Healthy Skepticism Library item: 1190

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

Publication type: Journal Article

Manima A.
Ethical issues in palliative care: considerations.
J Pain Palliat Care Pharmacother 2003; 17:(3-4):141-9;

Abstract:

Discussions on ethics in palliative care often concentrate on issues like patient autonomy or euthanasia. However, the reality in the developing world begs discussion on an entirely different set of problems altogether. One should have a good death, no doubt, but one should also have an opportunity for a good life. Globalization unfortunately seems to worsen many of the burdens of the developing world, like the negative influence of the mighty pharmaceutical industry. Continuing medical education offered only by the pharmaceutical industry instills bias into the minds of most medical professionals. Prescription practices by many professionals are influenced by the industry; so much so, inexpensive drugs or formulations are abandoned in favor of expensive ones, adding to the burden of a much-suffering individual. Palliative care should have been a major force against such evils, but it seems to get more clinical and institutionalized with time, with the social issues taking a back seat. Unethical research practices and preferential treatment in drug availability are practices that continue to marginalize the less privileged. Adoption of the dominant ideology from the West in the developing world also raises problems like cultural unsuitability. Considering that the bulk of the suffering in the world is in poorer countries, these issues need to be addressed.

Keywords:
Analgesics, Opioid/economics Analgesics, Opioid/supply & distribution Analgesics, Opioid/therapeutic use Anti-HIV Agents/economics Anti-HIV Agents/supply & distribution Anti-HIV Agents/therapeutic use Conflict of Interest Dehumanization Developing Countries* Drug Industry/economics Drug Industry/ethics Ethics, Clinical* HIV Infections/drug therapy Health Services Accessibility/ethics Human Experimentation/ethics Humans Pain/drug therapy Palliative Care/ethics* Social Justice Western World