Informed Consent Quotes

Drugs and medical technology can be enormously beneficial when used to take care of real complications, but too often they are abused when applied to women birthing normally. These women are thus subjected to unnecessary risks. The key to this problem is informed consent, an ideal too seldom realized. Informed consent means that no woman during pregnancy or labor should ever be deceived into thinking that any drug or procedure (Demerol, Seconal, spinals, caudals, epidurals, paracervical block, etc.) is guaranteed safe. Not only are there no guaranteed safe drugs, but many of them have well-known, recognized side effects and potential side effects.Informed consent should mean that no woman would ever hear such falsehoods as, “This is harmless,” or, “I only give it in such a small dose that it can’t affect the baby,” or, “This is just a local and won’t reach the baby.

Susan McCutcheon

The uncomfortable, as well as the miraculous, fact about the human mind is how it varies from individual to individual. The process of treatment can therefore be long and complicated. Finding the right balance of drugs, whether lithium salts, anti-psychotics, SSRIs or other kinds of treatment can be a very hit or miss heuristic process requiring great patience and classy, caring doctoring. Some patients would rather reject the chemical path and look for ways of using diet, exercise and talk-therapy. For some the condition is so bad that ECT is indicated. One of my best friends regularly goes to a clinic for doses of electroconvulsive therapy, a treatment looked on by many as a kind of horrific torture that isn’t even understood by those who administer it. This friend of mine is just about one of the most intelligent people I have ever met and she says, “I know. It ought to be wrong. But it works. It makes me feel better. I sometimes forget my own name, but it makes me happier. It’s the only thing that works.” For her. Lord knows, I’m not a doctor, and I don’t understand the brain or the mind anything like enough to presume to judge or know better than any other semi-informed individual, but if it works for her…. well then, it works for her. Which is not to say that it will work for you, for me or for others.

Opposition to animal research ranges considerably in degree. “Minimalists” tolerate animal research under certain conditions. They accept some kinds of research but wish to prohibit others depending on the probable value of the research, the amount of distress to the animal, and the type of animal. (Few people have serious qualms about hurting an insect, for example.) They favor firm regulations on research.The “abolitionists” take a more extreme position and see no room for compromise. Abolitionists maintain that all animals have the same rights as humans. They regard killing an animal as murder, whether the intention is to eat it, use its fur, or gain scientific knowledge. Keeping an animal (presumably even a pet) in a cage is, in their view, slavery. Because animals cannot give informed consent to research, abolitionists insist it is wrong to use them in any way, regardless of the circumstances. According to one opponent of animal research, “We have no moral option but to bring this research to a halt. Completely. . . . We will not be satisfied until every cage is empty” (Regan, 1986, pp. 39–40). Advocates of this position sometimes claim that most animal research is painful and that it never leads to important results. However, for a true abolitionist, neither of those points really matters. Their moral imperative is that people have no right to use animals, even if the research is useful and even if it is painless.The disagreement between abolitionists and animal researchers is a dispute between two ethical positions: “Never knowingly harm an innocent” and “Sometimes a little harm leads to a greater good.” On the one hand, permitting research has the undeniable consequence of inflicting pain or distress. On the other hand, banning the use of animals for human purposes means a great setback in medical research as well as the end of animal-to-human transplants (e.g., using pig heart valves to help people with heart diseases) (Figure 1.12).