Health Supreme Court Refuses Experimental Drugs to Terminal Patients (Read 1977 times)

  • Avatar of something bizarre and impractical
  • It's The Only Thing.
  • PipPipPipPipPipPipPipPip
  • Group: Premium Member
  • Joined: May 17, 2004
  • Posts: 2104
Links: http://news.yahoo.com/s/afp/20080114/ts_alt_afp/ushealthcourt
http://abcnews.go.com/Health/CancerPreventionAndTreatment/wireStory?id=4131494
http://www.cbsnews.com/stories/2008/01/14/health/main3709741.shtml

Lazy (this is a joke, calm down):
Discuss.

------

Just kidding.

Basically, the Supreme Court has 'decided' that patients whom are terminally ill have no right to try experimental drugs which could have life-saving effects.

The problem here is that these drugs ARE NOT approved by the FDA, and could have toxic, even lethal, or other unknown effects as they have not gone through proper human trials yet.

I think any terminal patient, whom demonstrates mental competency, should definitely be able to have access to these drugs. It should be that patients right to live and to fight for that right to live if they so choose. Once they have exhausted all over sources are they just supposed to sit by and accept their death knowing that there are potentially life-saving medicines available which are being held up by cold bureaucratic nonsense?

Does anyone understand any argument AGAINST this?
  • Avatar of Mateui
  • GW Staff: Article Alcoholic (Current Mood: Happy!)
  • PipPipPipPipPipPipPip
  • Group: Premium Member
  • Joined: Aug 20, 2002
  • Posts: 1685
Well, let's see. The hippocratic oath requires doctors to do no harm to their patients. Providing patients access to unapproved, potentially lethal drugs with unstudied side effects violates this oath and I can see why the court ruled as they did.

No health professional or ethics committee member would ever vote in favour of allowing patients to experiment with developmental drugs that haven't undergone drug trials for approval, regardless whether they are healthy or terminally ill.
Last Edit: January 15, 2008, 04:09:34 am by Mateui
  • Avatar of Doktormartini
  • Stop Radioactivity!
  • PipPipPipPipPipPipPip
  • Group: Premium Member
  • Joined: Apr 24, 2003
  • Posts: 1949
I agree with you Catslacks I can't say much else.  If they are terminally then they are going to die so they should have the right to make their own choice.
Last Edit: January 15, 2008, 04:11:12 am by Doktormartini
Dok Choy
  • Avatar of something bizarre and impractical
  • It's The Only Thing.
  • PipPipPipPipPipPipPipPip
  • Group: Premium Member
  • Joined: May 17, 2004
  • Posts: 2104
Well, let's see. The hippocratic oath requires doctors to do no harm to their patients. Providing patients access to unapproved, potentially lethal drugs with unstudied side effects violates this oath and I can see why the court ruled as they did.

Okay, but moving from that. It's like saying they shouldn't do blood work because they have to poke you with a needle and it hurts. Or they shouldn't do skin grafts. Or... et cetera.
  • Avatar of xanque
  • The Corrector
  • PipPipPipPipPip
  • Group: Premium Member
  • Joined: Sep 15, 2002
  • Posts: 741
...What?  I'm confused.  So are experimental drugs currently allowed, but they're trying to say they shouldn't be, or is it the other way around?
  • Avatar of something bizarre and impractical
  • It's The Only Thing.
  • PipPipPipPipPipPipPipPip
  • Group: Premium Member
  • Joined: May 17, 2004
  • Posts: 2104
...What?  I'm confused.  So are experimental drugs currently allowed, but they're trying to say they shouldn't be, or is it the other way around?
The drugs are not approved by the FDA and are not being allowed to the patients (whom are terminally ill).
  • Avatar of Marcus
  • THE FAT ONE
  • PipPipPipPipPipPipPipPip
  • Group: Premium Member
  • Joined: Sep 28, 2002
  • Posts: 2690
I never understood why America is always torn between two extremes and there's NEVER any middle ground.

Fact of the matter is, a terminally ill patient is going to die regardless.  People have the free will to choose how they want to live their lives but as soon as they agree to something that isn't "government approved" the legal system steps in and tells them NO.  It's not like experimental drugs would be FORCED on someone, but they're being wasted on lab rats and guinea pigs. 

I don't understand how allowing someone, who is going to die, the right to choose what drugs they take will have disastrous affects on the world at large.

But fuck, it's the American legal system.  What more can I say.

