The role of the family in surrogate medical consent.
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Biomedical subjects
Publications and source records attributed to B M Dickens.
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Modern thinking on abortion, reflected in recent legal developments around the world, has turned from concentration upon criminality in favor of female and family well-being. New laws enacted during the last decade are coming to focus upon conditions of health and social welfare of women and their existing families as indications for lawful termination of pregnancy. Regulations governing the delivery of services may be restrictive, however, so as to limit in practice access to means of safe, legal abortion made available in theory. Requirements may be imposed that only medical personnel with unduly high qualifications perform procedures, or that they be undertaken only in institutions meeting standards higher than similar health care requires. Approval procedures may be established involving second medical opinions or committees to monitor observance of the law, which may delay abortions and therefore increase their hazards. Parental and spousal consent requirements may exist in addition with the same effects, or to veto a pregnant female's request. Regulations may be employed more positively, however, to encourage contraceptive practice. A disappointment with legislative reform is that it may fail to improve circumstances if public resources are not applied to achieve the supply of services newly rendered legitimate, and illegal practice may persist.
Innovative therapy may appear to coincide with medical experimentation, raising ethical and legal issues, for instance on informed consent and institutional review. Medical treatments may be classified, however, to distinquish novel procedures from experimentation.
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In Canada, interest in bioethics intensified during the 1980s when a number of public and private agencies published papers on the opportunities and consequences presented by biotechnology in the industrial, agricultural, and medical fields. Bioethics is now a common subject in the universities, especially in the philosophy and religion study programs. It is also growing in importance as part of the training of health professionals. Several important bioethics centers and the Canadian Bioethics Society constitute a dynamic focus for the promotion of research and academic studies in this field. As in other countries, debate has centered around research involving human subjects, reproductive technologies, abortion, the dying process, organ transplants, and AIDS. Various guidelines and legislative measures have been established to deal with these questions.