[*] The Division of Extramural Research
Division of Extramural Research (DER) supports and administers the role of the National Institutes
of Health (NIH) in Genomic Research. In consultation with the broader genomic community, the DER
supports grants for research and for training and career development at sites nationwide ...
plans and supports activities that advance genomics; and directs the Ethical, Legal and Social
Implications (ELSI) Research Program, which explores the ethical and policy issues raised by genetic research.
Human Genome Project
Information Note: For ELSI research information, see our ELSI Research
page ... The U.S. Department of Energy (DOE) and the National Institutes of
Health (NIH) ... Societal Concerns Arising from the New Genetics ... Fairness in
the use of genetic information ... Privacy and confidentiality ... Psychological
impact and stigmatization ... Reproductive issues ... Clinical issues ...
The Human
Genome Project National Reference Center for Bioethics Literature, The
Joseph and Rose Kennedy Institute of Ethics, Box 571212, Georgetown University,
Washington, DC 20057-1212 Table of Contents, Background Essay, General
Surveys, The Debate, U.S. Project History, International Involvement, The Human
Genome Map, Ethical, Legal, and Social Issues, Position Statements, Additional
Information Resources ... The Human Genome Project is not without controversy
... The first serious discussions about sequencing the entire human genome
occurred at a workshop at the University of California at Santa Cruz in 1985 ...
To avoid potential congressional ''meddling'', NIH and DOE drafted a memorandum
of understanding for interagency coordination in October 1988 ... In 1988, the
EC introduced a proposal entitled the ''Predictive Medicine Programme.'' A few
EC countries, notably Germany and Denmark, claimed the proposal lacked ethical
sensitivity ... Human Genome Organization (HUGO), which has been called
the''U.N. for the human genome,'' was born in the spring of 1988 ... Ethical,
Legal and Social Aspects
About ELSI
National
Human Gerome Research Institute The planners of the U.S. Human Genome
Project (HGP) recognized that the information gained from mapping and sequencing
the human genome would have profound implications for individuals, families, and
society. While this information would have the potential to dramatically improve
human health, they realized that it would also raise a number of complex
ethical, legal and social issues. How should this new genetic information be
interpreted and used? Who should have access to it? How can people be protected
from the harm that might result from its improper disclosure or use? ... The
ELSI Program is organized around four program areas ... Privacy and Fairness in
the Use and Interpretation of Genetic Information ... Clinical Integration of
New Genetic Technologies ... Issues Surrounding Genetics Research ... Public and
Professional Education ... The ELSI Research Planning and Evaluation Group
(ERPEG) Final Report ... In July 1997, NHGRI's National Advisory Council for
Human Genome Research (NACHGR) and DOE's Biological and Environmental Research
Advisory Committee (BERAC) established the ELSI Research Planning and Evaluation
Group (ERPEG). ERPEG's mission was to review and analyze the portfolio of ELSI
research grants at both NHGRI and DOE, to participate in the development of the
ELSI component of the new five year plan for the HGP, and to prepare a report
for submission to NACHGR and BERAC summarizing its findings and making
recommendations ...
A Guide to Bioethics Resources on the Web Guide to Healthcare Schools,
2010 ... Swift developments in cloning, embryonic research, abortion, body modification, euthanasia, end-of-life, neurology, and a plethora of other hot topics have caused health care professionals, policymakers, and the public to become increasingly concerned with our ethical and moral responsibilities when facing these complicated issues
National Bioethics Advisory
Commission General Information
National Information
Resource on Ethics & Human Genetics
National Reference Center for
Bioethics Literature Kennedy Institute of Ethics, Georgetown University
Established on September 1, 1994, with the support of the predecessor of the
National Human Genome Research Institute, the National Information Resource is
affiliated with the National Reference Center for Bioethics Literature (NRC),
the world's largest collection of material relevant to medical ethics and
biomedical research. Approximately 15 per cent of the NRC's collection of more
than 22,000 volumes and 130,000 cataloged articles deals with issues in
molecular biology and human genetics ...
