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Children and Families

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Bioethics Forum Essay
a brown mouse and a white mouse

Today’s Politics Threatens Tomorrow’s Reproductive Technologies

With a new technology called in vitro gametogenesis (IVG), scientists produced an egg from a male mouse, leading to two male mice having offspring. In mice. IVG could be a game changer for women and men dealing with infertility, women of advanced maternal age, and same-sex couples.
Read Today’s Politics Threatens Tomorrow’s Reproductive Technologies
Bioethics Forum Essay
hands of someone receiving food at food pantry

A Thousand Double Binds: Alabama, Reproductive Freedom, and Child Health

As two people who have ties to Alabama and grew up in the Deep South, we are frustrated by the state’s ceaseless assault on reproductive freedom, while its politicians continue to ignore child health. Because Alabama lawmakers and its Supreme Court justices profess to care about children–and use this as a reason to restrict reproductive freedom–we believe there is a strong responsibility to aid kids who do not have consistent access to groceries or health care.
Read A Thousand Double Binds: Alabama, Reproductive Freedom, and Child Health
Bioethics Forum Essay
child's broken arm in cast

Our System for Reporting Child Abuse is Unethical

The system of mandatory reporting of child abuse is rife with ethical problems and can lead to unjustified custody loss.
Read Our System for Reporting Child Abuse is Unethical
Bioethics Forum Essay
vaccine being injected into toddler's arm

Covid is Surging. Most Young Children Are Still Unvaccinated

Children are returning to classrooms amid another wave of Covid cases, but some public health leaders have leaned into the message that “most of us” can ignore the continued presence of Covid by taking just “a few basic steps,” such as staying up to date with vaccinations. “Most of us,” however, does not include families with young babies, among other groups for whom these steps are unavailable or insufficient.
Read Covid is Surging. Most Young Children Are Still Unvaccinated
Bioethics Forum Essay
transgender flag drawn on dark surface with chalk

Child Abuse in Texas

Medical care that is widely considered beneficial for transgender teenagers has been identified as  child abuse in Texas. The state attorney general issued a decision that gender-affirming medical treatments such...
Read Child Abuse in Texas
Bioethics Forum Essay

With Pediatric Hospitalizations Rising, Reconsider Off-Label Covid Vaccination for Young Children

Pfizer recently announced that its trials in children 2 to 5 years old produced a weaker than expected antibody response and that it would hold off requesting authorization from the Food and Drug Administration. This news creates opportunities – and additional challenges – for off-label use of Covid-19 vaccines in children,
Read With Pediatric Hospitalizations Rising, Reconsider Off-Label Covid Vaccination for Young Children
Bioethics Forum Essay

The FDA and the Moral Distinction Between Killing and Letting Die

Why is the FDA dragging its feet in approving Covid vaccines for children under 12? Justifications lack moral weight.
Read The FDA and the Moral Distinction Between Killing and Letting Die
Bioethics Forum Essay

On Being a Foster Parent During Covid

I knew that being a foster parent would be demanding, but I was unprepared for the extent of the challenges, which were exacerbated by the pandemic.
Read On Being a Foster Parent During Covid
Bioethics Forum Essay

Should New Mothers With Covid-19 Be Separated From Their Newborns?

The Covid-19 pandemic has been characterized by many unknowns, chief among them in the world of pediatric ethics is the question of separating mothers who are infected or suspected of being infected from their newborns after delivery to reduce the risk of mother-to-child transmission. Guidance on this issue is conflicting.
Read Should New Mothers With Covid-19 Be Separated From Their Newborns?
Bioethics Forum Essay

Health Care for Obesity and Eating Disorders: What Needs to Change

The theme of National Eating Disorder Awareness (NEDA) week , “Come as you are: Hindsight is 20-20,” is designed to encourage those recovering from eating disorders to reflect on their journeys towards body acceptance. It also affords doctors and other health professionals an opportunity to evaluate how well they are doing to help patients reach this goal.
Read Health Care for Obesity and Eating Disorders: What Needs to Change
Bioethics Forum Essay

Who Decides? Medical Intervention for Transgender and Intersex Children

Read Who Decides? Medical Intervention for Transgender and Intersex Children
Bioethics Forum Essay

What’s Wrong with Virginity Testing?

