Setting a Bad Example

It is reported that hospitals and medical businesses have begun to adopt strict rules intended to weed out smokers in their midst. Increasingly, they are refusing to hire people who smoke or use tobacco. Some employers are reaching beyond the workplace and administering urine tests to screen out tobacco users. Two reasons are given for the adoption of strict policies against tobacco use. First is the concern over appearances. It is felt by some in the medical profession that smoking by health care workers sets a bad example. Secondly, there are economic concerns. People who use tobacco tend to have more health problems than those who don't. Because of that, they increase health care costs and diminish productivity when they fall ill. In this reasoning, the medical profession is simply falling into line with the economic casuists in evaluating human behavior in terms of costs and benefits.

While the move can be considered as part of the growing impatience with tobacco users in this country, there is a more troubling component to this thinking that even those who do not use tobacco should be concerned about. If health and economic productivity are to be prime measures of human behavior, the door which is being pushed against will be kicked wide open. Many habits and behaviors work against health and undermine economic productivity. Chief among those are eating poorly and not exercising. The health and economic costs of obesity in the U.S. exceed the costs of tobacco. Over 30% of Americans are currently obese. Obesity is defined as being 30 or more pounds overweight. While the number of smokers goes down every year, the number of obese goes up. People who are overweight are more prone to injury and illness and more likely to miss time at work than those who are not overweight. From diabetes and heart disease, to bad knees and fatigue, overweight people cost time and money.

If the health care industry is going to ban tobacco use by employees in order to set a good example, they should do something about overweight doctors and nurses as well. They should consider penalizing health care workers who are over weight. They should also prohibit them from eating hot dogs, french fries, and other unhealthy foods. If a doctor smoking a cigarette sends a bad message, what message does an overweight doctor eating a cheeseburger send?

Getting to a Real Discussion Over Abortion

A study published in the New England Journal of Medicine reported significant progress has been made in prenatal surgery in the struggle against spina bifida. Over 1,500 children a year are born with it. Spina bifida is a condition where the spinal cord does not fully close and, among other things, can lead to paralysis. The study was warmly welcomed by scientists, researchers, and doctors. Dr. Terry Buchmiller, former Chief Resident in Pediatric Surgery at the Children's Hospital in Boston, stated that it culminated a "wonderful, almost several decade journey of trying to improve the outcome of a debilitating condition". She went on to herald the procedure as "potentially life changing." Others applauded it as a promising step in the evolving field of prenatal surgery.

There has been great effort put into treating children in the womb. One of the most significant advances in the field has been prenatal surgery. Researchers and doctors have long labored to find ways to treat children and correct their problems before they are born. Fetal surgery offers hope. Not only does it offer hope to children facing the challenge of spina bifida, it also holds promise of treating neurological problems as well as bladder defects and sickle cell anemia. It is anticipated that as the field develops, other conditions and disorders will be treatable before birth. In the case of treating spina bifida, the results were so good that the study was halted early so that the procedure could be adopted immediately.

As prenatal medicine evolves, women contemplating aborting their still developing children due to serious medical concerns have hope. The painful choice between giving birth to a child who will face a lifetime of serious, and at times difficult, challenges and terminating that child will become less common as the threat of those challenges diminishes. As a result, the decision whether to give birth will become easier for some and more complicated for others.

For those who want to give birth, the decision will be easier because their child will likely face fewer challenges over the course of their lives. Indeed, some children will face no challenge at all. For those inclined to abort a handicapped baby, (or fetus if you prefer), the decision whether to abort will be more difficult as they must weigh the potential burden of a disability against the promise provided by advancing medical science. As prenatal care advances, physical deformity and other challenges will no longer be the the threat they once were. Less and less will they be reasons for terminating a pregnancy. For those who are merely harboring a fetus, prenatal medicine is irrelevant.

As doctors increasingly become able to treat children in the womb, the reasons for having an abortion will become fewer. If the day ever comes when the only reason for having an abortion is because a woman simply does not want the child, the argument over abortion will have reached its core. On that day we will finally be able to have a real discussion over the issue.

It is a strange world indeed where some doctors labor to treat children in the womb while other doctors endeavor to destroy them.