Showing posts with label Bioethics. Show all posts
Showing posts with label Bioethics. Show all posts

Sunday, February 21, 2010

Book Review Roland Chia Biomedical Ethics


Roland Chia is Chew Hock Hin Professor of Christian Doctrine and Dean of the School of Postgraduate Studies at Trinity Theological College (TTC) in Singapore. In this 2010 book which was jointly published by Genesis Books (imprint of Armour Publishing) and the National Council of Churches of Singapore, Chia develops his theological antropological approach to biomedical ethics. Chia has been instrumental in the writing of many of the National Council of Churches of Singapore's positional papers on biomedical ethics including organ trading and euthanasia. It is good that he now consolidate his thinking together in one book on biomedical ethics for the church.

This book is divided into three parts which is helpful in the way he develops his theological anthropology. The first parts deals with the theological foundations which he then applies in some current issues in bioethics in the second part. The third part is his suggestions for the role of the church in dealing with this complex problems.

This is a well written book and I am able to follow his theological discussion and appreciate his approach to these complex issues as a theologian. He notes,

The theological anthropology that we have been developing in these pages seeks to articulate a understanding of determinism and freedom proper to human beings who are self-transcending yet embodied creatures (p.51)

While it is understandable that this thin volume is an introduction to a complex number of issues, I have hoped that he has given more attention to the each individual issues rather than giving a general overall impression. For example, Artificial Reproductive Technology (ART) was reckoned to be bad because of "medicalisation of procreation", "commodification", and "commercialisation of human beings". This is oversimplifying a complex series of procedures. ART includes In Vitro Fertilisation (IVF). We have to examine IVF in light of his theological anthropology and to take into consideration the stigma of infertility in the Asian culture and whether IVF with the sperms from the husband, eggs from the wife and the fertilised ovum implanted in the wife's womb to be necessarily bad. The only shortcoming is that sexual intercourse is not involved. Yes, we do have to pay the doctors, embryologists and hospitals for the IVF services but could that be counted as commercialisation and commodification? (p.87-88).

In the section on abortion, Chia brings out the issue of whether abortion should be allowed in rape victims. While he makes a strong case that rape rarely result in pregnancy (which is not true), he however does not give the answer to this issue (p.99-100). I have hoped that he will.

The section on chimera research is well written and raises many questions. It is an area where more theological thinking must take place. Chimera research involves combining human and animal genetic material.

It is in the final section of the book that Chia gives us our money's worth. It is his call to the church to act, in being missional, teaching, counselling and being involved in public theology.

Public theology is based on the assumption that the creedal symbols and statements of Christianity have public meaning. Public theology therefore have to do with how the faith that Christian profess is linked with how they live and conduct themselves in society (p.200-204)

Chia argues that the church has a role in public policy. This is especially interesting to me as I have just read Tan Seow Hon's chapter on "Religion and Abortion in Singapore" from Issues of Law and Justice in Singapore: Some Christian Reflections (2009) which is published by Chia's seminary under their CSCA Christianity in South East Asia Series.

While the footnotes are helpful, it will be better if there is a bibliography and index to the book.

This is a significant book as this is the first book on the introduction to almost the whole field of biomedical ethics by an influential theologian in a respected seminary in Singapore. I strongly recommend this book to anyone who needs to understand biomedical issues (that means everyone especially pastors and church leaders). I will include this on the reading list when I teach my module on "Biomedical Ethics Facing the Contemporary Church" in June 2010 at East Asia School of Theology (EAST) in Singapore.

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Thursday, December 17, 2009

The Future of Bioscience and Healthcare


I have always been fascinated with future forecast especially in the area of science, technological, society and culture. I like reading books by futurists. Most futurists are system thinkers who sees trends in the present and are able to extrapolate these trends into the future. This book which was published in September 2009 deals with the future of biosciences. Most of us will appreciate that biosciences is the next wave of the future with its confluence into healthcare.

Bioscience is the new name for biological sciences that deals with the cutting edge technology of gene manipulation technologies, anti-aging modalities, cloning and pharmaceutical developments. The research and development of these technologies are expanding by leaps and bounds. It is not inconceivable that human life expectancies will be expanded to 120 years within the next decade.