National Reference Center for
Bioethics Literature Georgetown University
American Society for Bioethics and Humanities
The American Society for Bioethics and Humanities (ASBH) is a professional
society of more than 1,500 individuals, organizations, and institutions
interested in bioethics and humanities ...
Applying the Ethic
of Reverence for Life to the Issue of Abortion in America Joie Karnes
Albert Schweitzer argues that humanity is in a period of spiritual decline.
Having discovered the principle of Reverence for Life, which contains the
ethical affirmation of life, Schweitzer wanted to effect change in the world by
helping people "to think more deeply and more independently" (223) ...
Schweitzer has Reverence for Life, but he also argues that independent thought
is necessary for an individual to be capable of living this ethic ... Schweitzer
points out that individuals are also intimidated by the "prodigious development
in knowledge" (225). New discoveries are beyond their comprehension, so people
are forced to accept what they do not understand ... Schweitzer warns that
blindly accepting something as true without personal reflection retards the
individual's advance of reason. "Our very attempt to manipulate truth itself
brings us to the brink of disaster" (227) ... Schweitzer, Reverence for Life
answers the question of how human beings and the universe are related to one
another. He asserts that all we know is this: everything that exists in the
universe is the will to live manifesting itself. Human beings have both an
active and a passive role ...
Fond du Lac - Roger Rigterink,
Professor, Department of Philosophy University of Wisconsin
Bioethics William F. May, Cary M,
Southern Methodist University, Dallas, Texas. James Gustafson complains that
theologians writing in the field of medical ethics tend to do so as closet
Christians and Jews ... I responded in a pejorative way, 'An ethicist is a
former theologian who does not have the professional credentials of a moral
philosopher ...
Biomedical
Ethics: Readings on the Internet
The Physician-Patient Relationship ...
Patient autonomy ... The hallmark of contemporary American medical ethics ...
Patient Physician conflicts ... Parental preferences vs. a child's best interest
... Euthanasia ... Decisions not to treat ... In Vitro Fertilization (IVF) In
1978, Drs. Edwards and Steptoe announced the birth of Louise Brown (not the
child's real name, but one used to protect her identity and the identity of her
parents), the first child to be conceived outside of the womb. (Taken literally,
IVF means "fertilized in glassware.") ... Cloning ... Genetic encores: the
ethics of human cloning ... Genetics and Food Production ... protection of human
subjects of research ... exposing humans to radiation ... The Tuskegee syphilis
experiment ... What is thalidomide? ...
International Communication Forum in Human Molecular
Genetics
requests from
professionals regarding: collaborative
Eco-Ethics International Union (EEIU)
Akimov, Kyiv, Ukraine: Boreyko, Kyiv, Ukraine: Davydchuk, Kyiv:
Grodzinsky, Dmitry M, Kyiv, Ukraine: Marchukova, Ukraine: Sozinov, Oleksiy O,
Ukraine: Tsytsugina, Ukraine: Yurzditskaya, Ukraine: Ziaka, Ukraine: Zaitsev,
Ukraine ...
Fetus as
a Patient: Discourse to International Congress Pope John Paul II, April
3, 2000 I am happy to have this opportunity to welcome you to the Vatican on
the occasion of your International Congress ... In recent decades, when the
sense of the humanity of the fetus has been undermined or distorted by reductive
understandings of the human person and by laws which introduce scientifically
unfounded qualitative stages in the development of conceived life, the Church
has repeatedly affirmed and defended the human dignity of the fetus. By this we
mean that "the human being is to be respected and treated as a person from the
moment of conception; and therefore from that same moment his rights as a person
must be recognized, among which in the first place is the inviolable right of
every innocent human being to life" ... A case of special moral gravity, often
deriving from these illicit procedures, is so-called "embryonic reduction", or
the elimination of some fetuses when multiple conceptions take place at one
time. Such a procedure is gravely illicit when multiple conceptions occur in the
normal course of marital relations, but it is doubly reprehensible when they are
the result of artificial procreation ...
