82 e-Letters

published between 2009 and 2012

  • Conscientious objection by Muslim students to the cross-gender consultation startling
    Michelle McLean

    I read Robert Card's recent paper entitled "Is there no alternative? Conscientious objection by medical students" with great interest.1 That Muslim students in America are able to conscientiously object (and this was entertained) to the cross-gender consultation is somewhat startling. I have just left the Middle East, where I worked as a medical educator for five and half years (2006-2011), and, to the best of my knowledg...

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  • Increasing organ donations
    Caroline E O'Riordan

    I think it's safe to say from the article that organ donations are lacking and it is obvious that this is a major problem, not only because people die as a result, but because of the lengths that people will go to obtain an organ. In foreign countries organs can be bought; this is illegal in the United Kingdom. People will go out to foreign countries to have the surgery and we are left to question the safety risks, the...

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  • Comments on the recent paper by Lipsman et al., "Informed consent for clinical trials of deep brain stimulation in psychiatric disease: challenges and implications for trial design"
    Tobias Skuban-Eiseler

    In their recent paper "Informed consent for clinical trials of deep brain stimulation in psychiatric disease: challenges and implications for trial design",[1] Lipsman et al. discuss important factors that influence informed consent for deep brain stimulation when applied in clinical trials concerning psychiatric diseases. Undoubtedly the issue of informed consent to DBS and its ethical implications hardly can be overest...

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  • Human Dignity after Death
    Robert Kar Ngai Yuen

    Dear Editor,

    The topic that Professor Hon has raised is quite interesting. How should the dignity of a person after death is protected. We have to draw a delicate balance between the dignity of a person after death and the educational value of the corpse to the archeologists and general public. I would tend to feel that the corpse does not have a soul and a lot of people will benefit after seeing a corpse in the...

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  • opponent to McLachlan
    Robert Kar Ngai Yuen

    Dear Editor,

    I agree with the author that immunisation should not be given by lottery in face of influenza pandemic.

    There are several professions that are vital to the continuation of public healthcare in an influenza pandemic, including police, doctors, nurses and other workers in the hospitals. As their survival is important for the control of influenza and reduction of mortality in the general public, the...

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  • Harmful conceptions of prostitutes and their clientele
    Rajin Chowdhury

    The perception of prostitution as something intrinsically immoral is, in and of itself, harmful. Indeed, Yolanda Estes , the former prostitute who is a philosophy professor at Missippi University, is quoted in the article stating clearly that her job prospects would have been harmed had she mentioned her previous career.

    Moreover, users of prostitutes are also harmed because they pay for sex. The variety of ster...

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  • Insurance type and Caesarean deliveries
    Jane A. Juma
    I was pleased to read the article, Does medical insurance type (private vs public) influence the physician's decision to perform Caesarean delivery?. This article addresses contentious issues regarding private and public insurance and how they influence Cesarean deliveries in the society. Hospitals and physicians are continually taking advantage of private insurance because they are out to make a kill and huge profits. Medically u...
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  • Dead people are not totally and irreversibly disabled people
    Andrew J McGee

    Dear sir

    I believe all the commentaries on the piece by Sinnott-Armstrong and Miller miss a really fundamental problem with their account of the wrongness of killing. Sinnott-Armstrong and Miller claim that what makes killing wrong is that it totally and irreversibly disables the person killed. They then infer from this that, if someone is universally and irreversibly disabled, they cannot be wronged if they ar...

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  • Self-determination is not a one-way choice
    Giancarlo Mercurio

    To the Editor:

    We read with interest the report by Anthony-Pillai (1) and we largely agree with her. Self-determination always involves a choice of the individual, but individual choice is not necessarily synonymous with loneliness, while its opposite almost always does. The choice of a patient at the end-of-life must be open to the advice of others, their critics, their offers of aid, their requests to reconside...

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  • Substitute decision making - An ethical dilemma
    Dharmagadda Sreedhar

    Dear Editor,

    I laud authors for attempting to understand the substitute decision making. The study may probably not be conclusive but, one can understand the differences between the patient's substitute decision maker to that of others. Respect for patient's autonomy is considered to be the fundamental principle in medical ethics, where competent patient has a right to accept or reject medical intervention. However, t...

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