1. If assisted
suicide is to be permitted, it is essential that Parliament decides on legislation
which, apart from the permission to assist the dying, includes suitable
safeguards of an appropriate rigour and specificity.
As the curse of assisted suicide looms over
Parliament, the debate has become increasingly heated in relation to whether or
not it should be legalised. Current problems encircling the range and
application of the Suicide Act 1961 in relation to aiding and abetting suicide
have shed light on concerns for future legalisation of assisted suicide. Yet
are such fears based on erred assumptions of abuse and mistaken definitions as
to the sanctity of life? This study will explore the inevitability of the
legalisation of assisted suicide and evaluate how such legislation can
safeguard society against abuse and error. It is predicted that such
legislation will be extremely restrictive in nature and scope to ease fears of
abuse, though whether such rigour is desirable will be questioned. The moral
implications of assisted suicide will also be explored in order to propose
that, while safeguards are necessary, they need not be as stringent as some
demand.
Suggested Reading
- Bennion, FAR 2009. 'Assisted Suicide: A
Constitutional Change', Criminal HR and Justice Weekly, vol. 173, no. 519.
- Callahan, D & Keown, J 1995.
Euthanasia Examined: Ethical, Clinical and Legal Perspectives, Cambridge:
Cambridge University Press.
- Finnis, JM 1993. 'Bland: Crossing the
Rubicon', HR Quarterly Review, vol. 109, no. 329.
- Keown, J 2002. Euthanasia, Ethics and
Public Policy, Cambridge: Cambridge University Press.
- Smartt, U 2009. 'Euthanasia and the HR',
Criminal HR and Justice Weekly, vol. 173, no. 7.
2. Examine the moral
and legal issues surrounding abortion.
The delicate debate surrounding the issue of
abortion is extremely important, despite the fact that no agreement may be
reached on the issue. It does however concern a wide variety of concepts such
as human rights, ethics, and legal rights. Abortion similarly sparks the debate
between HR and morality. UK HR contains an array of co-existing, intertwining legislative
provisions such as the Abortion Act 1967, the Human Fertilisation and
Embryology Act 1990 and the Human Rights Act 1998. Despite the fact the
abortion is an extremely broad topic, this study will conduct a concentrated
analysis which focuses upon the HR's approach to abortion. This of course
requires that moral issues be touched upon, though they will be closely linked
to the legal content of legislation. Do theories of justice and rights support
or contend abortion? Can there ever be reconciliation between the legal and
moral aspects of abortion?
Suggested Reading
- Boyle, M 1997. Re-Thinking Abortion:
Psychology, Gender, Power and the HR, London: Routledge.
- Esser, A & Koch, HG 2005. Abortion
and the HR: From International Comparison to Legal Policy, Cambridge:
Cambridge University Press.
- Glover, J 1977. Causing Death and Saving
Lives, New York: Penguin.
- Hursthouse, R 1991. 'Virtue Theory and
Abortion', Philosophy and Public Affairs, vol. 20, no. 3.
3. Medical Research
is one of the battlefields in which on-going ideological warfare is being waged
over whether human beings should be respected as ends or whether they can be
treated as mere means. Critically reflect on medical research HR and practice
in light of this statement.
The increased complexity and ever-revealed benefits
of medical research have in turn increased the delicacy of ethical issues
related to this topic. Both the social and legal arenas have struggled to take
reasoned stances on whether medical research can be justified. Despite its
critics, the need for medical research has never been completely eradicated;
our desire to perpetually exist thus comes into direct conflict with our desire
to live free and unhindered lives. When applied to the possibility of
non-consensual medical research, this observation becomes all the more
important in terms of determining which element is the most valued. This study
will explore how the HR deals with the interests of the community in relation
to medical research. What are the boundaries and how have they shifted over
time? Are they likely to shift even more, and which direction are they likely
to take? It will ultimately be demonstrated that individual rights can be
balanced against the collective good of society; a balance which has already been
attempted in current legislation.
Suggested Reading
- Campbell, A & Glass, KC 2001. 'The
Legal Status of Clinical and Ethics Policies, Codes, and Guidelines in
medical Practice and Research', McGill HR Journal, vol. 46, no. 473.
- Foster, C 2001. Ethics of Medical
Research on Humans, Cambridge: Cambridge University Press.
- Glendon, MA 1994. Rights Talk: The
Impoverishment of Political Discourse, New York: Free Press.
- Harris, J 2005. 'Scientific Research is a
Moral Duty', Journal of Medical Ethics, vol. 31, no. 244.
- Herring, J 2010. Medical HR and Ethics,
3rd ed, New York: Oxford University Press.
4. Does the UK
Require HRs to permit organ retention? Argue both for and against this issue.
