This paper explores the notions of hope and how individual patient autonomy can trump carefully reasoned ethical concerns and policies intended to regulate stem cell transplants. We argue that the same limits of knowledge that inform arguments to restrain and regulate unproven treatments might also undermine our ability to comprehensively dismiss or condemn them. Incautiously or indiscriminately reasoned policies and attitudes may drive critical information and data underground, impel patients away from working with clinical researchers, and tread needlessly on hope, the essential motivator of patients, advocates and researchers alike. We offer recommendations to clinicians and health care providers to help balance the discourse with individuals seeking treatment while guarding against fraud, misconception, and patient harm.
This document collects together a number of reflections on the statutory time limit for maintaining human embryos in culture. This issue was raised for consideration at the Nuffield Council's annual 'forward look' meeting in February 2016. It was given an additional impetus the following month by the publication of research that suggested, for the first time, the possibility that embryos could be cultured for longer than 14 days (the current statutory limit in the UK). This led the Council to hold a workshop with the range of experts to discuss whether, after 25 years, there may be persuasive reasons to review this legal limit or whether the reasons for its introduction remain sound. * Professor Montgomery is Professor of Health Care Law, University College London and was Chair of the Nuffield Council on Bioethics (2012-17). A second set of arguments that were outside the scope of this piece of work but that would be relevant to a full reconsideration concern the relationship of the 14-day question to other social currents. We have already noted concerns about 'slippery slope' arguments that are held in some quarters. It is likely that any discussion of the embryo research rules would be affected by public confidence in the integrity of scientists. The experience of recent Parliamentary interventions, such as the developments in the regulation of mitochondrial replacement therapies, would also be 6 Legislation.gov.uk
Given the explosion of research on induced pluripotent stem (iPS) cells, it is timely to consider the various ethical, legal, and social issues engaged by this fast-moving field. Here, we review issues associated with the procurement, basic research, and clinical translation of iPS cells.
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