Scientific Committee
International Society of Bioethics Resumes of the Members of the SIBI
Scientific Committee ...
The American Journal of Bioethics Online
Journal
of the International Association of Bioethics Published in association
with the International Association of Bioethics ... the subject of bioethics has
an ever increasing practical relevance for all those working in philosophy,
medicine, law, sociology, public policy, education and related fields ...
Bioethics provides a forum ...
Genethics January
2001
American Medical Association Should Genetic Information Be
Treated Separately? ... Incomplete patient charts? "Shadow" files? Though such
practices sound as fishy as 2 sets of account books, federal and state
legislative initiatives regarding genetic information could lead physicians to
start keeping these sorts of double or shadow files. The belief that genetic
information should be filed separately from other medical information and
handled with special attention to confidentiality was termed "genetic
exceptionalism" by the Task Force on Genetic Information and Insurance, an
NIH-DOE joint working group of the Human Genome Project ... Genetic Information
is Prophetic, Some Say ... "Genetic Exceptionalism" is Ethically Unjust ...
Sex, Marriage, and Family
A Social Statement of the Lutheran Church in America
Abortion and
Animals: Keeping Women in the Equation Carol J. Adams What does the
issue of abortion have to do with the issue of animal defense?
Animal
Advocacy and Abortion
By Larry Rosenfeld there is no consensus among
animal advocates about abortion
Abortion Facts and the
Bible By John Cripps Abortion and the voice of History ... there are
no references to abortion before the year 1400 B.C. As early as 2000 B.C., in
Egypt and Mesopotamia, there are records of drugs that caused miscarriages, but
the Egyptians had a high view of life, even mummifying fetuses. The Assyrian
Codex in 1100 B.C. stated that abortion was punishable by impalement. Persian
law in 600 B.C. called abortion willful murder ... During the New Testament
times abortion was practiced by the Greek and Roman cultures ... The United
States is a country where 5,500 abortion clinics abort 30% of all pregnancies
...
Voice of the Voiceless
“Abortion is the state of prison, prison is traditional. Those
who abort animals by sucking the animal from the womb of the land to the prison
called the zoo must surely abort baby from mother by sucking the baby from the
womb of the mother to the prison of a plastic bag, a jar of formaldehyde, an
experimental laboratory ... Unintended Consequences ... The Flaws of the
“pro-Choice” ethic ... “Do not slay your children because of poverty - We will
provide for you and them...” ... The Holy Qur’an ... Sura 6:151 ...
Genetic
testing policies must stress informed consent
Who
Counts?
For over eight years the three monkeys immobilized in harnesses
have sat staring helplessly from their cages. Their paralyzed limbs dangling at
their sides have been useless appendages since researchers eight years ago cut
their nerves in experiments. According to the director of the National
Institutes of Health, they now "give evidence of frequent, unrelievable pain."
Experimenters plan next to surgically remove the tops of the monkey's skulls,
insert electrodes to take brain measurements, and finally kill them, all as part
of a research project on spinal cord injuries financed by the National
Institutes of Health ... one of the most fundamental dividing lines in morality
is the one we draw between those who count in our moral considerations and those
that don't, or, as ethicists sometimes put it, between those who do and those
who don't have moral standing. What is moral standing?
Society's interest in
protection for the fetus (PDF Document)
Kenneth M. Flegel, MD, MSc, CMAJ
1998;158:895-6, April 7, 1998 * le 7 avril 1998, Canadian Medical Association
Journal. The primacy of the person is a central tenet of Western
civilization. In medicine this person-centred ethic is enshrined in the
principle of individual autonomy, by which we understand that each person is
free to make decisions and choices based on the values to which he or she is
committed. At the societal level this primacy is acknowledged in the recognition
of human rights. Human rights constitute the touchstone of a mature and
democratic society ...
Mapping the Human Genome
and the Meaning of Monster Mythology
Emory law Journal----Summer
1990----Vol. 39, No. 3
Ethical Principles
of Psychologists and Code of Conduct American Psychological Association
Medical Ethics
Canadian Medical Association ... Brain Death ... Jewish Medical
Ethics ... Pope John ... Catholic Institute ...
