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Ethical dilemmas in the medical field
Ethical dilemmas in healthcare
Ethical dilemmas in the medical field
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A saviour sibling is a child who is conceived through the use of IVF and born in order to treat an older brother or sister who has a fatal disease; the child’s genes, which are a genetic match, are selected to ensure the developed foetus will be free from the original disease and able to treat the existing child (Cambridge Dictionaries, 2016).
This report will outline the ethics of conceiving a child for the purpose of using cells, tissues or even organs to treat an existing child with a fatal disease. In outlining the ethics of saviour siblings, the question of whether it is ethical to conceive a child for the purpose of becoming a saviour will be explored.
Saviour Siblings are children who are conceived using In Vitro Fertilisation (IVF),
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The saviour child will also be free from the disease the existing child is suffering from; this can mean that the saviour child may have a better quality of life than they would have if suffering from the disease.
With the positives, come the negatives, some may consider “saviour siblings” as being a cruel process for the saviour child. The child may grow up feeling like they weren’t born for themselves, that they were unwanted or that they were only born for “spare parts” for their sibling.
Another ethical debate could be the ability to give informed consent. It can be argued that a child cannot fully be aware of what is happening until they reach a certain age (in South Australia, the age of medical consent is 16 years old) and therefore they cannot express their full informed consent for medical procedures until the age of 16 (MIGA, 2011). In any medical procedure, the patient must be informed about any risks and possible complications that may arise during the procedure and must be able to understand these risks and possible
Recent high profile cases, films and books all around the world including the UK, Australia and the United States have brought to the public’s attention a new type of IVF. ‘Embryo Selection’ meaning ‘Embryos are fertilised outside the body and only those with certain genes are selected and implanted in the womb.’ Henceforth meaning that doctors are now able to select specific embryo’s and implant them into the mother of who may have another sick child in order to gain genetic material such as bone marrow which will match the ill-fated child and therefore hopefully be able to save their life. Creating a ‘saviour sibling’. ‘A child conceived through selective in vitro fertilization as a potential source of donor organs or cells for an existing brother or sister with a life-threatening medical condition’ a definition given by Oxford Dictionaries (1.0). Cases of this are happening all around the globe and many are highly documented about. The most famous case could be noted as in the fictional book of ‘My Sisters Keeper’ By Jodi Picoult. I will further discuss this throughout my dissertation and how books and films can affect the view on certain ethical subjects. Furthermore, I am also going to discuss a range of factors such as certain religious beliefs and the physical creation of saviour siblings compared to the creation of designer babies. Strong views are held by many both for and against the creation of saviour siblings.
Watanabe-Hammond, S. ( 1988). Blueprints from the past: A character work perspective on siblings and personality formation. In K. G.Lewis ( Ed.), Siblings in therapy: Life span and clinical issues New York: Norton.
Stem cell research is a heavily debated topic that can stir trouble in even the tightest of Thanksgiving tables. The use cells found in the cells of embryos to replicate dead or dying cells is a truly baffling thought. To many, stem cell research has the potential to be Holy Grail of modern medicine. To many others, it is ultimately an unethical concept regardless of its capabilities. Due to how divided people are on the topic of stem cell research, its legality and acceptance are different everywhere. According to Utilitarianism, stem cell research should be permitted due to the amount of people it can save, however according to the Divine Command of Christianity, the means of collecting said stem cells are immoral and forbidden.
Most children experience agony and hope as they face the struggles of sibling rivalry throughout their childhood. This situation has been experienced by children, of whom may or may not have siblings, for hundreds of years. Several stories represent this crisis, including the Biblical story of Abel and Cain which was written over 3000 years ago. Abel of whom was forced to be Cain’s ash-brother. Cain had developed an intense feeling of jealousy of Abel when his offering to the Lord was rejected while Abel’s was accepted. This caused him great agony, but he wasn’t the only one. The fairytale “Cinderella” encompasses the ideas of sibling rivalry as well as the agonies and hopes that correspond with it.
A. A. The "Best Possible Child" Journal of Medical Ethics 33.5 (2007): 279-283. Web.
The most common pattern is that the older sibling becomes the abuser of the younger sibling, often against his or her will. In many cases, both parents were inaccessible. The fathers were deceased, or had abandoned their families after the birth of the child. The mothers were non-available because of drug addiction, alcoholism and/or mental illness. Further, families with non-divorced parents were characterized by parents engaged in extramarital affairs and exposing the children to a sexual climate. The absence of the father in chaotic families can lead to girls being abused by their brothers. In one study, 32 adolescent sibling offenders and 28 adolescent non-sibling offenders were compared (Royzman, Leeman, & Sabini, 2008)The sibling offender group reported significantly more marital discord (between parents), parental rejection, physical discipline, negative family atmosphere and general dissatisfaction with family relationships. Family factors related to sibling incest namely, parental rejection, abuse and marital conflicts.
