Bioethical Issues: Bioethics refers to the study and evaluation of the decisions done in scientific research and medicine to touch upon the health and lives of people, as well as the society and environment. Bioethics is a portmanteau of the words “bio” and “ethics“.
Because of that, this discipline is concerned about the determination of the rightness or wrongness of the discoveries and developed technologies in science as well as the incorporation of human rights and values to health and life.
The following topics are the most common scientific topics and advancements that seem to have gotten the attention of bioethics supporters, media, and the general public.
Table of Contents
Top Bioethical Issues
Abortion refers to the premature ending of a pregnancy which occurred in itself (known as miscarriage or spontaneous abortion) or by force through surgery or taking medications. The topic of abortion raises intense personal issues about many topics such as morals, religion, sexuality, autonomy, politics, and science and medicine.
- During the abortion, the central question is focused whether or not unborn children (called fetuses) have moral status and significance. Aside from that, questions regarding parental responsibilities and obligations as well as the issue of personhood arise.
- Although abortion has long been debated in almost all issues in bioethics, there is still no moral consensus achieved.
The next bioethical issue in our list is Surrogacy. Surrogacy refers to the process of assisting the reproduction of parents who are incapable of doing so (e.g.: same-sex couples, single men, single women or man/wife). Most of the time, surrogacy is carried out by women (known as gestational women or gestational surrogate) who carries the child in their womb.
- The bioethical concern here is the confusion in the identity of the child, whether or not his biological parents are considered his “true” parents.
3. Whole Genome Diagnosis
Advancements in technology are now able to allow researchers and physicians to view and have access to the whole genome of a newborn. Such screening is used to determine the individual’s chances of acquiring and developing certain diseases.
- However, this process seems to draw criticisms primarily because of the lack of consent from the individual (a.k.a the newborn).
Cloning refers to the process of creating a new population of genetically-similar and identical naturally occurring organisms. The usual targets for cloning include bacteria, plants, and animals.
- In particular, the bioethical issues regarding cloning focus on the fact that humans become the subject of such experiments.
- The moral status of the cloned organism, created mainly for destruction and as a source for organs, has become the primary concern in bioethics. Issues such as health risks to both mother and child, damage to the clone, very low success rates even if there are a lot of trials and samples, psychological effect to the clone, and commodification and commercialization of life itself. Refer to pros and cons of cloning here.
5. Stem Cells
In biology, stems cells are a type of undifferentiated (not mature and undeveloped) cells that can divide and differentiate into specialized cells.
- The bioethical issue concerning stem cells is pretty much like the issues with cloning.
- Respect for life per se requires that people show respect to all of its forms. Supporters of bioethics believe that stem cell research violates this notion because the source organism (usually an embryo) is destroyed during the process.
- While stem cell research canalleviate human diseases and suffering, the creation of stem cell lines may lead to the uncontrolled commodification of cells and life.
In philosophy, eugenics refers to the social movement that believes on the possibility of creating the best human society and race by promoting the reproduction of populations with positive or desirable traits while controlling and prohibiting the reproduction of populations with negative or undesirable traits.
- Eugenics became very popular when Adolf Hitler ordered the killing of disabled and medically unfit people as well as the murdering of the Jews.
- Because of the advancement of science and technology, many people fear that another era where the principle of genetics will prevail. Ethical issues about eugenics are concerned with the moral principle associated with racial equality and the subjective belief on perfection.
7. Genetically Modified Organisms
GMOs, or genetically modified organisms, are organisms that have been transplanted with a gene or a DNA sequence of interest from another organism. This process is somewhat similar to the process of eugenics wherein an organism with the best traits is produced.
- However, unlike eugenics, the process of creating GMOs requires works on the genetic level and is usually done in crops and animals.
- While the production and use and creation of genetically modified organism are still new, with its long-term impacts on health are still yet to be seen, bioethical issues about it are the same with cloning, stem cell research, and eugenics.
As alluded to earlier, several technological advancements have paved the way for the improvement in health care.
- Aside from that, issues regarding the allocation of funds, decision-maker and recipient of the benefit, cost-efficiency, and measurement of success are ethical concerns. Aside from that, many people believe that health care may only promote health inequality.
9. Aged Care
A portion of the world’s population is composed of elderly citizens, and naturally, they become the priority for funding and public policy through the establishments of aged care and other accommodation services.
- However, similar to health care, these policies raise concerns about who should provide support for the elderly and what should be their standards of living.