When the rapper T. I. disclosed on a podcast that he takes his 18-year-old daughter to a yearly gynecological examination to ensure that her hymen is still intact, the reaction of most people was condemnation. His obsession with her virginity is creepy, his subjecting her to an invasive procedure that has no medical value is controlling, and his willingness to talk about it publicly displays contempt for her rights to privacy and dignity. Some think that the law should prohibit physicians from performing or supervising virginity examinations. But the law is not the best means for dealing with the problem, and the problem is not simply virginity testing.
Read What’s Wrong with Virginity Testing?
Bioethics Forum Essay

Immigrant DNA Collection: Fighting Crime or Moral Panic

Last week, the Trump Administration proposed a new rule that would “require DNA-sample collection from individuals who are arrested, facing charges, or convicted, and from non-United States persons who are detained under the authority of the United States.” Collecting DNA of people detained under the Department of Homeland Security is not permitted under U.S. law. The proposed rule aims to change that.
Read Immigrant DNA Collection: Fighting Crime or Moral Panic
Bioethics Forum Essay

When Might Human Germline Editing Be Justified?

Last month, an international commission convened to consider whether and how germline editing – changing the genes passed on to children and future generations -- should proceed. The discussions focused mainly on the safety risks of the technology, which, while important, are not the only issues to consider. Any conversation regarding germline editing must also honestly and thoroughly assess the potential benefits of the technology, which, for several reasons, are more limited than generally acknowledged.
Read When Might Human Germline Editing Be Justified?
Bioethics Forum Essay

The Public Charge Rule Is a Eugenic Policy

Read The Public Charge Rule Is a Eugenic Policy
Bioethics Forum Essay
#migrantchildrendental

It’s Unethical to Use Dental X-Rays to Send Migrant Children to Adult Detention Facilities

The U.S. government is using dental scans to determine if migrant youths are over age 18. The scans are inaccurate for this purpose, and yet they determine if children are sent to adult detention centers.
Read It’s Unethical to Use Dental X-Rays to Send Migrant Children to Adult Detention Facilities
Bioethics Forum Essay
small boy wrapped around a woman's chest and shoulders

From Outcry to Solidarity with Migrants: What Is the Good We Can Do?

Another June. Another public outcry about cruelty as policy harming migrants in United States custody. This summer, the photo of a drowned family, Óscar Alberto Martínez Ramírez and his daughter, Valeria, of El Salvador, shocks the conscience. Reporters are documenting the inhumane conditions in a Border Patrol facility where hundreds of children have been held. How should our field respond?
Read From Outcry to Solidarity with Migrants: What Is the Good We Can Do?
Bioethics Forum Essay

Forced from Home: Evicting Immigrants from Public Housing Harms Children’s Health

The federal government's proposed rule to disqualify families from public housing if any member is undocumented will harm children, families, and cities.
Read Forced from Home: Evicting Immigrants from Public Housing Harms Children’s Health
Bioethics Forum Essay

What’s Wrong with a Fertility Doctor Using His Own Sperm?

It was unethical for a fertility doctor to use his own sperm to inseminate patients without their consent. But what are the legal harms to the women? To their children?
Read What’s Wrong with a Fertility Doctor Using His Own Sperm?
Bioethics Forum Essay
human hand removing gene piece from dna strand

CRISPR in China: Why Did the Parents Give Consent?

The global scientific community has been unanimous in condemning Chinese scientist He Jiankui, who announced last week that he used the gene-editing technology called CRISPR to make permanent, heritable changes...
Read CRISPR in China: Why Did the Parents Give Consent?
Bioethics Forum Essay

Three Ethical Reasons for Vaccinating your Children

Across the country, billboards are popping up suggesting that vaccines can kill children, when the science behind vaccination is crystal clear – vaccinations are extremely safe. Researchers who study the beliefs of anti-vaxxers have found many...
Read Three Ethical Reasons for Vaccinating your Children
Bioethics Forum Essay
colored pills

What Are the Rules for Ethical Medication of Migrant Kids?

