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Related Experiment Videos

Selecting neonatal ethics.

J E Frader

    Social Science & Medicine (1982)
    |January 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Decisions regarding nontreatment of infants with disabilities are complex. Current ethical and legal frameworks inadequately address medical uncertainty and patient suffering.

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    Area of Science:

    • Bioethics
    • Medical Law
    • Neonatal Care

    Background:

    • The nontreatment of infants with handicaps has sparked significant societal debate and governmental regulatory interest in the United States.
    • Robert Weir's book examines the controversy surrounding this issue, drawing on perspectives from medical professionals, legal experts, and ethicists.

    Purpose of the Study:

    • To critically analyze the existing discourse on the nontreatment of handicapped newborns.
    • To highlight the inadequacies in current ethical and legal arguments, particularly concerning medical uncertainty and the concept of personhood.
    • To advocate for a greater focus on patient suffering in decision-making processes.

    Main Methods:

    • Review and critique of arguments presented by physicians, lawyers, and ethicists in the nontreatment debate.
    Keywords:
    Death and EuthanasiaSelective Nontreatment of Handicapped Newborns (Weir, R.)

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  • Analysis of the role of medical uncertainty in clinical judgment.
  • Examination of the application of ethical concepts like personhood and procedural solutions like ethics committees.

    • Main Results:

    • The scope and frequency of physician nontreatment practices remain largely unknown.
    • Existing discussions often neglect the significant impact of medical uncertainty on clinical decision-making.
    • Current legal arguments are often outdated, and the concept of personhood complicates ethical deliberations.
    • Ethics committees, while intended as a solution, may create additional problems rather than resolving complex medicomoral dilemmas.

    Conclusions:

    • There is a critical need for more empirical data on the prevalence and circumstances of infant nontreatment.
    • Ethical and legal frameworks must better incorporate the realities of medical uncertainty and the predictive difficulties in neonatal care.
    • A greater emphasis on the present and future suffering of patients is essential when making decisions about treating severely handicapped infants.