Another team of researchers call for the 14-day limit on embryo experimentation to be scrapped

BioEdge

Michael Cook*

An international team of bioethicists and scientists has advised scrapping the 14-day limit that restricts how long researchers can study human embryos in a dish. Going beyond this policy limit could lead to potential health and fertility benefits, they contend in an article in Science.

This is not a novel suggestion. Scientists and bioethicists have been chafing at the bit for years to extend this widely-accepted limit. This time around, Insoo Hyun, of Case Western Reserve University, and colleagues urge policymakers and the International Society for Stem Cell Research (ISSCR) to consider “a cautious, stepwise approach” to scientific exploration beyond the 14-day limit.

ISSCR is expected to soon release updated guidelines for stem cell and embryo research. . . continue reading

A Russian woman wants 105 surrogate babies – and has the money to pay for them

BioEdge

Michael Cook

The Russian media has been abuzz with the news that a 23-year-old woman from Moscow named Christina Ozturk and her husband have embarked upon the ambitious project of having 105 of their own biological children. They already have 11 in their household – one which Christina had herself, and 10 in the last two years with surrogate mothers.

Mrs Ozturk met her 56-year-old husband, Galip, a Turkish businessman living in Georgia, at a resort in Batumi, where there is a well-established surrogacy industry. Each child costs about 8,000 Euros, but Mr Ozturk, who owns a chain of hotels, says that he can handle it easily. The Turkish media describes him as a billionaire, although he denies this. The project seems to have been his idea. . . [Full Text]

After all, what is really wrong with apotemnophilia?

BioEdge

Reproduced under Creative Commons Licence

Michael Cook*

Apotemnophilia is one of those words which may be useful in Scrabble© but seldom come up in day-to-day discourse, let alone medical practice. However, it is an increasingly contested issue in bioethics, though better known as BIID, Bodily Integrity Identity Disorder, or the amputation of healthy limbs.

BIID is a rare psychiatric condition in which people know that their leg (for instance) is normal and healthy, but still feel that it is not part of their identity; they want it cut off, even though they realise that they will become disabled. Oddly enough, however, they often do not seem to mind wearing a prosthesis to recover some of the limb’s functionality.

In a provocative article in The New Bioethics, Richard Gibson, of the University of Manchester Law School, in the UK, asks whether ultimately there would be anything wrong with BIID if a prosthesis provided equal or better functionality. . . [Full text]

Examining the thorny moral problem of foetal reduction

BioEdge

Michael Cook

It is a truth universally acknowledged that defending an opinion on abortion will make at least half of one’s readers unhappy. But Joona Räsänen, a Finnish bioethicist at the University of Oslo, defends an opinion on abortion in the Journal of Medical Ethics which is bound to make all of them unhappy.

He tackles the controversial question of foetal reduction: killing one or more foetuses in a multiple pregnancy. This may happen when one of them is diseased or has a birth defect or when the mother feels incapable of caring for more than one child. It often happens after IVF when a woman ends up with triplets or quadruplets – or even octuplets. Some doctors have refused to “reduce” the pregnancies because they regard it as immoral. . . [Full Text]

Australia’s legislative laboratory for euthanasia

BioEdge

Michael Cook

The Labor-majority Parliament of the Australian state of Victoria passed assisted dying legislation in December 2017. This came into effect in June and the first patient has already died. Applications from a dozen or so Victorians have already been approved. Two other Labor states are also debating euthanasia – and it appears that their legislation will be even more permissive than Victoria’s.

According to critics of euthanasia interviewed by The Australian, this is “death creep”, the slippery slope in action.

“There is serious concern about this slippage,” the chair of the Australian Medical Association’s ethics and medico legal committee, Chris Moye, says. “A lot of this (change) was happening even before the Victorian law, which is only two months old, has actually been tested. At this point, we haven’t seen how assisted dying works in Victoria and yet the slippage is happening across these various jurisdictions. I think there are two reasons: people were always going to be looking at it (the Victorian law) and the tendency always is to relax legislation.”

Critics focus on details of a proposed bill in the parliament of Western Australia. In Victoria, doctors are not allowed to raise the topic of assisted dying. But in WA, doctors would be permitted to suggest the possibility of euthanasia and no specialist has to be involved.

Conscientious objection is more difficult as well. In Victoria, objecting doctors are not obliged to refer the person on; in WA they would be.

In Queensland, a parliamentary committee is studying draft legislation. This is even more permissive than Victoria’s or WA’s. There is no time requirement – only that the patient have an incurable terminal illness which is causing intolerable and enduring suffering.

However, Professor Ben White, who helped write Queensland draft bill,  dismisses fears of a “slippery slope”. “When people talk about a slippery slope in terms of the law, they are talking about law X in a particular state or country that is enacted and over time gets changed,” he says. “We live in a federation … and there are differences in laws from one state to another, reflecting a range of factors, including geography. What might be appropriate for a state like Victoria might … require different solutions in Western Australia or Queensland.”


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