Eike-Henner Kluge

Last updated
PhD

Eike-Henner Kluge
Nationality Canadian German
Alma mater University of Calgary University of Michigan
AwardsRoyal Society of Canada, Abbyann Lynch Medal
Main interests
Biomedical (Medical Ethics) and information ethics, topics in the history of philosophy.

Eike-Henner Kluge FRSC is the first expert witness in medical ethics recognized by Canadian courts. [1] Dr. Kluge has acted as an expert witness in Alberta, British Columbia, and Ontario. [1] He is known for his work on contentious medical ethics issue such as abortion and the ethics of deliberate death in addition to privacy and medical informatics. [2] [3] He established and was the first director of the Canadian Medical Association Department of Ethics and Legal Affairs. [4] [5] Dr. Kluge is the author of the International Medical Informatics Association's code of ethics and their ethics handbook. [6] Additionally, he is a fellow in the Royal Society of Canada. [2]

Contents

Abortion

While the director of the Canadian Medical Association ethics and legal affairs, Dr. Kluge in 1991 drafted an analysis for a Senate committee about Bill C-43, which would sentence doctors to two years in jail for performing abortions where a woman's health is not at risk. [7] Kluge viewed that the bill was flawed ethically. [7] His presentation may have swayed two votes to change resulting in an unprecedented tied vote in January 1991 which resulted in the Senate not passing the Bill C-43. [7]

Deliberate Death

He was an expert witness in Rodriguez v British Columbia (AG) which was the first case to challenge section 241(b) of the Criminal Code and Carter v Canada (AG). Dr Kluge acted as ethics advisor to Sue Rodriguez. [8] He argues that, "there is no right to die—but there is a right to shape and end our lives in keeping with our competently-held values...It is all a matter of autonomy, beneficence and non-malfeasance." [9] Eike-Henner was also an expert witness in Carter v Canada (AG) .

Law School Admission Council Investigation

Dr Kluge's complaint to the Office of the Privacy Commissioner of Canada lead to the Law School Admission Council's no longer being able to fingerprint LSAT test takers in Canada. [10]

Publications

Books

Co-author books

Documentaries

Selected academic works

Related Research Articles

Applied ethics refers to the practical aspect of moral considerations. It is ethics with respect to real-world actions and their moral considerations in the areas of private and public life, the professions, health, technology, law, and leadership. For example, the bioethics community is concerned with identifying the correct approach to moral issues in the life sciences, such as euthanasia, the allocation of scarce health resources, or the use of human embryos in research. Environmental ethics is concerned with ecological issues such as the responsibility of government and corporations to clean up pollution. Business ethics includes questions regarding the duties or duty of 'whistleblowers' to the general public or their loyalty to their employers.

The Nuremberg Code is a set of ethical research principles for human experimentation created by the court in U.S. v Brandt, one of the Subsequent Nuremberg trials that were held after the Second World War.

<span class="mw-page-title-main">University of Victoria</span> University in Victoria, British Columbia

The University of Victoria (UVic) is a public research university located in the municipalities of Oak Bay and Saanich, British Columbia, Canada.

<span class="mw-page-title-main">Informed consent</span> Process for obtaining subject approval prior to treatment or research

Informed consent is a principle in medical ethics and medical law and media studies, that a patient must have sufficient information and understanding before making decisions about their medical care. Pertinent information may include risks and benefits of treatments, alternative treatments, the patient's role in treatment, and their right to refuse treatment. In most systems, healthcare providers have a legal and ethical responsibility to ensure that a patient's consent is informed. This principle applies more broadly than healthcare intervention, for example to conduct research and to disclose a person's medical information.

Bioethics is both a field of study and professional practice, interested in ethical issues related to health, including those emerging from advances in biology, medicine, and technologies. It proposes the discussion about moral discernment in society and it is often related to medical policy and practice, but also to broader questions as environment, well-being and public health. Bioethics is concerned with the ethical questions that arise in the relationships among life sciences, biotechnology, medicine, politics, law, theology and philosophy. It includes the study of values relating to primary care, other branches of medicine, ethical education in science, animal, and environmental ethics, and public health.

Internal medicine or general internal medicine is the medical specialty dealing with the prevention, diagnosis, and treatment of internal diseases. Doctors specializing in internal medicine are called internists, or physicians in Commonwealth nations. Internists are medical specialists that are skilled in the management of patients who have undifferentiated or multi-system disease processes. Internists care for hospitalized (inpatient) and ambulatory (outpatient) patients and may play a major role in teaching and research. Internists are qualified physicians with postgraduate training in internal medicine and should not be confused with "interns", a term for doctors in their first year of residency training.

Medical ethics is an applied branch of ethics which analyzes the practice of clinical medicine and related scientific research. Medical ethics is based on a set of values that professionals can refer to in the case of any confusion or conflict. These values include the respect for autonomy, non-maleficence, beneficence, and justice. Such tenets may allow doctors, care providers, and families to create a treatment plan and work towards the same common goal. It is important to note that these four values are not ranked in order of importance or relevance and that they all encompass values pertaining to medical ethics. However, a conflict may arise leading to the need for hierarchy in an ethical system, such that some moral elements overrule others with the purpose of applying the best moral judgement to a difficult medical situation. Medical ethics is particularly relevant in decisions regarding involuntary treatment and involuntary commitment.

