On the fragility of medical virtue in a neoliberal context: the case of commercial conflicts of interest in reproductive medicine

Mayes, Christopher; Blakely, Brette; Kerridge, Ian; Komesaroff, Paul A.; Olver, Ian; Lipworth, Wendy

doi:10.1007/s11017-016-9353-0

Cited by 16 publications

(3 citation statements)

References 28 publications

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“…Koch [101, p. 125] thus criticized the Belmont Report's distinction between patient and [research] subject: "In separating the medical patient from the research subject, they opened the door for a bioethical perspective in which the needs of the patient-cum-subject would ever be secondary to those of the knowledge industry and its potential production of future benefit" (p. 125). An interesting case report of the effects neoliberalism has had on the ethical norms of medicine is given by Mayes et al [105].…”

Section: Discussionmentioning

confidence: 99%

Personalized Medicine, Genomics and Enhancement: Monuments to Neoliberalism

Kowalski¹

2017

AJCEM

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Abstract:This essay explores the meanings, possibilities, limitations, and some of the relationships between three currently much discussed -and debated -topics: personalized medicine, genomics, and enhancement. We believe, and gather in one place some of the literature supporting the view that all three are largely the product of the current dominant ideology of neoliberalism with its emphasis on individual freedom of choice, unwavering trust in the "wisdom of the market," the commodification of everything, including information and promise, and the associated scientific viewpoints it employs, reductionism and biological (especially genetic) determinism. We recognize that the success (or failure) of approaches to problems based on reductionism and/or genetic influences depends upon the problem(s) considered and the uses to which the accumulating insight will be employed. We believe that we can often do better than focusing on profit motives when determining which problems to study and which outcomes are most useful.

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Section: Discussionmentioning

confidence: 99%

Personalized Medicine, Genomics and Enhancement: Monuments to Neoliberalism

Kowalski¹

2017

AJCEM

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“…The Australian clinic Monash IVF's code of conduct explicitly states that clinicians should recognize that their primary obligation is to the company and its shareholders --not to patients. 70 While this is a broader topic than IVF itself, spanning the rising trend toward medical consumerism, the fertility industry is particularly affected as a sector that is 1) relatively immature, 2) debatably not treating 'disease' per se, and 3) closely tied to very expensive and currently trendy treatment options.…”

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confidence: 99%

The Ethics of IVF

Beers¹

2019

jbfp

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In vitro fertilization (IVF) has promised hope to many couples struggling with the pain of infertility. However, as with any new medical technology, the ethical implications of this procedure must be examined, particularly in light of recent events such as the birth of the first genetically modified human beings, made possible by IVF. It is crucial to examine oppositions to IVF based on principle, as well as address concerns related to adjacent issues such as the discard of unused embryos; the selection, payment, privacy, and parental rights of donors and surrogates; the importance of genetic parenthood; new combinations of gametes; preimplantation genetic diagnosis and selective implantation; and economic incentives. Short-term justifications shape long-term values, and so we must carefully consider the implications of IVF, even as we maintain compassion and grace toward couples dealing with the difficult realities of infertility.

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“…The papers by Justin Oakley [9] and by Christopher Mayes et al [10] reverse the focus on patients and turn to vulnerabilities on the other side: those possessed by health care professionals. Oakley, then, considers our ordinary human vulnerability to responding poorly in trying circumstances.…”

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confidence: 99%