Does the "new philosophy" in predictive, preventive and personalised medicine require new ethics? 2011

Eugenijus Gefenas, and Asta Cekanauskaite, and Egle Tuzaite, and Vilius Dranseika, and Dainius Characiejus
Faculty of Medicine, Department of Medical History and Ethics, Vilnius University, M.K.Ciurlionio Str. 21/27, Vilnius, LT 03101 Lithuania.

This paper maps the ethical issues that arise in the context of personalised medicine. First, it highlights the ethical problems related to increased predictive power of modern diagnostic interventions. Such problems emerge because the ability to identify individuals or groups of individuals that can potentially benefit from a particular therapeutic intervention also raises a question of personal responsibility for health-related behaviour and lifestyle. The second major area of ethical concern is related to health prevention and distributive justice. The paper discusses the ethical challenges brought by the personalised medicine in the context of the Additional Protocol to the Convention on Human Rights and Biomedicine concerning Genetic Testing for Health Purposes. Finally, it notes that the issue of consent in the context of biobanks, the need to rethink the prevalent models of research designs and to communicate relevant findings to the donors of biological materials deserve further discussion.

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