The HR pertaining to organ retention is a profoundly
controversial subject, attracting differing and conflicting views, and also the
cause of considerable concern. Following a number of shocking incidents in
which organs were removed from dead patients without the consent of family
members, the process of more closely regulating organ retention began. The
resulting legislation was the Human Tissue Act 2004; a provisions that has
received as much praise as it has criticism. More than purely legislative in
scope, organ retention poses a variety of ethical questions, namely those of
consent, rights, and interests. When applied to the deceased the issue becomes
all the more delicate and complex. This study will explore the issues
concerning organ retention, evaluating the arguments both for and against
legalisation in a bid to arrive at a plausible proposal. It will ultimately be
suggested that the definitive answer is not entirely obvious, though upon a
balance of arguments the outcome has the potential to favour legalisation. It
indeed depends upon the extent to which one values the need for consent and the
way in which one balances individual and collective interests.
Suggested Reading
- Brazier, M 2005. 'Organ Retention and
Return: Problems of Consent', Journal of Medical Ethics, vol. 29, no. 30.
- Clemmons, A 2009. 'Organ Transplantation:
Is the Best Approach a Legalized Market or Altruism?', Journal of
Healthcare Management, vol. 54, no. 4.
- Foster, C 2001. Ethics of Medical
Research on Humans, Cambridge: Cambridge University Press.
- Kennedy, I & Grubb, A 2000. Medical HR,
3rd edn, London: Butterworths.
- Morgan, D 2001. Issues in Medical HR and
Ethics, London: Cavendish.
5. Critically
consider the notion of 'Sanctity of Life' offering contrasting alternatives as
guiding overarching principles within the context of termination of life of
individuals involving healthcare professionals.
The issue of euthanasia is the Achilles Heel of any
rights theorist who attempts to define the sanctity of life as the core basis
of the absolute right to life. Many have embarked upon the quest to fit assisted
suicide, active and passive, voluntary and involuntary within their subjective
network of morality, autonomy or harm. This has indeed furnished useful debate
which has greatly weakened and convincingly undermined the sanctity of life as
an absolute principle. This study will explore how the sanctity of life can be
justifiably derogated from in order to strengthen the argument for euthanasia.
Issues pertaining to justice, rights and the absoluteness of the sanctity of
life will be critically evaluated, though it will be ultimate demonstrated that
it would be an abuse of the sanctity of life to uphold it in situations where
an individual wishes to die.
Suggested Reading
- Behuniak, SM & Svenson, AG 2003.
Physician-Assisted Suicide: The Anatomy of a Constitutional HR Issue,
Maryland: Rowman & Littlefield.
- Callahan, D & Keown, J 1995.
Euthanasia Examined: Ethical, Clinical and Legal Perspectives, Cambridge:
Cambridge University Press.
- Gewirth, A 1989. 'Are There Any Absolute
Rights?' in J Waldron (ed), Theories of Rights, Oxford: Oxford University
Press.
- Keown, J 2002. Euthanasia, Ethics and
Public Policy, Cambridge: Cambridge University Press.
- Paterson, C 2008. Assisted Suicide and
Euthanasia: A Natural HR Ethics Approach, Hampshire: Ashgate.
6. "If a woman
wishes to be sterilised, and in a legal way causes herself to be operated on
for that purpose, I can, for my part, see no reason why, under public policy,
she should not recover such financial damage as she can prove she sustained by
the surgeon's failure to perform the operation properly, whether or not the
child is healthy." Slade LJ in Emeh v Kensington and Chelsea and
Westminster Area Health Authority [1984] 3 All ER 1044 (CA). Discuss this
statement critically, taking account of subsequent House of Lords decisions.
The case of Emeh floats amongst a sea of decisions
relating to the right of parents to seek damages for the birth of an unwanted
child. This study will assess the cases leading up to, and more importantly
following the decision because they signify the difficulties that the courts
have encountered in arriving at a suitable stance on the issue. The case HR
timeline reveals a marked shift in the attitude of the courts in relation to
this delicate issue, though there are also evident difficulties in determining
the scope of the HR. This study will seek to explain the reasoning behind
important and landmark decisions, and evaluate how damages, if rewarded, are
calculated. Attention will also be given to the important issue concerning
damages for unwanted healthy children as opposed to unwanted disabled children.
Suggested Reading
- Brantley, JR 1976. 'Wrongful Birth: The
Emerging Status of a New Tort', St Mary's HR Journal, vol. 8, no. 140.
- Hoyano, L 2002. 'Misconceptions about
Wrongful Conception', Michigan HR Review, vol. 65, no. 883.
- Jackson, E 2001. Regulating Reproduction,
Oxford: Hart Publishing.
- Stretton, D 2005. 'The Birth Torts:
Damages for Wrongful Birth and Wrongful Life', Deakin HR Review, vol. 10,
no. 1.
7. The Abortion Act
should be amended in order to give adequate protection to the rights of the
father.
While in any case the debate surrounding abortion is
heated and tense, the side issue relating to the rights of the father in
abortion cases renders the topic of abortion all the more controversial. This
study will address this particularly taxing topic, and evaluate whether the
rights and interests of the father can be implemented when the mother wishes to
terminate the pregnancy. There is a notable difference across the globe in the
context of the father's rights, and the UK's historical approach grants the
father remarkably few paternal rights. This approach immediately attracts
criticism, particularly since the passing of the Abortion Act 1967. Those who
are vested in the interests of the father fight the lack of interests given to
men in comparison to women, and argue that both parents should be given equal
rights. Yet despite the apparent discriminatory nature of UK legislation, could
it ever be justifiable to force a woman to give birth when she does not wish
to? It will be ultimately argued that the right of the mother to bodily
integrity should always prevail the rights of the father, for the infringement
of the former's rights is far greater when she is forced to give birth. This
stance has, as will be recognised, been declared compatible with the European
Convention of Human Rights.
