Genetic testing recently featured in US sports news when basketball player Eddie Curry told the Chicago Bulls that he would not take a DNA test to determine whether he had a heart ailment. The Bulls promptly traded him to the New York Knicks. Last season Curry had an irregular heartbeat before a game and missed the last 19 games of the year. "His case will only be the start of the sports world's nervous march into the brave new world of genetic testing," observed USA Today's sports columnist, Christine Brennan. ~ Chicago Sun- Times, Oct 11; USA Today, Oct 12
Frustrated with the success of so-called "conservative" bioethicists in influencing public policy in the US, several "progressive" bioethicists have aligned themselves to the Democratic Party to shift public policy from right to left. Or, in the words of Dr Arthur Caplan, of the University of Pennsylvania, from "religious fanaticism" and "narrow intuitionism" to "pragmatic principalism".
As a seminar organised by the Center for American Progress, a left- leaning Washington thinktank with close links to the Democratic Party, several "progressive" bioethicists described their initiative in terms which suggest that US bioethics has fissured into nearly irreconcilable camps operating with completely different philosophical frameworks.
According to the speakers at the seminar, progressives believe that bioethics should concern itself with social justice issues, and that human dignity is best promoted by providing the necessities of life, like healthcare, food and education. Conservatives, on the other hand, want "government enforcement of majoritarian prejudices that are based on emotion and instinct and repugnance". To use the words of R. Alta Charo, of the University of Wisconsin, Madison, its recent interest is "foetus fetishism".
The vehemence of the opinions expressed at the seminar appears to confirm the melancholy observation of Daniel Callahan, one of the pioneers of American bioethics, in a recent issue of the Cambridge Quarterly of Healthcare Ethics.
He wrote: "Other fields and disciplines, such a political science and economics, have their liberals and conservatives, but they are in the same field -- not one side in and one side out -- and their reputations as fields do not notably suffer from the disagreements. It is otherwise with bioethics. The general public, and the medical and health policy world, will find it all too easy to dismiss bioethics as ideology driven, left or right politics in sheep's clothing. If we besmirch each other long enough, the public will soon conclude that we are all frauds." ~ Nature, Oct 13; Center for American Progress website; Cambridge Quarterly of Healthcare Ethics, October
IN BRIEF: IVF; stem cell trial; Dutch tolerance
IVF: Many American fertility specialists choose to ignore voluntary guidelines urging them not to implant too many embryos into the wombs of their patients. Several European countries have banned the implantation of more than three embryos. According to a report in the Wall Street Journal, many US doctors cite competition with other clinics and insistence by their patients for a successful outcome. ~ kaisernetwork, Oct 7
Stem cell trial: UK doctors have launched a trial to see whether heart disease can be treated with a patient's own stem cells. "If proven to work, these cells could revolutionise the way we treat heart disease and could transform the lives of millions of people not only in the UK but around the world," says the leader researcher, Dr Anthony Mathur. The trial is being conducted by a new charity, the Heart Cells Foundation, funded by a man who received successful stem cell treatment for his heart ailment in Germany two years ago. ~ BBC, Oct 11
Tolerance: The Netherlands has a well-deserved reputation for tolerance, with its liberal laws on drug use, euthanasia and gay marriage. However, it is now set to become the first country in Europe to ban the burkha. Interior Minister Rita Verdonk reportedly said that the "time for cosy tea-drinking" with Muslim groups is over. The government says that the ban is a security measure. ~ rediff.com, Oct 13
New Orleans: The Louisiana attorney-general's office is investigating rumours that staff members at the city's Memorial Medical Center had repeated discussions about euthanasing patients who they thought would not survive the ordeal. ~ CNN.com, Oct 12