Human embryonic stem cell therapy

The author presents an overview (completed on September 15, 2001) of three issues involved in the ethics of human embryonic stem cell therapy: the ethical implications of some of the scientific issues involved, the specific ethical issues of the moral standing of the early human embryo and the problem of cooperation, and a consideration of two public policy issues: should the research go forward, and what kind of health care system should the United States adopt. The author argues that the public policy questions are the most important agenda.

Predictors of aggressive tendencies in girls' basketball: an examination of beginning and advanced participants in a summer skills camp

This study was designed to extend previous research on aggressive tendencies and moral atmosphere in two ways: (a) to include participants of two skill levels in a summer youth basketball skill camp and (b) to examine the influence of the coach on participants' aggressive tendencies. The participants were 136 youth from either a beginning (n = 89) or an advanced sport camp (n = 47). Results indicated that primary predictors of aggressive tendencies for both skill levels included participants' perception of their teammates' behavior in the same situation and their willingness to injure others if their coach requested. These findings are consistent with previous research establishing team norm as a significant predictor for self-described aggressive tendencies in a sport situation.

Medicine and medicalization: a response to Purdy

Many feminists are critical of the practices and institutions that medicalize people's lives, especially the lives of women and other members of marginalized groups. I argue that this critique does not necessarily imply a rejection of medicine. I give a brief analysis of the concept of medicalization that supports the view that one can desire medicine without desiring medicalization. I then discuss the relations among what is considered natural, socially constructed, and medicalized.

Dubious premises--evil conclusions: moral reasoning at the Nuremberg trials

Fifty years ago, 23 Nazi physicians were defendants before a military tribunal in Nuremberg, charged with crimes against humanity. During that trial, the world learned of their personal roles in human experimentation with political and military prisoners, mass eugenic sterilizations, state-ordered euthanasia of the “unfit,” and the program of genocide we now know as the Holocaust. These physicians, and their colleagues who did not stand trial, were universally condemned in the free world as ethical pariahs. The term “Nazi doctor” became the paradigm for total defection from the most rudimentary elements of medical morality. The caduceus literally became the instrument of the swastika.

The virtues in their place: virtue ethics in medicine

We are currently in the midst of a revival of interest in the virtues. A number of contemporary moral philosophers have defended a virtue-based approach to ethics. But does this renewal of interest in the virtues have much to contribute to medical ethics and medical practice? This paper critically discusses this question. It considers and rejects a number of important arguments that purport to establish the significance of the virtues for medical practice. Against these arguments, the paper seeks to show that while the virtues have a genuine role to play in medical ethics, it is a limited role, one that is subordinate to the role that other moral concepts such as rules and principles play.

Changing values for nursing and health promotion: exploring the policy context of professional ethics

In this article we illustrate, and argue for, the importance of researching the social context of health professionals' ethical agendas and concerns. We draw upon qualitative interview data from 20 nurses working in two occupational health sites, and our discussion focuses mainly upon aspects of the shifting 'ethical context' for those nurses with a health promotion remit who are working in the British National Health Service. Within this discussion we also raise a number of potentially substantive issues, including the risks of colluding in 'double standards', and the tensions between the practitioner and managerial roles in nursing. Overall, we hope to pose questions about the best ways to understand the ethical agency and responsibilities of health professionals.

The ethics of funding embryonic stem cell research: a Catholic viewpoint

Stem cell research that requires the destruction of human embryos is incompatible with Catholic moral principles, and with any ethic that gives serious weight to the moral status of the human embryo. Moreover, because there are promising and morally acceptable alternative approaches to the repair and regeneration of human tissues, and because treatments that rely on destruction of human embryos would be morally offensive to many patients, embryonic stem cell research may play a far less significant role in medical progress than proponents believe.

The ethics and politics of small sacrifices in stem cell research

Pluripotent human stem cell research may offer new treatments for hundreds of diseases, but opponents of this research argue that such therapy comes attached to a Faustian bargain: cures at the cost of the destruction of many frozen embryos. The National Bioethics Advisory Commission (NBAC), government officials, and many scholars of bioethics, including, in these pages, John Robertson, have not offered an adequate response to ethical objections to stem cell research. Instead of examining the ethical issues involved in sacrificing human embryos for the goal of curing fatal and disabling diseases, they seek to either dismiss the moral concerns of those with objections or to find an "accomodation" with those opposed to stem cell research. An ethical argument can be made that it is justifiable to modify or destroy certain human embryos in the pursuit of cures for dread and lethal diseases. Until this argument is made, the case for stem cell research will rest on political foundations rather than on the ethical foundations that the funding of stem cell research requires.

Ethics and policy in embryonic stem cell research

Embryonic stem cells, which have the potential to save many lives, must be recovered from aborted fetuses or live embyros. Although tissue from aborted fetuses can be used without moral complicity in the underlying abortion, obtaining stem cells from embryos necessarily kills them, thus raising difficult questions about the use of embryonic human material to save others. This article draws on previous controversies over embryo research and distinctions between intrinsic and symbolic moral status to analyze these issues. It argues that stem cell research with spare embryos produced during infertility treatment, or even embryos created specifically for research or therapeutic purposes, is ethically acceptable and should receive federal funding.