Genethics
Webpages ... Ethics of Scientific Knowledge and Technology
Glossary
Glossary Entries ... Alpha ... Aramaic ... Alexander Bain ... Etiology ...
The Assent of
A Nation ... Genethics and Iceland
Johns Hopkins University School of
Medicine grant a monopoly to a biotechnology company for its establishment
and use in medical and genetic research (1) ... Hoffman-LaRoche (3) is
providing major financial backing ... centralized database of non-personally
identifiable health data with the aim of increasing knowledge in order to
improve health and health services ... personal identification shall be coded
one-way, i.e. by coding that cannot be traced using a decoding key" and 2) "a
patient may request that information on him/her not be entered into the health
sector database ... It is possible to create a database of personally identified
or identifiable data ... The advantage ... if necessary for health or other
reasons ... Clearly it would cost great effort, time and money to gain consent
from every individual in a data collection envisaged here ... The opposition ...
three critical issues ... no provisions for establishing informed consent ...
one-way encryption will not, in fact, protect the rights of the individual ...
granting exclusive rights ... is seen as wrong ... The Icelandic Medical
Association opposed the legislation from its initial draft and continues to do
so ...
Responsible Conduct of Research
(RCR) Education
Office of Research Integrity Online
Resources for RCR Instruction ... Research Integrity/Ethics Training ...
The Ethics
of Human Cloning
By Leon R. Kass.
Books
Dangers of Genetic
Manipulation
By Pope John Paul II
Address to members of the World
Medical Association (October 29, 1983) ... You are cordially welcome in this
house, the more so because a particular convergence exists between your concerns
and those of the Church. Medicine is an eminent, essential form of service
to mankind ... The theme of your meeting in Venice, "The physician and the rights
of man," was an additional reason to arouse the interest of the Holy See ... The
totality of these rights corresponds to the substance of the dignity of the
human being ... The rights to which one refers are not, in the first place,
those which are recognized by the changing legislations of civil society, but
they are rooted in fundamental principles, in the moral law which is based on
being itself and which is immutable. The domain of deontology may appear,
especially today, as the most vulnerable in the field of medicine, but it is
essential, and medical morality should always be considered by practitioners as
that norm of their professional practice ... the respect for life. There is no
one, believer or unbeliever, who can refuse to respect human life, to make it
his duty to defend it, to save it, most especially when as yet it has no voice
to proclaim its rights ... the concessions that the civil law allows one to make
in the case, for example, of abortion or of euthanasia ... God alone is the
master of human life and of its integrity ... in the matter of "genetic
manipulation" which poses a serious question to every individual's moral
conscience. How, in fact, can such manipulation be reconciled with a concept
that credits man with an innate dignity and an untouchable autonomy? ... The
biological nature of each person is untouchable in the sense that it is
constitutive of the personal identity of the individual throughout the whole
course of his history ... To tell the truth, the expression "genetic
manipulation" remains ambiguous and should constitute an object of true moral
discernment ...
Genethics
MetaGenethics Sites ... Syllabi and Education ... The Human Genome
Project/ELSI ... Gene Therapy and Engineering ... Testing, Confidentiality and
Discrimination ... Patents ... Eugenics ...
The
Belmont Report
Office of the Secretary, Ethical Principles and
Guidelines for the Protection of Human Subjects of Research, The National
Commission for the Protection of Human Subjects of Biomedical and Behavioral
Research, April 18, 1979
On July 12, 1974, the National Research Act (Pub.
L. 93-348) was signed into law, there-by creating the National Commission for
the Protection of Human Subjects of Biomedical and Behavioral Research ... the
Commission was directed to consider: (i) the boundaries between biomedical and
behavioral research and the accepted and routine practice of medicine, (ii) the
role of assessment of risk-benefit criteria in the determination of the
appropriateness of research involving human subjects, (iii) appropriate
guidelines for the selection of human subjects for participation in such
research and (iv) the nature and definition of informed consent in various
research settings ...
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