The limitation to biosciences is not the research and development, the authors argue, but whether society can continue to support a large aging population especially if the life expectancy increase to over 100. The limitation is the resources for healthcare. There are four possible scenarios that can happen in the future. These four scenarios are the interactions of public perception of biosciences and healthcare resources. The public reception of biosciences can range from unconditional acceptance total rejection.

This is a well researched book on biosciences and healthcare resources. The discussion will be enhanced by a deeper discussion of globalisation and religious impact on social trends. However the authors are wise to limit their discussion to the North American context as their data are mainly from that region.

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Friday, November 13, 2009

Top Five Books on Life Ethics





How to Be a Christian in a Brave New World
By Joni Eareckson Tada and Nigel M. De S. Cameron

Two pioneers in defending the dignity of human life challenge the church to understand and care about efforts to remake humanity using robotics, embryo harvesting, and genetic engineering. Who better than Eareckson Tada to talk about the use of exotic technologies to heal human bodies?

* * *

Human Dignity in the Biotech Century: A Christian Vision for Public Policy
By Joni Eareckson Tada and Nigel M. de S. Cameron

This volume comprises essays from top thinkers and activists in the field on topics like learning from past mistakes, new technology, genetics, and transhumanism. Get ready for the science fiction realities of the 21st century, and get involved.

* * *

Does God Need Our Help?: Cloning, Assisted Suicide, and Other Challenges in Bioethics
By John F. Kilner and C. Ben Mitchell

Designed like a field guide, this accessible book covers all the bases. Kilner and Mitchell present the major secular ethical frameworks and contrast them with biblical perspectives. They also sort out promising developments from morally dubious ones

* * *

Bioethics: A Primer for Christians
By Gilbert Meilaender

For the reader wanting to dig deeper, Meilaender—a former member of the President's Council on Bioethics—lays out the theological framework. From prenatal screening to organ donation, this volume elucidates and elaborates. A must-read for pastors, teachers,lay leaders, and thoughtful Christians.

* * *

Embryo: A Defense of Human Life
By Robert P. George and Christopher Tollefsen

If you have ever wanted to defend the moral value of an embryo without using the Bible, this is the book for you. Simplifying a complex issue, the authors offer a compelling case for the embryo from the perspective of systematic biology and ethical reasoning.

Copyright © 2009 Christianity Today


Shucks, he did not include any of my books *smile*

Here are some of my recommendations.

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Monday, October 26, 2009

Who is a Bioethicist?

This post from blog.bioethics.net contains an interesting argument between two famous bioethicists, Arthur Caplan and Zeke Emanuel on who may be claim to be a bioethicist.

Facts alone won't suffice for the field of bioethics
by Arthur Caplan

When you get old enough as a practitioner in any field young people seek your advice about what they should do if they want to do what you do. Given that my age seems to be increasing exponentially this has been happening to me with increasing frequency. Undergraduates, high school students, medical students, those pursuing degrees in law and nursing and even those interested in a mid-career change have been asking me what they need to do if they want to pursue a career in bioethics.



read more

Thursday, July 23, 2009

Prenatal Screening and Abortion

More from the August 2009 issue of The American Journal of Bioethics. This asks an important question: Is it ethical to provide pre-natal diagnosis of congenital abnormalities when abortion is not an option?

Prenatal Diagnosis and Abortion for Congenital Abnormalities: Is It Ethical to Provide One Without the Other?
by Angela Ballantyne, Richard Ashcroft, Florencia Luna, Ainsley J. Newson
AJOB 2009; 9(8):48
ABSTRACT |FULL TEXT

Open Peer Commentary

A Closer Look at the Abortion Debate in Iran
by Kiarash Aramesh
AJOB 2009; 9(8):57
FULL TEXT

Prenatal Diagnosis and Abortion are Not in Conflict in Israel
by Ari Z. Zivotofsky, Alan B. Jotkowitz
AJOB 2009; 9(8):58
FULL TEXT

From Iran to Latin America: Must Prenatal Diagnosis Necessarily Be Provided With Abortion for Congenital Abnormalities?
by Daniel Sperling
AJOB 2009; 9(8):61
FULL TEXT