Reports that migrant children held by the Office of Refugee Resettlement are being drugged require an immediate and unambiguous response by the Trump administration. According to court filings, the drugs that...
Read What Are the Rules for Ethical Medication of Migrant Kids?
Bioethics Forum Essay

Migrants’ Lives, Immigration Policy, and Ethics Work

The Russian poet Anna Akhmatova was a mother separated from her child by a state policy of terror. During the 1930s, she and other mothers would gather outside a Leningrad...
Read Migrants’ Lives, Immigration Policy, and Ethics Work
Bioethics Forum Essay
small boy wrapped around a woman's chest and shoulders

Shocking the Conscience: Justice Department versus the Health of Immigrant Women and Children

In April, the U.S. Justice Department announced that it would criminally prosecute migrants who had been apprehended after crossing the U.S.-Mexico. border. An immediate consequence of this announcement, explained in...
Read Shocking the Conscience: Justice Department versus the Health of Immigrant Women and Children
Bioethics Forum Essay

Is it Time to Regulate the Sale of Sugar to Minors?

In “Tackling Obesity and Disease: The Culprit Is Sugar; the Response is Legal Regulation,” published in the Hastings Center Report, Lawrence O. Gostin describes four coordinated interventions that have been...
Read Is it Time to Regulate the Sale of Sugar to Minors?
Bioethics Forum Essay

“No one was listening to us.” Lessons from the Jahi McMath Case

“It was like he thought we were dirt.” This is how Jahi McMath’s grandmother, Sandra, describes having been treated by one of the doctors at the Oakland’s Children Hospital ICU....
Read “No one was listening to us.” Lessons from the Jahi McMath Case
Bioethics Forum Essay

Breastfeeding and Transgender Women

A transgender woman has successfully breastfed a baby. This case has been hailed as a “breakthrough” for transgender families. I will argue that being transgender is only peripherally relevant, and...
Read Breastfeeding and Transgender Women
Bioethics Forum Essay

Natural, Medical, Political Childbirth

“It felt selfish to put my baby at serious risk by pursuing a vaginal birth,” writes Kristen Terlizzi in a collection of essays published recently in Narrative Inquiry in Bioethics....
Read Natural, Medical, Political Childbirth
Bioethics Forum Essay
genetic data scan glowing blue

Is Noninvasive Prenatal Genetic Testing Eugenic?

Before noninvasive prenatal screening becomes a routine part of gestational care, society needs to have difficult conversations about the ethical implications and establish a paradigm for truly informed consent in...
Read Is Noninvasive Prenatal Genetic Testing Eugenic?
Bioethics Forum Essay

Do We Have a Moral Obligation to Genetically Enhance our Children?

The Oxford philosopher Julian Savulescu, among others, has argued that prospective parents engaging in embryo selection using preimplantation genetic diagnosis not only may seek to have genetically enhanced children but...
Read Do We Have a Moral Obligation to Genetically Enhance our Children?
Bioethics Forum Essay

Charlie Gard, Compassionate Use, and Single-Payer Health Care

The case of Charlie Gard continued to unfold this week as Charlie’s parents, Connie Yates and Chris Gard, withdrew their appeal for permission to bring him to the United States...
Read Charlie Gard, Compassionate Use, and Single-Payer Health Care
Bioethics Forum Essay

“The Handmaid’s Tale” and Modern-Day Surrogacy

With the wild popularity of the new TV series The Handmaid’s Tale, surrogacy is back in the limelight. The Hulu show, based on the cautionary novel of the same name by...
Read “The Handmaid’s Tale” and Modern-Day Surrogacy
Bioethics Forum Essay

Should We Stop Having Children?

Not long ago, I received a questionnaire from an organization on a crusade to lower birthrates to protect the health and well-being of people and the environment. Called the Population...
Read Should We Stop Having Children?
Bioethics Forum Essay
child laughing

Masked Marketing: Pharmaceutical Company Funding of ADHD Patient Advocacy Groups

In 1971, the United Nations passed a resolution prohibiting its member nations from advertising psychotropic drugs to the general public. More than 40 years later, this resolution has done little...
Read Masked Marketing: Pharmaceutical Company Funding of ADHD Patient Advocacy Groups
Bioethics Forum Essay

The Nebulous Ethics of Human Germline Gene Editing

Should scientists pursue research that would enable prospective parents to edit the genes of their future children in ways that could be passed onto subsequent generations? Not for now, according...
Read The Nebulous Ethics of Human Germline Gene Editing
Bioethics Forum Essay
baby feet

The SUPPORT Study Case: Not Vindication

Last week’s New England Journal of Medicine featured, and had an editorial about, a short opinion piece by John Lantos about the recent decision in Looney v. Moore. In that case, a Federal District judge dismissed the...
Read The SUPPORT Study Case: Not Vindication
Bioethics Forum Essay
ultrasound photos

Banning Abortion for Down Syndrome: Legal or Ethical Justification?