Quote
No health professional or ethics committee member would ever vote in favour of allowing patients to experiment with developmental drugs that haven't undergone drug trials for approval, regardless whether they are healthy or terminally ill.

And yet we're still battling to give family members the rights to pull the plug.  If I'm going to fucking die then I don't want a potentially life saving device to go untested.
  • Avatar of Moriason
  • I'll see you on the dark side of the moon~
  • PipPipPipPip
  • Group: Premium Member
  • Joined: Apr 12, 2002
  • Posts: 537
It seems fitting that even on our deathbed, for the average tax-paying citizen choice is still just an illusion.

Go Supreme Court, horrible ruling.
  • Insane teacher
  • PipPipPipPipPipPipPipPipPipPip
  • Group: Premium Member
  • Joined: Oct 8, 2002
  • Posts: 10515
Well, let's see. The hippocratic oath requires doctors to do no harm to their patients. Providing patients access to unapproved, potentially lethal drugs with unstudied side effects violates this oath and I can see why the court ruled as they did.

No health professional or ethics committee member would ever vote in favour of allowing patients to experiment with developmental drugs that haven't undergone drug trials for approval, regardless whether they are healthy or terminally ill.

bingo!

sorry kids but you don't get to violate the hippocratic oath just because some fuckabee in a suit wants to see what happens when you inject herpes into a patient and some poor doofus doesn't know what the fuck that means so he signs his dick away to more pain.

It seems fitting that even on our deathbed, for the average tax-paying citizen choice is still just an illusion.

Go Supreme Court, horrible ruling.

refusing to hear a case is not a ruling.
brian chemicals
  • Avatar of Hempknight
  • Old Skool
  • PipPip
  • Group: Premium Member
  • Joined: Apr 1, 2002
  • Posts: 244
No health professional or ethics committee member would ever vote in favour of allowing patients to experiment with developmental drugs that haven't undergone drug trials for approval, regardless whether they are healthy or terminally ill.

HOWEVER - Doctors and other 'health professionals' prescribe drugs that have been FDA approved, but not for the thing they were prescribed for all the time - Aspirin for Cardiac Health? Beta Blockers for Migraines and other Psychiatric Purposes? Steroids for Cancer? ETC.

The FDA never dreamed of approving any of those drugs for those reasons, yet they're prescribed for them every single day... Without any sort of Drug Testing. Kinda weakens the concept of "FDA Drug Trials and Approval".

This isn't about preventing harm, it's about trying to boost the publics faith in the FDA, instead of showing what a ridiculous, ineffective agency it is, where drug lobbies can convince them to approve a new erection pill or anti depressant in 2 years, while promising treatments for things that actually kill people can take 15 to 20.
  • Avatar of dom
  • Chapter Four: The Imagination And Where It Leads
  • PipPipPipPipPipPipPip
  • Group: Premium Member
  • Joined: Nov 9, 2003
  • Posts: 1022
i hope you guys realise that dying is NOT the worst thing that can happen when taking a developmental drug so 'theyre gonna die anyway' is a terrible argument

HOWEVER - Doctors and other 'health professionals' prescribe drugs that have been FDA approved, but not for the thing they were prescribed for all the time - Aspirin for Cardiac Health? Beta Blockers for Migraines and other Psychiatric Purposes? Steroids for Cancer? ETC.

The FDA never dreamed of approving any of those drugs for those reasons, yet they're prescribed for them every single day... Without any sort of Drug Testing. Kinda weakens the concept of "FDA Drug Trials and Approval".

This isn't about preventing harm, it's about trying to boost the publics faith in the FDA, instead of showing what a ridiculous, ineffective agency it is, where drug lobbies can convince them to approve a new erection pill or anti depressant in 2 years, while promising treatments for things that actually kill people can take 15 to 20.
where's your tinfoil hat???

it doesn't matter if they haven't been 'FDA approved for the specific use' only that they have been FDA approved - if its FDA approved it means that it's not going to cause major adverse effects (such as death.) that means you can generally take it for any reason.

aspirin is useful as an anticoagulant which is why it lowers the risk of heart attacks. this was no doubt discussed by the FDA as an effect of the drug and deemed, obviously, safe.

please name a promising treatment for things that can actually kill people that has taken 15 to 20 years to reach the public.
Last Edit: January 15, 2008, 11:19:11 am by dom
  • Avatar of JohnnyCasil
  • Comrade!
  • PipPipPipPip
  • Group: Premium Member
  • Joined: Jan 5, 2005
  • Posts: 453
Okay, but moving from that. It's like saying they shouldn't do blood work because they have to poke you with a needle and it hurts. Or they shouldn't do skin grafts. Or... et cetera.