An Unjustified Exception to an Unjust Law?
by David Wasserman, Adrienne Asch
AJOB 2009; 9(8):63
FULL TEXT

Does Prenatal Diagnosis Morally Require Provision of Selective Abortion?
by Diana Buccafurni, Pepe Lee Chang
AJOB 2009; 9(8):65
FULL TEXT

Can, Should, Ought, Must
by Howard Trachtman
AJOB 2009; 9(8):67
FULL TEXT

Prenatal Testing Can Be Advantageous Even When Abortion is Not an Option
by Alexander A. Kon
AJOB 2009; 9(8):69
FULL TEXT

Abortion: Prohibitions and Exceptions
by Sheelagh McGuinness
AJOB 2009; 9(8):70
FULL TEXT

Wednesday, July 22, 2009

More Discussion On Organ Donation

From the August 2009 issue of The American Journal of Bioethics

Why Consent May Not Be Needed For Organ Procurement
by James Delaney, David B. Hershenov
AJOB 2009; 9(8):3
ABSTRACT |FULL TEXT

Open Peer Commentary

Pardon My Asking: What's New?
by D. Micah Hester, Toby Schonfeld
AJOB 2009; 9(8):11
FULL TEXT

The Organ Conscription Trolley Problem
by Adam Kolber
AJOB 2009; 9(8):13
FULL TEXT

Hypotheticals, Analogies, Death's Harms, and Organ Procurement
by James L. Nelson
AJOB 2009; 9(8):14
FULL TEXT

Survivors' Interest in Human Remains
by Norman L. Cantor
AJOB 2009; 9(8):16
FULL TEXT

Why Intuitions and Metaphysics Are the Wrong Approach for Health Law: A Commentary on Delaney and Hershenov
by Christopher Robertson
AJOB 2009; 9(8):18
FULL TEXT


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Thursday, February 19, 2009

Bioethics Course and Conference at Regent College

This coming Summer School, Regent College is offering a bioethics course and conference. I am excited by it because this means Regent College is recognising the importance of Christian bioethics deliberation in context of our faithful engagement with the world.

/images/faculty/jennie_mclaurin.jpg
Dr. Jennie McLaurin

Interim Dean of Students, Regent College. BS (Salem College), MD (Wake Forest University), MPH (University of North Carolina, Chapel Hill), MCS (Regent College).

Jennie is a pediatrician with a degree in maternal and child health, and has worked for many years with the American Health Resources and Services Administration, serving immigrant populations. In addition to her medical training, she holds a Master of Christian Studies from Regent College.

Faithful Medicine: Bioethics and Christian Thought

Christians struggle to make sense of modern medicine and its bioethical challenges. Abortion, euthanasia, AIDS and stem cell research continue to make headlines and fuel debate. But less public concerns also occupy us, such as infertility, aging, chronic pain and our neighbour's unmet medical needs. This course, through the help of interactive case studies, will explore 1) medicine's new role as a powerful secular institution; 2) ethical methods commonly used in public and Christian debate; 3) theological terms and perspectives that are (or should be) used to support bioethical viewpoints. The goal is to assist health professionals, church leaders and the wider Christian community to think well and Christianly about medicine, and thereby offer reasonable and faithful approaches to bioethical deliberation. Continuing Medical Education (CME) credit will be offered for health professionals.

June 8–12, 8:00-11:00am

INDS/APPL 503
2 or 3 graduate credit hours

The course may be completed in one of two ways.

  • The two-credit option runs from Monday through Friday morning.
  • The three-credit option runs from Monday through the weekend Bioethics conference, ending on Saturday. (see our Conferences section for details)

Bioethics Course and Conference at Regent College

This coming Summer School, Regent College is offering a bioethics course and conference. I am excited by it because this means Regent College is recognising the importance of Christian bioethics deliberation in context of our faithful engagement with the world.

/images/faculty/jennie_mclaurin.jpg
Dr. Jennie McLaurin

Interim Dean of Students, Regent College. BS (Salem College), MD (Wake Forest University), MPH (University of North Carolina, Chapel Hill), MCS (Regent College).

Jennie is a pediatrician with a degree in maternal and child health, and has worked for many years with the American Health Resources and Services Administration, serving immigrant populations. In addition to her medical training, she holds a Master of Christian Studies from Regent College.