Raising a child with a disability will have an impact, positive or negative, on the structure of a family system. Research concerning how various disabilities affect the family functions focuses primarily on the parents. Siblings are seldom included in the research, yet they can provide a stable, powerful developmental context for socioemotional development.
I believe that parents are not morally justified in having a child merely to provide life saving medical treatment to another child or family member, but that this does not mean that the creation of savior siblings is morally impermissible. By having a child solely to provide life saving medical treatment, you are treating this child merely as a means rather than an end to the individual child. By having the child solely as a means to save another, you are violating this savior sibling in that you are treating them as a source of spare parts that can be used by the sickly child in order to solely promote the prolonged life of the currently sick child. This view that having a child merely as a way to provide medical treatment does not consider the multitude of other avenues that this newborn child can take, and presupposes that the child will only be used for the single purpose of providing life saving medical treatment through use of stems cells or organ donation. What this view fails to consider is that these savior siblings are valued by families for so much more than just as a human bag of good cells and organs that can be used to save the life of the original child. Instead, these savior siblings can be valued as normal children themselves, in that they can be valued in the same way that any other child who is born is valued, yet at the same time they will also be able to provide life-saving treatment to their sibling. My view runs parallel to the view held by Claudia Mills who argues that it is acceptable to have a savior sibling, yet at the same time we can not have a child for purely instrumental motives, and instead should more so value the child for the intrinsic worth that they have. Mills presents her argument by puttin...
Today, the use of pre-implantation genetic diagnosis (PGD) to create a donor transplant stem cells can be compelling and also misguided for an older sibling suffering from a genetic disorder. In Lisa Belkin 's essay "The Made-to-Order Savior," parents of six years old, Molly Nash, decide to breed another child for the purpose of saving Molly from a Fanconi disease. Not only does Molly suffers from this disease but also she is in a condition where there exist two separate malformations in her heart. Fanconi anemia is the genetic disorder that leads to the failure of bone marrow production. In Lauren Slater 's essay "Who Holds the Clicker," the advancement of a surgical procedure known as deep brain syndrome (DBS) assisted Mario Della Grotta in overcoming an Obsessive-Compulsive Disorder. Many medical procedures present ethical challenges in today 's society by implementing the advancement of medical technologies, which negatively affects the community
When thinking of a child the main objective is to ensure they have the best in life and the best way parents do so is by protecting their little one’s health. In this current society parents and other individuals value the health of children as Preliminary genetic screening is used more by expecting parents. As technology adapted throughout the ages it aided parents to prolong and better their child’s life takes vaccines for example they eradicated small pox’s and polio disease that claim several youths in the past and research hospitals like Saint Jude’s has given children a better survival rate of terminal diseases. Technology has given parents tools to prevent and treat diseases throughout the child life time; however, there is a way to
Siblings who have sisters or brothers with disabilities express a number of special concerns they have a...
However, informed consent has many flawed elements in the concept. In order to support this belief, the following issues must be addressed include the following: disclosure of pertinent medical facts and alternative course of treatment, including refusal, ensuring absence of coercion and manipulation, and ensuring patient intellectual capacity to understand the medical information.
One of these moral dilemmas is that genetic engineering changes the traditional dynamic that occurs between the parent and the offspring. This issue arose over the possibility of having a human embryo with three genetic parents which is now possible due to genetic engineering. The procedure in question “involves transplanting the chromosomes from a single-cell embryo or from an unfertilized egg into a donor egg or embryo from which the chromosomes have been removed”(Foht). The procedure itself is very useful for women with mitochondrial disorders but the issue involved with this is that the embryo would technically have three biological parents. There needs to be a real concern about “the way genetic engineering can alter the relationship between the generations from one of parents accepting the novelty and spontaneous uniqueness of their children to one where parents use biotechnology to choose and control the biological nature of their children”(Foht). There is a special relationship between children and their parents that may be disappearing very soon due to these techniques. Children could be born never truly knowing one of their genetic parents. If these procedures continue to prosper people will have to “accept arrangements that split apart the various biological and social aspects of parenthood, and that deliberately create
Relationships between siblings can be very confusing and filled with emotional obstacles. Sharing the same blood type and genetic material does not ensure a lasting and loving relationship. However, with the right amount of sensitivity, and a whole lot of humor, these relationships can grow to be the most important in one’s life.
Downfalls and achievements of other siblings tend to be overlooked and deemed as not so important. Modifications are made to all aspects of life, including jobs, marriage & living arrangements, in order to provide care for the sick child, whilst other siblings try to keep up with the changes. The stress and strains that this puts on parents are extreme, leaving little time to nurture themselves and their marriage (APA, 2016).