Category: Discussions
Issues in the care of the dying
There is rejuvenated interest within modern medicine in end-of-life issues including the care of terminally ill and dying patients. Technological advances in the last few decades have made us believe that death is an unnatural event and that life can be prolonged at will. This has resulted in the...
Socio-ethical issues in the deployment of life-extending technologies
As medical practice becomes increasingly technology oriented, health-care expenditure has also increased significantly . At the same time, there have long been calls that medical technologies like other social goods should be distributed by rational criteria, especially when resources are scarce.
End-of-life issues neglected in India
As an invasive cardiologist in the US I deal with end-of-life issues almost daily. It is my experience that many elderly patients survive cardiac arrests with a very poor quality of life or in a vegetative state. I have seen too many such patients living a miserable life for months in a hospital ...
Issues faced by a hospice
As one reaches the final station of life, there is a plethora of issues that we confront, involving the patient, the family and the caregiver. While much work has been done on the joyous beginning of life, death is a neglected subject.
Why women’s groups oppose injectable contraceptives
The following statement is based a letter to Mr A Ramadoss, Union Minister for Health and Family Welfare, signed by 62 individuals and health organisations in India. It was written in response to a national workshop on October 27-29, 2004, organised by Parivar Seva Sanstha in collaboration with t...
The ethical implications of the targeted population programme…
The Common Minimum Programme lays out the agenda for governance of the present United Progressive Alliance government. This document has been hailed for being a radical departure from the earlier government's neo-liberal approach because it outlines a host of equity-oriented measures for social d...
Injectables as a choice – evidence-based lessons
Newer, better contraceptive methods may not result in increased reproductive choice if health systems cannot ensure quality of contraceptive services.
Unhealthy drug donations
In mid-2002, the German multinational Boehringer Ingelheim got much publicity following its announcement that it would donate the drug nevirapine to developing countries for programmes preventing maternal–foetal transmission of HIV. Company spokespeople stated that this donation was a response to...
A comparison of codes of pharmaceutical marketing practices
The promotion of any irrational drug combination is bound to be unethical. It is also unethical to promote an irrational claim. The need of determining an ethical code of promotion of medicine is important.
A rational drug policy
Pharmaceutical companies have an important place in medical care, especially in India, a country where the mortality and morbidity due to various diseases of deprivation, communicable diseases in particular, are very high. Every year hundreds of people still die from malaria for which chloroquine...
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