The Ohio legislature is expected to approve a bill this fall that would make it illegal for doctors to perform an abortion if the reason the woman wants a termination...
Read Banning Abortion for Down Syndrome: Legal or Ethical Justification?
Bioethics Forum Essay

Ethics, Optics, and Medicine as Work: Backstage at Planned Parenthood

Two days after a hidden camera video of Planned Parenthood’s senior director of medical services was released, the president of Planned Parenthood Federation of America, Cecile Richards, apologized for Dr....
Read Ethics, Optics, and Medicine as Work: Backstage at Planned Parenthood
Bioethics Forum Essay
pregnant belly with hands holding it

Reasonable Regulation of Surrogate Motherhood

This month France’s highest court granted legal recognition to children born to surrogates. Previously, surrogate children were deprived of any legal connection to their parents, or any civil status in...
Read Reasonable Regulation of Surrogate Motherhood
Bioethics Forum Essay
woman's hands with ultrasound

DNA Phenotyping and Baby’s First Portrait

Some researchers are at work generating images of people’s faces by relying on DNA samples alone, in a process known as DNA phenotyping.The process involves linking genetic traits and their typical...
Read DNA Phenotyping and Baby’s First Portrait
Bioethics Forum Essay
doctor with test tubes

Measles, Vaccination, and the Tragedy of the Commons

After having been virtually eliminated in the United States in the year 2000, measles have made a comeback, with nearly 150 cases in 17 states and nearly 30 confirmed cases of the...
Read Measles, Vaccination, and the Tragedy of the Commons
Bioethics Forum Essay
hands holding rosary

Vaccine Exemptions and the Church-State Problem

The current measles outbreak has brought public attention to the ease with which vaccine exemptions are available. As the media continually inform us, 48 states allow for religious exemptions, while...
Read Vaccine Exemptions and the Church-State Problem
Bioethics Forum Essay
woman in window

Have a Miscarriage and Go to Jail? Potential Consequences of Personhood Amendments

When she was 18, Carmen Guadalupe Vasquez Aldana was sentenced to 30 years in jail. Her crime was delivering a stillborn baby. She was suspected of having had an abortion....
Read Have a Miscarriage and Go to Jail? Potential Consequences of Personhood Amendments
Bioethics Forum Essay
family sitting with feet towards camera

What Do We Owe to Child Migrants?

From October 1, 2013, through June 15, 2014, more than 52,000 child migrants crossed the U.S.-Mexico border in South Texas, overwhelming the U.S. Customs and Border Patrol and the Department of Homeland...
Read What Do We Owe to Child Migrants?
Bioethics Forum Essay
young girl writing

Orphans to History: A Response to the Bucharest Early Intervention Project Investigators

I appreciate the thoughtful responses to my essay on the ethics of the Bucharest Early Intervention Project (BEIP), from its investigators, Drs. Fox, Zeanah and Nelson and from Dr. Millum, one of the bioethicists...
Read Orphans to History: A Response to the Bucharest Early Intervention Project Investigators
Bioethics Forum Essay

Romanian Orphans: A Reconsideration of the Ethics of the Bucharest Early Intervention Project

Recently I had a Susan Reverby moment. Reverby is the Wellesley historian best known for unearthing the revelations of the Guatemalan syphilis and gonorrhea studies conducted by the United States Public Health...
Read Romanian Orphans: A Reconsideration of the Ethics of the Bucharest Early Intervention Project
Bioethics Forum Essay

“Poverty Impedes Cognitive Function” – Reason to Help, or Blame, the Poor?

“’The lower the caste,’ said Mr. Foster, ‘the shorter the oxygen.’ The first organ affected was the brain. After that the skeleton.” In Brave New World cognitive ability is carefully and intentionally...
Read “Poverty Impedes Cognitive Function” – Reason to Help, or Blame, the Poor?
Bioethics Forum Essay

Ashley and the Dangerous Myth of the Selfless Parent

Because I’ve acted as a professional advocate for people born with norm-challenging bodies, quite a number of strangers and familiars have been writing to ask me what I think of...
Read Ashley and the Dangerous Myth of the Selfless Parent
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