Category: Research Articles
The ethics of evidence-based therapy
We swear by 'science', though the very word begs for a precise definition. Allopathy (read 'modern medicine') dominates the therapeutic scene because of its ostensible scientific approach. Its hegemony may be gleaned from the fact that the leading text, Clinical Pharmacology, asserts non...
Custody, ownership and confidentiality
Technology and research using human tissues raise many legal and ethical problems. Who really owns the "bits and pieces", or body tissues supplied to laboratories? What is their responsibility and to whom? Who owns the report and with what rights? What about confidentiality?
The physician and the pharmaceutical industry
The drug industry, the medical profession and the patient have a unique relationship. The industry makes products which it cannot sell to the patient (consumer) directly. On the other hand, the medical profession cannot treat the patient without drugs produced by the industry. Thus the industry a...
Learning ‘on’ patients
The process of learning involves an 'other'. The other could be a person like a teacher or fellow student, or it could be a thing like a book or computer. Learning medicine inevitably involves the patients whom we treat. The question is: when a junior doctor is operating for the very first time i...
The ethics of public health
How can equity, social iustice and human rights be incorporated into public health programmes? Wishwas Rane and N S Deodhar make some suggestions
Public hospital and private practice
Ratna Magotra discusses some of the implications of letting government dodors condud private pradices
Practising ethically in a high-tech speciality
In India we feel that the system of allopathic medicine is too expensive for most of the population. In this context, the world of high-tech cardiology is a white elephant. The problem is that we do not have a better alternative. None of the prevailing local systems of medicine in India has a mec...
Iatrogenic error and truth telling
At the core of the doctor-patient relationship must lie a feeling of trust between the two. If a patient does not trust his/her physician, then the physician's effectiveness is greatly compromised. Patients must know that their physicians have their best interests in mind and are telling the trut...
Privatisation of health care: new ethical dilemmas
Increasing economic liberalisation and privatisation have affected health care as much as they have affected many other social and administrative systems, perhaps even more so. Though the changes are global, in India, the shift seems to have happened overnight, and public health services have bee...
HIV and confidentiality in India
A review of literature in the Indian, database provides only a few anecdotal reports on the questions of informing the spouse of an HIV positive person, the role of blood banks and confidentiality in the workplace, with no comprehensive studies on the subject. One approach to the question could b...
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