What research practices in China may teach the U.S.
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Biomedical subjects
Publications and source records attributed to Edmund G Howe.
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Fetal surgery involves unique ethical issues because the interests of fetus and mother may conflict but, regardless, they are inextricably interconnected. Controversial questions currently include what kinds of surgery should be permitted, who should decide, and whether this surgery should be restricted to specialized centers. Clinical questions include the degree to which mothers should have decision-making authority, the extent, if any, to which mothers should be protected from pressure from family members, and whether physicians should be non-directive. This article discusses these questions and their answers' competing rationales. It also presents recent data from attachment studies of mothers and infants and from neuroscience, which suggest that mothers and infants are more interdependent physiologically and psychologically than has been understood. The paper describes how these findings may apply to the mother and fetus long before it is born. The major implication of this analysis is that mothers should, perhaps, have greater decision making authority.
The attack on the United States by terrorists on 9/11 and the war with Iraq have raised new ethical questions for the military and for military physicians (Herman 2002; Elshtain 2003). How and when attacks may occur now is less predictable. Planes have been hijacked, and persons dressed as civilians may carry bombs to blow themselves and others up. These dangers pose an increased threat, and, thus, there is a need for new defensive measures. How far these measures should go is, however, greatly open to debate. One of the most difficult ethical question raised for the military and military doctors by these developments is what interrogation methods are permissable when questioning captured terrorists. The licitness of different interrogation practices is, however, only one of the ethical problems potentially encountered by military physicians now having to treat terrorists and POWs. The following discussion presents the major concerns regarding this and other issues.
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