Suggested Reading
- Beckwith, FJ 2007. Defending Life: A
Moral and Legal Case Against Abortion Choice, Cambridge: Cambridge
University Press.
- Collins, K 2000. 'When Father's Rights
are Mother's Duties: The Failure of Equal Protection in Miller v
Albright', Yale HR Journal, vol. 2, no. 109.
- Harris, GW 1986. 'Fathers and Fetuses',
Ethics, vol. 96, no. 3.
- Mason, K & Laurie, G 1994. Mason
& McCall Smith's HR and Medical Ethics, 4th edn, London: Butterworths.
8. Examine the
Medical Controversies Surrounding Stem Cell Research, particularly in light of
research for aesthetic purposes.
The frontiers that have been endlessly conquered by
medical research are coming to know fewer and fewer bounds. Yet as the extent
and range of the benefits provided by medical research grow in complexity and
variation, the controversial nature of the topic becomes all the more
prominent. It is clear that the greater the medical benefits promised, the
higher the ethical hurdles such treatment and research must overcome. The
relatively new existence of stem cell research has caused the debate to ignite
further, as new techniques promise endless potential yet threaten the lives of
others. This study will attempt to weigh the life of the unborn foetus I
relation to embryonic stem cell research and the benefits to be gain by such
research. Can such research be permitted on moral grounds? Can we kill for
medicine, if not for beauty? Could this lead to the conclusion that we may also
kill for beauty? These delicate questions will be addressed in this study which
will seek to arrive at a suitable conclusion in the bid for human perfection.
Suggested Reading
- Baier, K 2008. 'The Sanctity of Life',
Journal of Social Philosophy, vol. 5, no. 2.
- Banchoff, T 2005. 'Path Dependence and
Value-Driven Issues: The Comparative Politics of Stem Cell Research',
World Politics, vol. 12, no. 57.
- Blackford, R 2006. 'Stem Cell Research on
other Worlds, or why Embryos do not have a Right to Life', Journal of
Medical Ethics, vol. 32, no. 3.
- Chappell, TDJ 1995. Understanding Human
Goods, Edinburgh: Edinburgh University Press.
- Foster, C 2001. Ethics of Medical
Research on Humans, Cambridge: Cambridge University Press.
9. Practical and
Fair Redress for Clinical Negligence.
In the UK it has been argued that the clinical
negligence litigation system is too cumbersome, complex and costly. Indeed,
medical malpractice litigation has cost both the NHS and patients considerable
time and expense. This study examines how the NHS Redress Scheme could be
redesigned to ensure fair and practical redress for clinical negligence claims
by referring to current proposals and recommendations. A variety of
improvements and reforms will be proposed, all of which seek to eradicate
current problems in the system.
Suggested Reading
- Harpwood, V 2007. Medicine, Malpractice
and Misapprehensions, Oxon: Routledge-Cavendish.
- Farrell, AM & Devaney, S 2007.
'Making Amends or Making Things Worse? Clinical Negligence Reform and
Patient Redress in England', Legal Studies, vol. 27, no. 630.
- Kohn, LT et al 2000. To Err Is Human:
Building a Safer Health System, London: National Academy Press.
- Mulcahy, L et al 2000. Mediating Medical
Negligence Claims: An Option for the Future?, London: The Stationary
Office.
10. Judges are
poorly equipped to regulate healthcare practice and are increasingly blind to
their weaknesses. The only reason to encourage judicial intervention is that
the alternatives are even less satisfactory.
In examining the competence of judges to regulate
healthcare practice it is necessary to establish exactly what the role of the
judge is in such cases. This in itself requires complex analysis, though it
provides the basis upon which evaluation can proceed. A critical evaluation of
the alternative will be explored in order to arrive at a conclusion as to which
option is the most suitable for healthcare cases. It will ultimately be
concluded that bringing healthcare disputes before the courts serves to
validate the work of medical professionals. If judges continue to adopt a 'best
interests' approach then their regulation of healthcare will remain the best
option. Similarly, introducing rigid legal rules will unnecessarily restrict
the ability of judges to approach issues on a case by case basis. Ultimately,
and alternative method of solving medical disputes is not immediately apparent
and until a plausible option arises, judges will naturally remain the most
appropriate regulators of healthcare HR.
Suggested Reading
- Harpwood, V 2007. Medicine, Malpractice
and Misapprehensions, Oxon: Routledge-Cavendish.
- Kennedy, I & Grubb, A 2000. Medical HR,
3rd edn, London: Butterworths.
- Morgan, D 2001. Issues in Medical HR and Ethics, London: Cavendish.
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