The proper and improper concerns of medical law and ethics.
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Biomedical subjects
Publications and source records attributed to W J Curran.
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Despite admirable improvements over the Comprehensive Health Planning Act, Public Law 93-641 still contains the seeds of bureaucratic bog-down and confusion. In addition, the Federal Government has leapfrogged the states in its determination to regulate the local agencies. Considerable sophistication and common sense at the regulatory level will be needed to make the Law work.
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Bone marrow transplantation has been utilized for the treatment of severe aplastic anemia in a program at The Children's Hospital Medical Center. A protocol has been developed to help ensure that the interests and rightful claims of all involved parties will be taken into account. Three cases are presented. In one case all involved parties concurred with the plan for bone marrow transplantation. In a second case the prospective donor was deemed mentally incompetent to give truly informed consent for the procedure. In a third case the parents were unwilling to have their child undergo transplantation. The ethical issues raised in these cases suggest the need for further development of a moral technology to enhance decision-making competence and to aid in the recognition and application of the rights of children without impeding the advancement of pediatric medicine.