here to read whole article and make comments




 
September
27
 

A more elegant solution

An elderly Belgian man and wife are preparing to be euthanized together. François, 89, and Anne, 86, from Brussels, fear being lonely if one of them dies first. They are not terminally ill although Francis has been treated for prostate cancer for 20 years and needs morphine to cope with his pain and Anne is partially blind and almost totally deaf.

“We want to go together because we both fear of the future,” Francis told a Moustique, a Belgian newspaper in an extended interview. “It's as simple as this: we are afraid of what lies ahead. Fear of being alone and above all, fear of the consequences of loneliness.”

The couple had made plans to commit suicide together by placing plastic bags over their heads. But their children opposed this, saying that there must be a more elegant solution.

The couple’s three adult children support their parents’… click here to read whole article and make comments




 
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



 

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Mexico, the new surrogacy hotspot
28 Sep 2014
Genetic testing backfires
28 Sep 2014
When doctors suffer from VIP syndrome
28 Sep 2014
US doctors update gamete donation guidelines
28 Sep 2014
Debate over history of US Christian bioethics
27 Sep 2014