Wow, just wow.

I don't understand how allowing someone, who is going to die, the right to choose what drugs they take will have disastrous affects on the world at large.

Because what if that one person takes the drug, and it cures him, but only him due to some specific circumstance in his body.  This is unknown of course, because the only thing the media sees the is the miracle drug that saved a man's life.  Other terminally ill patients rush to get this new 'miracle' drug.  Turns out the vast majority of these people do not have the specific bodily circumstance and for every 1 person that is cured, 100 die overnight from the drug.
  • None of them knew they were robots.
  • PipPipPipPipPipPipPipPipPip
  • Group: Premium Member
  • Joined: Nov 5, 2006
  • Posts: 3242
Dr. House would just ignore them and do it anyway

But why test them with people when we have animals to do that?
Play Raimond Ex (if you haven't already)


I'll not TAKE ANYTHING you write like this seriously because it looks dumb
  • Insane teacher
  • PipPipPipPipPipPipPipPipPipPip
  • Group: Premium Member
  • Joined: Oct 8, 2002
  • Posts: 10515
HOWEVER - Doctors and other 'health professionals' prescribe drugs that have been FDA approved, but not for the thing they were prescribed for all the time - Aspirin for Cardiac Health? Beta Blockers for Migraines and other Psychiatric Purposes? Steroids for Cancer? ETC.

The FDA never dreamed of approving any of those drugs for those reasons, yet they're prescribed for them every single day... Without any sort of Drug Testing. Kinda weakens the concept of "FDA Drug Trials and Approval".

This isn't about preventing harm, it's about trying to boost the publics faith in the FDA, instead of showing what a ridiculous, ineffective agency it is, where drug lobbies can convince them to approve a new erection pill or anti depressant in 2 years, while promising treatments for things that actually kill people can take 15 to 20.

hahaha you're kidding.

where did you come up with this shit.

do you understand that doctors who prescribe that shit might be doing it because they work and have been tested? like...what are you saying? aspirin does shit to the blood which affects the heart, beta inhibitors are well tested on mental condition, steroids are often used on cancer patients because of muscle atrophy among other things.

jesus christ you even posted it like a big pharma nutjob.
brian chemicals
  • Avatar of Fatboys #4
  • My username is Tekk, I have the Fatboys virus
  • Pip
  • Group: Premium Member
  • Joined: Dec 15, 2002
  • Posts: 198
Does anyone understand any argument AGAINST this?


The problem here is that these drugs ARE NOT approved by the FDA, and could have toxic, even lethal, or other unknown effects as they have not gone through proper human trials yet.

I think any terminal patient, whom demonstrates mental competency, should definitely be able to have access to these drugs.

Yeah. My argument is you're an ass.
  • None of them knew they were robots.
  • PipPipPipPipPipPipPipPipPip
  • Group: Premium Member
  • Joined: Nov 5, 2006
  • Posts: 3242

it doesn't matter if they haven't been 'FDA approved for the specific use' only that they have been FDA approved - if its FDA approved it means that it's not going to cause major adverse effects (such as death.) that means you can generally take it for any reason.


http://en.wikipedia.org/wiki/Criticism_of_the_Food_and_Drug_Administration#Criticism:_FDA_approves_unsafe_drugs

Quote

Troglitazone is a diabetes drug that was also available abroad at the time the FDA approved it. Post-marketing safety data indicated that the drug had dangerous side-effects (in this case liver failure). The drug was pulled off that market in the UK in 1997, but was not withdrawn by the FDA until 2000, before which time it is claimed that thousands of Americans were injured or killed by the drug.

Play Raimond Ex (if you haven't already)


I'll not TAKE ANYTHING you write like this seriously because it looks dumb
  • Avatar of Cray
  • One tough potato
  • PipPipPipPip
  • Group: Premium Member
  • Joined: Jan 15, 2002
  • Posts: 537
all I can say is that if I was a terminal patient and there is a drug tested on animals but not on humans that "could" cure me, I would want to be able to take it.
The convent [FULL GAME]                  Smiley's Quest[FULL GAME]
*Download*                                   *Download*
*Mirror*                                            *Topic*
*Topic*
                            Download my games!
  • Avatar of EvilDemonCreature
  • i don't like change
  • PipPipPipPipPipPipPip
  • Group: Premium Member
  • Joined: Jul 5, 2002
  • Posts: 1453
This is the abortion issue all over again.

