|
Informed
Consent
What is
informed consent?
Informed consent "means
that a physician (or other medical provider) must tell a
patient all of the potential benefits, risks, and
alternatives involved in any surgical procedure, medical
procedure, or other course of treatment, and must obtain
the patient's written consent to proceed." (from
Findlaw for the Public)
Is
informed consent required for ethical reasons?
Yes.
Every professional medical organization has a ethical
policy requiring informed consent before medical
intervention.
The
American Medical Association says,
Informed consent is
more than simply getting a patient to sign a written
consent form. It is a process of communication
between a patient and physician that results in the
patient's authorization or agreement to undergo a
specific medical intervention...This communications
process, or a variation thereof, is both an ethical
obligation and a legal requirement spelled out in
statutes and case law in all 50 states.
The
American Academy of Pediatrics says,
"Many now regard
traditional practices based on the theory that
'doctor knows best' as unacceptably paternalistic.
Society recognizes that patients or their
surrogates have a right to decide, in
consultation with their physicians, which proposed
medical interventions they will or will not accept."
Is
informed consent required by law?
Since 1994, federal law
requires that Vaccine Information Statements written by
the CDC to be given to all parents before vaccination.
West Virginia law also requires that parents be given
information before vaccinating.
These information
sheets inform parents of the risks and benefits of
vaccinations so that parents may give informed consent
to accepting these risks. There would be no point
to telling parents about vaccine risks if they are
forced to accept them, whether they agree or not.
The entire information process would be irrelevant, if
it does not come with voluntary consent.
Is
informed consent required even if the intervention is in the
interest of public health?
The awareness of the
need for informed consent arose largely from the
Nuremberg trials. Nazi medical doctors claimed
that their human experiments did not require informed
consent
because results would benefit many people. The
Nuremberg Code was written to prevent further
human experimentation without informed consent.
Bioethicist Arthur
Caplan argues, "The Nuremberg Code explicitly rejects
the moral argument that the creation of benefits for
many justifies the sacrifice of the few. Every
experiment, no matter how important or valuable,
requires the express voluntary consent of the
individual. The right of individuals to control their
bodies trumps the interest of others in obtaining
knowledge or benefits from them."
Barbara Loe Fisher of
the
National Vaccine Information Center writes,
In any war, whether it
be a war using humans armed with guns in an attempt
to defeat other humans, or a war using humans
injected with vaccines in an attempt to eliminate
microorganisms, it is easy for those in charge to
view the instruments of that war - human beings - as
objects and a means to an end. But the great moral
tradition of Judeo-Christian western thought does
not support this dangerous concept.
Philosopher Hans
Jonas...reminds us that a state may have the right
to ask an individual to volunteer to die for what
the state has defined as the common good but rarely,
if ever, does a state have the moral authority to
command it.
How can
the vaccination program be considered an experiment?
Medical authorities are
still learning that
immunities do not last as long as they thought, or that
children need more doses of the vaccine than previously
believed. There have been no long-term
studies for many of these vaccines. There are side
effects that scientists still have not discovered, and
many questions that are still unanswered on how exactly
immunity works. It is currently unknown why or how
some children die from vaccines and which children
exactly are at risk for reacting poorly. Without
this information, every vaccine is an experiment on the
child.
Although mass
vaccination can potentially benefit many people, it is
essential that all participants in this experiment give
voluntary informed consent. The government would be
violating the Nuremberg Code to force parents to
participate in the vaccination experiment against their
wills.
|