Faithful Medicine: Bioethics and Christian Thought

Christians struggle to make sense of modern medicine and its bioethical challenges. Abortion, euthanasia, AIDS and stem cell research continue to make headlines and fuel debate. But less public concerns also occupy us, such as infertility, aging, chronic pain and our neighbour's unmet medical needs. This course, through the help of interactive case studies, will explore 1) medicine's new role as a powerful secular institution; 2) ethical methods commonly used in public and Christian debate; 3) theological terms and perspectives that are (or should be) used to support bioethical viewpoints. The goal is to assist health professionals, church leaders and the wider Christian community to think well and Christianly about medicine, and thereby offer reasonable and faithful approaches to bioethical deliberation. Continuing Medical Education (CME) credit will be offered for health professionals.

June 8–12, 8:00-11:00am

INDS/APPL 503
2 or 3 graduate credit hours

The course may be completed in one of two ways.

  • The two-credit option runs from Monday through Friday morning.
  • The three-credit option runs from Monday through the weekend Bioethics conference, ending on Saturday. (see our Conferences section for details)

Wednesday, January 21, 2009

Pew Forum: USA Abortion Views

Thursday, Jan. 22 marks the 36th anniversary of the U.S. Supreme Court's landmark abortion ruling, Roe v. Wade (1973). Abortion remains a divisive issue in the U.S., with a slim majority (53%) in favor of keeping it legal in all or most cases and four-in-10 in favor of making it illegal in all or most cases. However, the U.S. Religious Landscape Survey, conducted in 2007 by the Pew Research Center's Forum on Religion & Public Life, finds that most religious traditions in the U.S. come down firmly on one side or the other. Religious beliefs and practices also influence views on abortion; individuals exhibiting high levels of religious commitment are much more likely to oppose legalized abortion in all or most cases than those who are less-observant.

For an overview of the abortion debate in the U.S., public opinion trends, religious groups' official positions on the issue and more, go to the Pew Forum's abortion resource page »

abortion chart
Data on "Total U.S. Population" from October 2008 survey by the Pew Research Center for the People & the Press. All other data from the Pew Forum's U.S. Religious Landscape Survey. For question wording, see the survey topline.

1"Other Faiths" includes Unitarians and other liberal faiths, New Age groups and Native American religions.

HT; Kansas Bob

Pew Forum: USA Abortion Views

Thursday, Jan. 22 marks the 36th anniversary of the U.S. Supreme Court's landmark abortion ruling, Roe v. Wade (1973). Abortion remains a divisive issue in the U.S., with a slim majority (53%) in favor of keeping it legal in all or most cases and four-in-10 in favor of making it illegal in all or most cases. However, the U.S. Religious Landscape Survey, conducted in 2007 by the Pew Research Center's Forum on Religion & Public Life, finds that most religious traditions in the U.S. come down firmly on one side or the other. Religious beliefs and practices also influence views on abortion; individuals exhibiting high levels of religious commitment are much more likely to oppose legalized abortion in all or most cases than those who are less-observant.

For an overview of the abortion debate in the U.S., public opinion trends, religious groups' official positions on the issue and more, go to the Pew Forum's abortion resource page »

abortion chart
Data on "Total U.S. Population" from October 2008 survey by the Pew Research Center for the People & the Press. All other data from the Pew Forum's U.S. Religious Landscape Survey. For question wording, see the survey topline.

1"Other Faiths" includes Unitarians and other liberal faiths, New Age groups and Native American religions.

HT; Kansas Bob

Thursday, January 15, 2009

Dignitas Personae and a Book Review



The latest from Thinking Faith...


Dignitas Personae: a new Vatican document on bioethics
In December 2008, the Congregation for the Doctrine of the Faith released a new document about the issues surrounding IVF and embryo experimentation. Dr David Jones offers a guide to the principles appealed to and the issues addressed in Dignitas Personae, and asks how this timely teaching applies to recent debates in the UK regarding hybrid embryos and stem cell research. Read >>

http://www.thinkingfaith.org/articles/20090115_1.htm


Book Review: Theological Interpretation of the New Testament by Kevin J. Vanhoozer (Ed.), N.T. Wright and Daniel J. Treier (Associate Eds.)
Reviewed by Nicholas King SJ
This is a book for anyone seriously interested in the New Testament, who wants to read it as Scripture without surrendering his or her God-given critical intelligence. What this book wishes to do, without undoing the advances in scripture scholarship of the last two hundred years, is to study God and the mighty acts of God. Read more >>


Personally I find the Dignitas Personae a fascinating document to read. Will get a copy of the book reviewed for my own reading.

