Blog Posts (66)
May 28, 2015
MedPage Today (subscription required) carried a brief notice on May 22 regarding single embryo transfer in IVF. What follows is directly cribbed from that article. Key points: IVF pregnancies are higher risk than naturally-conceived pregnancies. (No further details were cited.) Most embryo transfers involve one or two embryos. Transfer of two embryos is generally driven by fear of failure to conceive with only one. (I... // Read More »
May 25, 2015
Memorial Day serves as a holiday so that, we might hope, we pause to remember those who gave the ultimate sacrifice for our freedom. We might take a holiday from thinking about things bioethical as well. But could this day hold a lesson for the field of bioethics? To set aside a day to remember those who died in defense of freedom is not simply... // Read More »
May 23, 2015
The New York Times published an article last week about possible new legislation regarding abortion standards in the United States. The House of Representatives voted 242-184 to ban most abortions after 20 weeks. The current Supreme Court ruling on fetal viability is currently 22-24 weeks after fertilization. While it is likely that this particular bill will be shot down in the Senate, it is nevertheless an... // Read More »
May 22, 2015
Last Friday, May 15, the Wall Street Journal ran an article under the headline, “$30,000 Baby: There’s a Lender for That” (subscription required to access). Key point: people sometimes go into debt for IVF, which isn’t cheap–$15-20,000 per attempt, they write, with some multi-attempt packages, with a money-back guarantee in the event of failure, going for $30,000. The article contained a number of updated statistics:... // Read More »
May 8, 2015
In a comment last week, Mark McQuain pointed out the article “Engineering the Perfect Baby” in the MIT Technology Review. Freely accessible online, it describes, in non-technical terms, several of the routes that genetic editing may follow. Perhaps the most explosive: adult skin cell transformed into an induced pleuripotent stem cell that then is used to give rise to germ cells that are then genetically... // Read More »
May 6, 2015
I appreciate Courtney and Jon expressing their thoughts on the issue of human germline modification and the references to C. S. Lewis’s book, The Abolition of Man. My thoughts on this are more extensive than I can put in a blog post. I expressed those thoughts several years ago in a paper presentation at the CBHD summer conference. If you are interested in my extended... // Read More »
April 13, 2015
Courtney Thiele posted on March 3oth about an article in the Washington Post describing “a new push to de-stigmatize the nation’s most controversial medical procedure by talking about it openly and unapologetically.” A clinic in Maryland called “Carafem” dispenses abortion pills, and “promises a ‘spa-like’ experience for women with an open and unabashed approach to pregnancy termination.” (quotations from the Washington Post’s article) This clinic... // Read More »
March 23, 2015
As humans, we have a desire to know who we are and from where we come. Perhaps our reason for this desire is to learn our history, or to help determine our future. Perhaps we desire this knowledge to understand our current condition – be it a medical condition or simply curiosity. Whether this stems from a desire to better understand one’s own identity or... // Read More »
March 21, 2015
The predominant purpose of pre-implantation genetic diagnosis (PGD) is to select those embryos that are considered healthy or normal. This inevitably means that those that have a genetic abnormality are discarded. Foundational to how one responds to PGD will be their understanding of the personhood of the human embryo. Often, the ethical debate is approached from the assumption that human life at this stage of... // Read More »
March 14, 2015
Two weeks ago, I wrote about the troubling lack of informed consent for egg donation. Many women are completely unaware of the risks and side effects of the procedure. But what seems to be the bigger, underlying problem is that there is a lack of regulation for and research about egg donation. The lack of regulation for egg donation is alarming on multiple levels. On... // Read More »
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August 27, 2012 8:51 am
“My instinct is this will be available certainly in the next decade, and probably sooner,” said Benjamin E. Berkman, MPH, deputy director of the Bioethics Core at the National Human Genome Research Institute in Bethesda, Md. But the medical community is not prepared to address the clinical challenges and ethical issues that probably will accompany the procedure, say some bioethicists and geneticists.
August 15, 2012 9:41 am
Of course the natural objection is that I’m discussing a problem which doesn’t exist. I wish this were so, but there’s a whole bioethics industry whose bread & butter is to trade in flimsy and specious reasoning, which might appeal to politicians who are will to purchase specious reasoning for purposes of their demagoguery. For example, As Prices for Prenatal Genome Sequencing Tests Fall, Researchers Worry About Consequences for Families in a Real-Life ‘Gattaca’.
August 8, 2012 3:12 pm
Parents-to-be may be able to have their unborn child screened for homosexuality within a matter of a few years, according to a visiting American expert in bioethics. Professor Robert Klitzman of Columbia University’s Centre for Bioethics has told TV ONE’s Close Up that genetic tests are now being developed to look for autism, alzheimers and various types of cancers. “We may find tests with homosexuality for instance,” he said.
August 2, 2012 10:01 am
On Thursday, Arizona’s new abortion law will take effect, outlawing the procedure after 20 weeks of pregnancy — a much earlier threshold than in any other law that has been upheld in court. Like-minded laws have been enacted in Nebraska, Alabama, Idaho, Indiana, Kansas, Oklahoma, Georgia and Louisiana, and a bill similarly limiting abortion in the District drew support Tuesday from a majority of the U.S. House, but not from enough members to pass.
July 13, 2012 1:19 pm
In theory, they’re just like any other loan company—except that they’re dealing with a population of borrowers who are often far more emotionally vulnerable than your average home buyer, and many of these lenders seem totally comfortable taking advantage of that fact. There are some that charge exorbitant interest rates, and others that are engaging in something far more unethical: Snyderman reports that some lenders are giving fertility doctors kickbacks or a stake in the company in exchange for sending customers their way. Ugh.
July 13, 2012 1:09 pm
Itil is concerned that doctors might not be ready to opt for surgery once the law is in place: “How can a law decide when a patient requires a certain treatment? This is against medical ethics, and the art of medicine in general. Turkey will set a very negative example with this law.”
July 12, 2012 12:22 pm
Even with success stories like the Clintons’, some experts are concerned that desperate couples could get into financial trouble – and that doctors who own a share of the loan companies might be crossing ethical boundaries.
June 28, 2012 8:13 pm
A new documentary exploring the ethical implications of sperm donation is creating a buzz among religious audiences. “Anonymous Father’s Day” delves into bioethics from the perspective of donor-conceived children who grow up not knowing their biological fathers. The film gives fodder to opponents of assisted reproductive technology, who argue the fertility “industry” has led to psychologically scarred children and the “commodification” of human life.
June 20, 2012 1:13 pm
It is an uncomfortable question that, in today’s world, is often asked by expectant mothers who had more than one male partner at the time they became pregnant. Who is the father? With more than half of births to women under 30 now out of wedlock, it is a question that may arise more often. Now blood tests are becoming available that can determine paternity as early as the eighth or ninth week of pregnancy, without an invasive procedure that could cause a miscarriage.
April 26, 2012 9:45 am
A royal commission, several parliamentary committees, an act of Parliament and a federal agency have all debated reproductive technologies, touching on a quagmire of legal, social and ethical issues that include the exploitation of surrogates and the sale of sperm and eggs before the advent of cryopreservation. Prof. Françoise Baylis, who holds the Canada Research Chair in Bioethics and Philosophy at Dalhousie University in Halifax, advised the royal commission and later sat on the board of Assisted Human Reproduction Canada before she quit in frustration in 2010 over concerns about its management.
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