101 e-Letters

published between 2012 and 2015

  • Re:' Good Death'?
    susanne stevens

    Every person's death will be unique and their response to treatment not altogether predictable. The recent degrading way a man on 'death row' in USA was put to death, using drugs which prolonged his dying by around two hours was obviously grotesque . Doctors gave the injections. The limits of responsibility by prescribing doctors in UK if assisted dying becomes law, must be made clear to both persons receiving 'help'...

    Show More
  • Headline-grabbing entertainment
    Michael Cook

    Honestly, this is one of the silliest articles I have ever read in the Journal of Medical Ethics. Apart from a host of other objections, I wonder if the author has investigated whether IVF actually raises the birth-rate, an essential consideration if she is to prove that the pitter- patter of little carbon footprints is environmentally unsustainable.

    I suspect that the net effect of IVF is to depress the birth-ra...

    Show More
  • Asking the Right Autonomy Question about Genomic Tests
    Effy Vayena

    Eline Bunnik's comment(1) concludes with the observation that not all existing direct-to-consumer genetic tests enhance the autonomy of their consumers, not if autonomy is understood in the Razian sense employed in my article.(2) This is a demanding sense of autonomy, one that requires the presence of an adequate range of valuable options from which to choose. Bunnik's conclusion is difficult to disagree with, but that's...

    Show More
    Debashish Danda

    Cannot agree more than this title. This "Live and Let die" attitude is probably highest amongst doctors, whether in academic or non academic set up. You send a manuscript for publication; You will find a jealous reviewer colleague (often donot even know you personally, but have competing interest) will turn it down as "reject" only to publish his similar work in a short time by clever means of planted peer review. So, "o...

    Show More
  • Neuberger review evidence
    J Logan

    You seem to have based your article on the evidence contained in the Neuberger Review [NR]. I note myself with some dismay that the actual evidence submitted to it was never published in full (names redacted of course), so we'll never know what complaints were actually received or considered by this panel. John Ellershaw (who wrote the LCP) was permitted to use his complaints databases in Liverpool as examples, accord...

    Show More
  • ' Good Death'?
    Dr Logan

    Since the first version was published in 2003, up until the LCP renal prescribing guidelines were issued in 2008, versions of the Liverpool Care Pathway issued to staff in Acute Hospitals mandated the use of Diamorphine for relief of both 'pain' and 'breathlessness'.

    Administering these drugs to anyone in renal compromise must have led to thousands of appalling and undiginified bad deaths - delirium and hallucinati...

    Show More
  • Which version of Liverpool Care Pathway are you referring to?
    Dr C Probst

    Seems odd that you gloss over the fact that there were two versions of this copyright-owned 'care' pathway, and that you only cite 'evidence' from a review that examined only one of them, whilst neatly skirting around the other.

    Version 11 had no consent process attached. Version 11 did not even inquire whether the patient and their family could speak English until after a decision to put them on the pathway had...

    Show More
  • Forced circumcision of children also unethical
    Robert Darby

    This is a very telling paper, for if it is true that forced circumcision of an adult male is a violation of his human rights, it must follow that forced circumcision of a male minor - a boy or an infant - is a violation of his human rights and equally wrong. The age at which it is done does not matter - as you can see from a simple thought experiment.

    It is held by many people in Australia and the United States...

    Show More
  • Moral Enhancement
    Dhastagir Sheriff

    Technology they say is manipulation of Nature. It is now the time for manipulation of behavior and even morality. Drugs will make in future a more morally responsible person. Exogenous chemicals will influence human behavior. Science and scientific inquiry seem to touch areas that are sensitive for manipulation.

    Morality is developed behavior through family, culture and customs. It is spontaneous and not drug in...

    Show More
  • Re:Circumcision of males lessens female pleasure
    sean N. Brown

    Dear Patricia

    I fear that male circumcision will never be seen as equivalent in harm to female circumcision in the eyes of Americans. In places such as America where circumcison has become the rule as opposed to the exception, cultural conditioning will always dictate morals instead of ethics. As you said in your letter, many circumcised men will never know the pleasures of being intact.However despite this kno...

    Show More