Third World ethical challenges for the First World
November 30, 2011
When I began work as a health care ethicist more than 20 years ago, the discipline was focussed on two main issues: respecting the rights of individual patients, particularly through the practice of informed consent, and working through issues posed by the growth in medical technology. Artificial organs, gene-altering therapies, conceiving children in Petri dishes sounded like the stuff of science fiction. But they were real and ethicists grappled with questions of limits, of preserving human dignity, of trying to understand what death meant when a body could be kept warm and breathing almost indefinitely. This was medical ethics in the first, or developed, world.