Presuming Consent and More

>(first published on 10 August 2007 at www.bioethics.com; used with permission)

A debate regarding organ donation is getting underway in the UK: it is a debate about “presumed consent.” Presumed consent means that although no permission form is signed, and there is no documented mandated discussion with anyone, a deceased person’s organs can be harvested by the state for transplantation. Another name for this is “opting out”: your organs will be harvested after death unless you have specifically requested that such not occur. The current laws in the UK are revisions of the Human Tissue Act in 1961, and are voluntary, or ...read more

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House of Representatives Foreign Affairs Committee

Subcommittee on Terrorism, Nonproliferation and Trade

Hearing, Thursday June 19: “Genetics and other Human Modification Technologies: Sensible International Regulation or a New Kind of Arms Race.”

Prepared Witness Testimony

Nigel M. de S. Cameron, Ph.D.

President, Center for Policy on Emerging Technologies, Washington, DC Research Professor, Chicago-Kent College of Law, Illinois Institute of Technology

Mr. Chairman, Ladies and Gentlemen:

I am Nigel Cameron, Research Professor at the Illinois Institute of Technology and President of the Center for Policy on Emerging Technologies, a new nonpartisan think tank focused on the policy implications of the technologies that are set to shape tomorrow. It is an honor to be ...read more

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In glass houses

This spring, only two of the fifty tulip bulbs I planted sent leaves out of the sod; but I have noticed tulips elsewhere.  Perhaps the most remarkable have been those in glass planters, with roots, stems, leaves, and blossoms fully visible.  The tulip in this picture was in a glass container on a London restaurant table in December:  out of season, but lovely, nonetheless.

The term, in vitro, from the Latin means “in glass,” signifying an artificial environment.  In vitro fertilization has been a fact of the cultural landscape since 1978.  We have become accustomed to hearing about  “ivf ...read more

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Human Dignity and Human Embodiment

Human dignity is a hard concept to define and an essential one to understand in our rapidly changing biotech society. In Life, Liberty, and the Defense of Dignity: The Challenge for Bioethics, Leon Kass has provided a liberal democratic view of human dignity. Human dignity for Kass rests in human embodiment and human finitude.

As Americans, Kass notes that we have long enjoyed the protection of human dignity as expressed in natural or negative rights. Our dignity has been protected from the interference of others in our “blameless liberties.” Therefore, we have the right to freedom from interference in expressing our ...read more

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Medical Ethics Musings: On Caring

By R. Henry Williams, M.D., M.A. Chair, Tennessee CBC Board of Directors

Photo:  “Time of Life” by L. Ian Riley

Recently an elderly, long-time patient was brought to my office by his two daughters, who were upset after a visit with his oncologist.  His multiple myeloma and general condition were such that chemotherapy was no longer being recommended.  The oncologist had suggested that they consider hospice care.  The daughters were shocked.  From their perspective, Dad was not in a state of obvious decline, and he was not in any pain.  They expressed to me a feeling of abandonment, and they were turning to me, his ...read more

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Rappaccini’s Daughter Wasn’t Enough, Either

D. Joy Riley, M.D., M.A. Executive Director The Tennessee Center for Bioethics and Culture July 2007

In “Rappaccini’s Daughter,” Nathaniel Hawthorne tells us the story of a scientist, Dr. Rappaccini, who is intrigued to the point of obsession with the knowledge of science.  His particular interest is in poisonous plants, for within them, he is convinced, lie “all medicinal virtues.”  He has a daughter, Beatrice, renowned for her beauty, but rarely seen.  That is, until Giovanni Guasconti, student at the University of Padua, comes to live next door.  From his lodgings, Giovanni looks down into an incredible garden, and eventually, glimpses Beatrice Rappaccini there, ...read more

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Transhumanism: Towards Borgification

Melanie Unruh, R.N., B.S.N. Intern, The Tennessee Center for Bioethics and Culture July 2007

“I was born human. But this was an accident of fate…” Such a quote sounds like a great opening to a science-fiction movie, but it is in fact the statement of Kevin Warwick, a professor of cybernetics at the University of Reading, England. Warwick belongs to a growing group of scientists and philosophers who consider themselves to be transhumanists. But what exactly is a transhumanist? 

The word transhuman is an abbreviation of the words “transitional human.” The concept implies that we humans are simply a transitional form along the evolutionary ...read more

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Who Is Fit to Practice Medicine?

First published 13 April 2009; reprinted here by the kind permission of www.bioethics.com (http://bioethics.com/author/jriley/)

Recently, I learned that Sweden is struggling with an important question: who should be trained as a physician? One particular student focuses this discussion. Karl Helge Hampus Svensson was banished a year ago from Sweden’s premier Karolinska Institute on the grounds that he had falsified high school records. Lying is not a noble activity for anyone, especially would-be physicians. Correction was necessary. Mr. Svensson was relieved of his medical student status. It was probably not the lying that caught the attention of the school officials, however. Mr. Svensson, ...read more

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Aids in Africa: Treating the Patient

R. Henry Williams, M.D., M.A., F.A.C.P. Board Chair The Tennessee Center for Bioethics & Culture April 2008

Travel to a third world country can challenge one’s perspective in a lot of areas.  Having just returned from Ethiopia, where my wife and I participated in an HIV-AIDS medical project, I have some new bioethics categories to process.

The AIDS Care and Treatment (ACT) Project in Addis Ababa is a comprehensive support ministry to HIV-positive beneficiaries and their families.  Thanks to international funding programs, people with AIDS are being given anti-retroviral drugs through state-run clinics, and they are referred to the Project for assistance in ...read more

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Fatal Attraction? On the Risk of Incest for Children of IVF

Melanie Unruh, R.N., B.S.N.

Intern, Tennessee Center for Bioethics and Culture

February 2008

As the month of love rolls in, we are inundated with stories of romance on television, in the news, and even in forwarded e-mails. Among the stranger stories are those like the December report of British twins who unwittingly married each other. Such stories have been the basis of ancient literature as in the legends of King Arthur, or in the current cultural icon of the soap opera. While this story is based on a single reference lacking in detail, its introduction in a debate in the British House of ...read more

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