[quote]fabsadami wrote:
Gregus wrote:
Does modern medicine allow for the survival of inferior and recessive genes in people? Is it paradoxical in the sense that as it saves one individual it allows that individual to pass on their weaker less resistant genes to others and make them weaker?
Nature has a way to survive only the fittest and healthiest most robust subjects of the highest adaptability and intelligence. Are we short circuiting that system with modern medicine? Are weakening humanity?
I know the very topic is very sensitive and i certainly would not follow any kind of logic like that if i or anyone i know was in sick.
Where i would throw in my two cents in modern medicine, is when it comes to life preservation beyond what you would think that the mind or body would normally take. I was forced to think very seriously about this a couple years ago, when my parents, then respectively 65 & 55 told myself and my sisters that they had drawn up living wills that they wanted us to sign. My sisters, parents and i sat down with our family PCP for a VERY series of discussions, and it was v. interesting to hear from the doctor what the medical definition of death (namely lack of brain activity)is, and going from there, to hear what my parents did & didn’t want, for instance in a situation such as being diagnosed with Motor Neurone disease, which a good friend of theirs died from in which brain function is often spared while your body degenerates. Another example i would cite is someone who suffers a massive but non-fatal stroke (one of the things in my dad’s living will).
IMHO (and i know that this is an extremely controversial subject here in the US)modern medicine goes too far when it keeps someone alive beyond where you would be able to carry out normal functions.
Again, i know that this is an extremely controversial & passion arousing topic here (see the Terry Schiavo case)–we had this debate within the immediate family, because my older sister is extremely religious, and hence is not included in the living will.
Just my two cents worth.
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This is veering a bit off course, but bringing up your parents’ living will made me think back to a sitution I was involved with several years back. I was my husband’s caregiver as he was treated for cancer. The treatments were brutal, but he wanted them, including a somewhat controversial last-ditch whole brain radiation treatment for a recurring metastatic brain tumor.
As his wife, I was unable, in some ways to be objective about his care, and of course I could only advise at that point, not make his decisions for him. He figured, he might live, and if not, his course of treatment might eventually help someone else down the line.
The treatments really took it out of him, as did the cancer. I watched him fade away. He was too weak to care for at home, and spent the last months of his life between the hospital and a care facility. Eventually, he lapsed into a coma-like state (dr’s words, not sure precisely what the difference between a coma and a coma-like state is).
It was at this point, even with knowing my husband’s wishes, that I had decisions to make. Withhold nutrition and hydration? Supply them? He was reduced to nothing more than a pile of bones and a little flesh, unable to respond in any meaningful way to anything but pain. He would wimper when the orderlies came to turn him every few hours. I could do nothing at all for him but sit at his bedside, swabbing his lips with vaseline, and demanding that he got major drugs at least 20 minutes before they touched him.
At that point in time was was struck by the irony of the fact that if I were to hasten the inevitable and end his suffering, I could be prosecuted for murder, yet if I owned a dog in the same condition, I could be prosecuted for allowing the animal to suffer.
I do understand the slippery slope and the controversies, but it is nothing short of criminal to allow living creature, animal or not, to suffer that way. Other countries have guidelines for assisted suicide/euthanasia.
I think in many ways, the advancement of medical technology is outstripping our ability to cope with it. Someone mentioned fertility treatments earlier, and actually there are some pretty decent guidelines in place. Not that they cannot be tightened up, but a situation like the Suleman case violates just about any fertility ethics I have ever seen in place.
Prematurity is another area where medical ethics are sometimes not as clearcut as they could be. We can save preemies tinier and earlier, but should we? Almost all extremely premature babies have huge medical issues that cost thousands and even millions of dollars. A few thrive and have very few effects from their prematurity. Many more end up blind, with cerebral palsy, mentally retarded. Should we be desperately attempting to save babies that get born tinier and tinier, and tie up an inordinate amount of finite resources in their care? Especially when we consider the fact that millions are without healthcare at all?
If you are the parent of that desperately ill baby, the answer is probably yes. If you are the administrator of a hospital, knowing the actual cost and knowing that the hospital will most likely be forced to absorb a lot of that cost, which means denying health care to less desperately ill children, the answer might vary. And even if the initial cost of care was not an issue, what about the quality of life of those children who survive, but greviously damaged? What is the cost to society, overall? Where to we draw the line on the sanctity of human life?
I can’t begin to answer these questions, but they are argued every day by medical ethicists and hospital committees and legislators etc who have to make the decisions.
Interesting to mull over for sure.