- In addition to that, questions about balance, freedom, and safety are also being asked.
Literally meaning “good death“, euthanasia is the process of intending to end the life an individual tostop his or her pain and suffering. Euthanasia is also loosely called as a mercy-killing, assisted suicide, or doctor-assisted suicide.
- While some people believe that euthanasia is just a matter of ending a life painlessly, many people (especially those who support bioethics) believe the otherwise.
- In many countries around the globe, the practice of euthanasia is illegal, regardless of the circumstances.
- Euthanasia challenges the belief that is concerned with the sanctity and equality of all life forms. Euthanasia is believed to corrupt the practice of medicine as well as undermine the value of suicide prevention.
11. Organ Donation
Despite being almost common, the practice of donating or receiving an organ seem to give rise to ethical issues. Similar to cloning and stem cell research, organ donation have raised numerous moral, societal, and ethical concerns about the use of living people as donors.
- The first bioethical issue on organ donation is that there is a big shortage of organs for those who need. There are thousands of people on the waiting list to receive the organ transplants either from living or deceased. Check out United Network for Organ Sharing (UNOS) for the updated waiting list, statistics around how many people are being added to the list per minute, how many people are getting the transplant and how many people die every day during the transplant surgeries & more.
- The next bioethical issue on this matter is equal access of organs (aka distributive justice theory) to those who need by the length of waiting time and by their age. According to this theory, the patients who wait for transplant could not move up the waiting list if their poor lifestyle caused the damage to organs (like smoking or substance abuse) over patients who have no control on their diseases.
- Another biggest ethical issue is that as there is a big demand for organ transplants, there is a fear of illegal organ stealing from livings (human trafficking) without their consent to create organ farming to sell body parts for big prices.
12. Head Transplant
Absurd as it may sound, experiments about the transplantation of an organism’s head to another are being done. In fact, during the 1970s, the first ever head transplant in monkeys have occurred successfully (the recipient only lived for ten days).
- While such application on humans is still being studied, serious health and bioethical concerns are associated with it. Questions like the reaction of the brain to the new body, as well as the memory and individual identity are of concerns.
Cryonics refers the scientific method of freezing a newly-dead individual to reanimate or bring him to life at a later period. Because this process involves the reversing the process of death, several bioethical issues were raised against it.
- One of the main problems about cryonics is immortality. While immortality is believed by some to be beneficial, supporters of bioethics believe that this idea should not prevail given that the planet is already under the crisis of unsustainable population and limited resources.
14. Bone Conduction
Bone conduction technology involves the replacement of an individual’s ear bones to transducers that can transmit sounds.
- Despite being promising, the problem with this technology is that it basically can transform an individual into a billboard with the countless advertisement. In this case, the consent of the individual is not a concern.
15. Artificial Exoskeleton
Last but not the least bioethical issue is the development of an artificial skeleton for the elderly to improve their strength and help them move. This artificial skeleton can give them the ability to walk, run, bend like someone who is younger than them.
- The bioethical concern with this is the possible abuse that the elderly may experience when they are forced to work longer before and even after retirement age.
In conclusion, we can infer that even in the best case situations, some of the aforementioned scientific methods and medical practices are a dangerous and problematic ethical minefield.
- “Abortion – Bioethics Research Library”. Accessed November 18, 2017. Link.
- “Surrogate babies: Where can you have them, and is it legal? – BBC News”. Accessed November 18, 2017. Link.
- “Genomic medicine: evolving science, evolving ethics”. Accessed November 18, 2017. Link.
- “Human Cloning | The Center for Bioethics & Human Dignity”. Accessed November 18, 2017. Link.
- “Stem Cell Therapy: the ethical issues – a discussion paper”. Accessed November 18, 2017. PDF.
- “Eugenics and the Ethics of Selective Reproduction by Stephen Wilkinson and Eve Garrard” – Keele University. Accessed November 18, 2017. PDF.
- “Bioethical Issues on Genetically Modified Organisms (GMOs) In Malaysia: Biting Into the Legal Protection under the Biosafety Act 2007”. Accessed November 18, 2017. PDF.
- “Bioethics and Effective Health Care”. Accessed November 18, 2017. Link.
- “Gender, ageing, and injustice: social and political contexts of bioethics” – S Dodds. Accessed November 18, 2017. Link.
- “Assisted Suicide and Euthanasia — The Center for Bioethics and Culture”. Accessed November 18, 2017. Link.