What Does Autonomy Have to Do with It?
D. Joy Riley, M.D., M.A. Executive Director
On the second day of May, 2022, a U.S. Supreme Court draft opinion in the Mississippi Dobbs case, regarding abortion, was leaked to the media. The resulting cultural distress frenzy has been somewhat akin to dropping meat into a pool of piranhas. Much energy is being spent in projecting what will happen if the final decision resembles the draft. A summer of rage is being threatened by some abortion supporters.
Where, O where, is reason in all of the verbiage? Interestingly and amazingly, a book of compassionate pro-life counters to abortion advocates was published by Moody ...read more
Why “Provider” is a Four-letter Word
D. Joy Riley, M.D., M.A. Executive Director
Family and friends of Dr. Robert D. Orr recently gathered in Vermont to mark his passing. Due to previous COVID restrictions, this celebration of his life took place almost a year after his passing. Dr. Orr, a nationally-recognized physician and medical ethicist, was a mentor to many, many physicians and medical students, including this writer. He is sorely missed.
It is fair to say that Dr. Orr despised the term “provider” as an appellation of a physician. He once surprised a colleague of mine who had submitted a paper to him. He told my colleague that ...read more
Who is He and what has he done to our children?
Joyce A. Shelton, Ph.D. Professor of Biology Emerita Trinity International University
Remember He Jiankui? He is the Chinese scientist who used CRISPR technology to edit the CCR5 gene for the HIV receptor in the genomes of human embryos. His goal was to make them HIV resistant. He reported at an international conference in 2018 that two of the edited embryos had resulted in the live births of non-identical twins, Nana and Lulu. There were also reports of a third child born in 2019. His revelations in a public forum provoked moral outrage from the scientific community. Global pressure caused Chinese authorities to suspend ...read more
I Should Have Read More History
D. Joy Riley, M.D., M.A. Executive Director
As a teenager, I decided I wanted to be a physician — to help people. I also naively thought that medicine was apolitical. I should have read more history. If I had, I might have come across the story of Ignác Fülöp Semmelweis.
Semmelweis was born to Hungarian parents slightly more than 200 years ago, in 1818. Although he began to study law, he ended up graduating from medical school in 1844. Other plans of his changed as well. When he did not land a position in internal medicine, he spent four extra months training to ...read more
Life and Choice
Janet Liljestrand, M.D., M.A.
In 1862 Louis Pasteur performed the definitive experiment that proved even the smallest organisms, those only seen under the microscope, derived from other like organisms. (1) Life came from life. Fast forward to 1973, and Justice Blackmun, writing for the majority decision in Roe v. Wade stated “We need not resolve the difficult decision of when life begins”. (2) What was the Justice’s definition of life? The human zygote contains all it needs for cellular division–and thus growth–at the union of a living sperm and living egg. How then has its human life not begun? Yes, in ...read more
Guinea Pigs
Joyce A. Shelton, Ph.D. Professor of Biology Emerita Trinity International University
Successful xenotransplantation, animal donor to human recipient organ transfer, is the holy grail for medical doctors and scientists who study organ transplant. Why? Approximately 107,000 people are awaiting organ transplant in the US. Most will wait up to 2 to 3 years. About 17 people die per day because there are not enough organs available to meet the demand (1). Animal organs that have been genetically engineered to remove tissue molecules that cause transplant rejection would go a long way toward relieving the organ shortage.
A recently proclaimed major transplantation breakthrough attracted widespread ...read more
Risk versus Benefit
Janet Liljestrand, M.D., M.A.
Whether we realize it or not, we weigh the benefit versus the risk of most decisions, large and small. When making medical decisions, physicians will sometimes refer to the risk/benefit ratio. A math problem with numbers? Unfortunately not, but a clinical judgment seeking to determine if the benefit that this particular patient is likely to receive is greater or lesser than the risks the patient will be assuming with the procedure or medication.
Childhood immunizations risks are often stated to be less than one in a million. With such a low risk, the benefits are great by comparison. ...read more
Human Dignity — A First Principle
C. Ben Mitchell, Ph.D. Distinguished Fellow The Tennessee Center for Bioethics & Culture
After the horrific human rights abuses of Nazi Germany were revealed at the end of World War II, an international tribunal was held in Nuremberg to try those who were responsible for the Holocaust. Hard on the heels of those Nuremberg Trials (1945-46) followed the United Nations Declaration of Human Rights (1948) which enshrined the notion of human dignity, declaring that “All human beings are born free and equal in dignity and rights. They are endowed with reason and conscience and should act towards one another in a spirit of ...read more
What We’re Reading
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C. Ben Mitchell, Ph.D. Distinguished Fellow
Medically assisted deaths rose by 17% in 2020, continuing upward trend: Health CanadaBy Joan Bryden The Canadian Press Posted June 8, 2021 1:01 am
I have several concerns about this situation:
For Health Canada, the government health service, to provide access to P-AS is a financial conflict of interest. Medicalized suicide should not be in the hands of those who hold the purse strings. Pain is manageable but other forms of suffering are not best treated with analgesics. True palliative care must address all forms of suffering. Medicine should not be coopted by the P-AS ...read moreIf Monkeys Could Talk
Joyce A. Shelton, Ph.D. Professor of Biology, Trinity International University Guest Column
Recent news announcements proclaimed, with both excitement and alarm, that Tan and colleagues, scientists from China and the US, had successfully produced human-monkey hybrid embryos. (1, 2) The hybrids (also termed chimeras) were made by injecting human pluripotent stem cells from an induced pluripotent stem cell line into 132 early- stage monkey embryos. Human pluripotent stem cells have the capacity to develop into a range of tissues and cell types which ultimately form all the structures of the human body including the brain and reproductive cells (sperm and egg). (3) In ...read more