PT  - JOURNAL ARTICLE
AU  - Eva C A Asscher
AU  - Maartje Schermer
TI  - Wish-fulfilling medicine in practice: the opinions and arguments of lay people
AID  - 10.1136/medethics-2013-101480
DP  - 2014 Dec 01
TA  - Journal of Medical Ethics
PG  - 837--841
VI  - 40
IP  - 12
4099  - http://jme.bmj.com/content/40/12/837.short
4100  - http://jme.bmj.com/content/40/12/837.full
SO  - J Med Ethics2014 Dec 01; 40
AB  - Background Wish-fulfilling medicine appears to be on the rise. It can be defined as ‘doctors and other health professionals using medical means (medical technology, drugs, and so on) in a medical setting to fulfil the explicitly stated, prima facie non-medical wish of a patient’. Some instances of wish fulfilling medicine can be understood as ‘human enhancements’. Aim The aim of this study is to map the normative opinions and arguments of lay people about wish-fulfilling medicine. Methods We conducted a qualitative study with lay people (five focus groups). We asked their opinions about five cases and the arguments for these opinions. Furthermore, we enquired about the role of the medical profession and the treating physician, and whether the participants saw a role for the government. Results The opinions and arguments used varied according to the example discussed. For instance, increased familiarity with a procedure like breast enhancement seems to garner more acceptance for that procedure, whereas completely new examples were considered less acceptable. Various different arguments were raised in focus groups; these included: people should be allowed to make up their own minds about this (autonomy); payment of the treatment; and concerns about risks. Discussion An ethical analysis of the emerging practice of wish-fulfilling medicine should take the normative views of all parties involved into account. Thus, it is important to establish what lay people think about wish-fulfilling medicine and in particular their arguments.