Dignitas Personae and a Book Review



The latest from Thinking Faith...


Dignitas Personae: a new Vatican document on bioethics
In December 2008, the Congregation for the Doctrine of the Faith released a new document about the issues surrounding IVF and embryo experimentation. Dr David Jones offers a guide to the principles appealed to and the issues addressed in Dignitas Personae, and asks how this timely teaching applies to recent debates in the UK regarding hybrid embryos and stem cell research. Read >>

http://www.thinkingfaith.org/articles/20090115_1.htm


Book Review: Theological Interpretation of the New Testament by Kevin J. Vanhoozer (Ed.), N.T. Wright and Daniel J. Treier (Associate Eds.)
Reviewed by Nicholas King SJ
This is a book for anyone seriously interested in the New Testament, who wants to read it as Scripture without surrendering his or her God-given critical intelligence. What this book wishes to do, without undoing the advances in scripture scholarship of the last two hundred years, is to study God and the mighty acts of God. Read more >>


Personally I find the Dignitas Personae a fascinating document to read. Will get a copy of the book reviewed for my own reading.

Saturday, January 3, 2009

American Journal of Bioethics Top Blog Essays 2008

The American Journal of Bioethics Editors' Blog Top 20 Essays of 2008

Below are the 20 most viewed essays on blog.bioethics.net for 2008.

#1: Monkey Cloning Follow-Up

#2: Jon Stewart as Socrates

#3: Is Being Infected With Malaria Worth $2000?

#4: The World Waits Breathless as Nebraska Considers Banning Cloning

#5: Bioethics Abandons Creationism Debate

#6: Forum on Nanotechnology in Consumer Products

#7: Jim Fossett Election Roundup on States, Bioethics & Stem Cells

#8: Where the Presidential Candidates Stand on Cloning

#9: Weekend reading: organ donation, designer babies

#10: The Pregnant Transgender Man Talks to Oprah

#11: Do Nerds Have a Different Sense of Empathy?

#12: Suzanne Somers Stem Cell Master

#13: A Comment from Paul Gelsinger on Gene Therapy and Informed Consent

#14: Money! Turns Out It's Bad for You...

#15: Should I Sell My Eggs?

#16: How Many in The US Un/Underinsured?

#17: A Pregnant Father

#18: Symposium to Examine Flu Pandemic Prep and Pharmaceuticals

#19: Men and HPV

#20: Art Caplan on Oscar Pistorious, the Double Amputee Sprinter

American Journal of Bioethics Top Blog Essays 2008

The American Journal of Bioethics Editors' Blog Top 20 Essays of 2008

Below are the 20 most viewed essays on blog.bioethics.net for 2008.

#1: Monkey Cloning Follow-Up

#2: Jon Stewart as Socrates

#3: Is Being Infected With Malaria Worth $2000?

#4: The World Waits Breathless as Nebraska Considers Banning Cloning

#5: Bioethics Abandons Creationism Debate

#6: Forum on Nanotechnology in Consumer Products

#7: Jim Fossett Election Roundup on States, Bioethics & Stem Cells

#8: Where the Presidential Candidates Stand on Cloning

#9: Weekend reading: organ donation, designer babies

#10: The Pregnant Transgender Man Talks to Oprah

#11: Do Nerds Have a Different Sense of Empathy?

#12: Suzanne Somers Stem Cell Master

#13: A Comment from Paul Gelsinger on Gene Therapy and Informed Consent

#14: Money! Turns Out It's Bad for You...

#15: Should I Sell My Eggs?

#16: How Many in The US Un/Underinsured?