Except it involves the lives of people who are at the potential end rather than the potential beginning.

The people arguing pro-choice are the ones in support of extended life at the risk of lost livelyhood! It's like i'm in fucking bizarro world!
  • Avatar of crone_lover720
  • PEW PEW PEW
  • PipPipPipPipPipPipPipPipPipPip
  • Group: Premium Member
  • Joined: Mar 25, 2002
  • Posts: 5554
hahaha you're kidding.

where did you come up with this shit.

do you understand that doctors who prescribe that shit might be doing it because they work and have been tested? like...what are you saying? aspirin does shit to the blood which affects the heart, beta inhibitors are well tested on mental condition, steroids are often used on cancer patients because of muscle atrophy among other things.

jesus christ you even posted it like a big pharma nutjob.
he is right about prescribing drugs against what they're designed and tested for. drugs can be prescribed off-label, and sometimes it has some pretty terrible consequences. I think one drug was neurontin, used as a painkiller for people who had like shattered feet or something that'd cause them a lot of pain daily. neurontin is normally a drug that is used to stabilize mental health, and that is what it had been FDA tested for. however, many patients noticed that it also acted as a strong painkiller, and after a while some doctors started prescribing it to peope whose pain couldn't be ameliorated by any other drug

as it turns out, when used by people without the mental health issues neurontin was intended for, neurontin can cause deep depression, often leading to suicide. There's a scholarly article out there somewhere about this guy who told his wife to take their daughter out of the house and headed into the basement to kill himself. his daughter realized what was going on and stated crying and screaming, and it was only because he heard this that he couldn't pull the trigger. it was a pretty cool article iirc I don't know if it's still around or on gs but it was an interesting read

edit:
Quote
abortion
I don't think so, I'm against this and pro-choice. there are other issues involved here
Last Edit: January 15, 2008, 05:44:26 pm by Render
  • Insane teacher
  • PipPipPipPipPipPipPipPipPipPip
  • Group: Premium Member
  • Joined: Oct 8, 2002
  • Posts: 10515
he is right about prescribing drugs against what they're designed and tested for. drugs can be prescribed off-label, and sometimes it has some pretty terrible consequences. I think one drug was neurontin, used as a painkiller for people who had like shattered feet or something that'd cause them a lot of pain daily. neurontin is normally a drug that is used to stabilize mental health, and that is what it had been FDA tested for. however, many patients noticed that it also acted as a strong painkiller, and after a while some doctors started prescribing it to peope whose pain couldn't be ameliorated by any other drug

as it turns out, when used by people without the mental health issues neurontin was intended for, neurontin can cause deep depression, often leading to suicide. There's a scholarly article out there somewhere about this guy who told his wife to take their daughter out of the house and headed into the basement to kill himself. his daughter realized what was going on and stated crying and screaming, and it was only because he heard this that he couldn't pull the trigger. it was a pretty cool article iirc I don't know if it's still around or on gs but it was an interesting read

well I mean, obviously doctors can be stupid but aside from having nothing to do with the FDA, his examples were bizarre as shit and completely irrelevant since very few would cause the example you or Cheetos brought up. we know what aspirin, steroids, and beta blockers do, and their side effects on normal people.

also yeah the FDA should probably undergo an overhaul but saying something like "doctors can prescribe FDA approved drugs without anything why can't they stick any old can of drugs into some AIDs patient" is a leap that I'm not willing to make!

also also do you all saying "I want anything that can help" not at least see the ethical dilemma of essentially experimenting on patients? this idea of consent is ridiculous, considering the example Render just brought up of doctors prescribing bad drugs and the patient not knowing anything about it. also none of these will be like TEARS OF THE VIRGIN MOTHER INSTA-CURE, and these people will die regardless, but with no knowledge of the sideeffects prior to testing in most cases. imagine taking one of these drugs and the pain getting worse.

this mistaken belief that "oh they consented please...why would you let them die instead of take that chance..." seems really strange to me because you're assuming they know enough to make an educated consent and this isn't at all going to lead to bad practices of scientific testing!

edit: also about abortion: abortion advocates look at the reality of the situation, such as in Argentina where abortion was outlawed but more abortions are done (and all back alley) than in nations with legalized abortion because the abortion movement is more about a false sense of morality than BABBY DEATH, and also that cells!=people and all that stuff. similarly, you look at the reality of this situation and if you think this will have magic cures that these poor dying people will somehow be saved by, you're completely bonkers.
Last Edit: January 15, 2008, 05:53:05 pm by dangerousned
brian chemicals