#17: A Pregnant Father

#18: Symposium to Examine Flu Pandemic Prep and Pharmaceuticals

#19: Men and HPV

#20: Art Caplan on Oscar Pistorious, the Double Amputee Sprinter

Sunday, November 23, 2008

Trachea from Adult Stem Cells

From Christianity Today liveblog
November 20, 2008 12:32PM
Adult Stem Cells Score Again
A trachea engineered from bone marrow stem-cells makes ethical research more appealing.
Susan Wunderink



Claudia Castillo, whose lungs had been ravaged by tuberculosis, has a new trachea. She made it herself . . . sort of.


Doctors in Spain took stem-cells from Claudia Castillo's bone marrow and had them form a section of trachea based on the trachea of an organ donor. The scientists transplanted the 2.75-inch piece and published the results in The Lancet:

The graft immediately provided the recipient with a functional airway, improved her quality of life, and had a normal appearance and mechanical properties at 4 months. The patient had no anti-donor antibodies and was not on immunosuppressive drugs.
The results show that we can produce a cellular, tissue-engineered airway with mechanical properties that allow normal functioning, and which is free from the risks of rejection.

Castillo is the
first person to have an engineered trachea transplant, The Guardian says. She has had her new windpipe for several months without immunosuppressants—a breakthrough in surgery.

Besides giving hope to those who need transplants, Castillo’s case is also important to the debate over whether to allow stem-cell research which destroys embryos.

"Engineering new tissues and organs from stem cells has long been a goal of researchers, because it would help overcome a chronic shortage of donor organs.”
NPR says. “But controversies over the source of stem cells have slowed research in the United States."

However the transplant, rather than highlighting limitations, is another victory for ethical (and legal) stem-cell research. In its
Q&A on stem-cells, CNN says “In the past, because adult stem cells were considered stuck in their ways, the focus had been on embryonic cells but now scientists and doctors will be wanting to see if adult cells can be used to treat a wider range of conditions.”



.

Trachea from Adult Stem Cells

From Christianity Today liveblog
November 20, 2008 12:32PM
Adult Stem Cells Score Again
A trachea engineered from bone marrow stem-cells makes ethical research more appealing.
Susan Wunderink



Claudia Castillo, whose lungs had been ravaged by tuberculosis, has a new trachea. She made it herself . . . sort of.


Doctors in Spain took stem-cells from Claudia Castillo's bone marrow and had them form a section of trachea based on the trachea of an organ donor. The scientists transplanted the 2.75-inch piece and published the results in The Lancet:

The graft immediately provided the recipient with a functional airway, improved her quality of life, and had a normal appearance and mechanical properties at 4 months. The patient had no anti-donor antibodies and was not on immunosuppressive drugs.
The results show that we can produce a cellular, tissue-engineered airway with mechanical properties that allow normal functioning, and which is free from the risks of rejection.

Castillo is the
first person to have an engineered trachea transplant, The Guardian says. She has had her new windpipe for several months without immunosuppressants—a breakthrough in surgery.

Besides giving hope to those who need transplants, Castillo’s case is also important to the debate over whether to allow stem-cell research which destroys embryos.

"Engineering new tissues and organs from stem cells has long been a goal of researchers, because it would help overcome a chronic shortage of donor organs.”
NPR says. “But controversies over the source of stem cells have slowed research in the United States."

However the transplant, rather than highlighting limitations, is another victory for ethical (and legal) stem-cell research. In its
Q&A on stem-cells, CNN says “In the past, because adult stem cells were considered stuck in their ways, the focus had been on embryonic cells but now scientists and doctors will be wanting to see if adult cells can be used to treat a wider range of conditions.”



.

Wednesday, November 19, 2008

Dilemma: Making Ethical Decisions


Judith Allen Shelly, 1980, Dilemma: A Nurse's Guide for Making Ethical Decisions, Downers Groove, IL: InterVarsity Press

Judith Allen Shelly was a nurse and was with the Nurses Christian Fellowship. In this book, she outlines a step-by-step Christian decision making process that is very useful.

Dilemma: Making Ethical Decisions


Judith Allen Shelly, 1980, Dilemma: A Nurse's Guide for Making Ethical Decisions, Downers Groove, IL: InterVarsity Press

Judith Allen Shelly was a nurse and was with the Nurses Christian Fellowship. In this book, she outlines a step-by-step Christian decision making process that is very useful.