<span class="mw-page-title-main">Abortion in Canada</span> Overview of the legality and prevalence of abortions in Canada

Abortion in Canada is legal at all stages of pregnancy, subject to restrictions and regulations set out in every province and territory by the governing medical bodies. It is publicly funded as a medical procedure under the combined effects of the federal Canada Health Act and provincial health-care systems. Abortion in Canada has not been subject to criminal restrictions since 1988, when the Supreme Court of Canada held that the existing criminal restrictions on abortion were unconstitutional. Thereafter, there have been no criminal laws permitting or banning abortion. Instead, provincial and territorial health regulatory bodies have ensured governance over these procedures, similar to most other medical procedures in the country. The general rule is that few providers offer abortion care beyond 23 weeks and 6 days, but there can be exceptions in certain cases.

<span class="mw-page-title-main">Health informatics</span> Applications of information processing concepts and machinery in medicine

Health informatics is the field of science and engineering that aims at developing methods and technologies for the acquisition, processing, and study of patient data, which can come from different sources and modalities, such as electronic health records, diagnostic test results, medical scans. The health domain provides an extremely wide variety of problems that can be tackled using computational techniques.

<span class="mw-page-title-main">Human subject research</span> Systematic, scientific investigation that involves human beings as research subjects

Human subject research is systematic, scientific investigation that can be either interventional or observational and involves human beings as research subjects, commonly known as test subjects. Human subject research can be either medical (clinical) research or non-medical research. Systematic investigation incorporates both the collection and analysis of data in order to answer a specific question. Medical human subject research often involves analysis of biological specimens, epidemiological and behavioral studies and medical chart review studies. On the other hand, human subject research in the social sciences often involves surveys which consist of questions to a particular group of people. Survey methodology includes questionnaires, interviews, and focus groups.

<span class="mw-page-title-main">Forensic psychiatry</span> Subspeciality of psychiatry, related to criminology

Forensic psychiatry is a subspeciality of psychiatry and is related to criminology. It encompasses the interface between law and psychiatry. According to the American Academy of Psychiatry and the Law, it is defined as "a subspecialty of psychiatry in which scientific and clinical expertise is applied in legal contexts involving civil, criminal, correctional, regulatory, or legislative matters, and in specialized clinical consultations in areas such as risk assessment or employment." A forensic psychiatrist provides services – such as determination of competency to stand trial – to a court of law to facilitate the adjudicative process and provide treatment, such as medications and psychotherapy, to criminals.

The Sociedade Brasileira de Informática em Saúde, abbreviated as SBIS, is a professional society created in November 1986 in Campinas, during the First Brazilian Congress on Health Informatics. It has the mission of promoting the development and the interchange of ideas and results in the fields devoted to the information technologies applied to the health sciences.

The International Medical Informatics Association (IMIA) is an independent organization that plays a role in promoting and furthering the application of information science in modern society, particularly in the fields of healthcare, bioscience and medicine. It was established in 1967 as a technical committee of the International Federation for Information Processing (IFIP). It became an independent organization in 1987 and was established under Swiss law in 1989.

Nursing ethics is a branch of applied ethics that concerns itself with activities in the field of nursing. Nursing ethics shares many principles with medical ethics, such as beneficence, non-maleficence and respect for autonomy. It can be distinguished by its emphasis on relationships, human dignity and collaborative care.

The Belmont Report is a 1978 report created by the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. Its full title is the Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research, Report of the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research.

<i>Rodriguez v British Columbia (AG)</i> Supreme Court of Canada case

Rodriguez v British Columbia (AG), [1993] 3 SCR 519 is a landmark Supreme Court of Canada decision where the prohibition of assisted suicide was challenged as contrary to the Canadian Charter of Rights and Freedoms ("Charter") by a terminally ill woman, Sue Rodriguez. In a 5–4 decision, the Court upheld the provision in the Criminal Code.

<span class="mw-page-title-main">Dignity Health</span> US not-for-profit healthcare system

Dignity Health was a California-based not-for-profit public-benefit corporation that operates hospitals and ancillary care facilities in three states. Dignity Health was the fifth-largest hospital system in the nation and the largest not-for-profit hospital provider in California.

<span class="mw-page-title-main">Euthanasia in Canada</span>

Euthanasia in Canada in its legal voluntary form is called medical assistance in dying (MAiD) and it first became legal along with assisted suicide in June 2016 to allow terminally ill adults to control their deaths. In March 2021, the law was further amended by Bill C-7 which permits assisted euthanasia in additional situations, including for people with disabilities and chronic diseases. In 2021, more than 10,000 people died by euthanasia in Canada. The intensity and breadth of Canada's MAiD program has led to condemnation of its program by UN human rights experts and all disability rights groups in Canada.

Veterinary ethics is a system of moral principles that apply values and judgements to the practice of veterinary medicine. As a scholarly discipline, veterinary ethics encompasses its practical application in clinical settings as well as work on its history, philosophy, theology, and sociology. Veterinary ethics combines veterinary professional ethics and the subject of animal ethics. The subject of veterinary ethics can be interpreted as an extension of critical thinking skills necessary to make the decisions in veterinary care in order to support the profession's responsibilities to animal kind and mankind.

The mature minor doctrine is a rule of law found in the United States and Canada accepting that an unemancipated minor patient may possess the maturity to choose or reject a particular health care treatment, sometimes without the knowledge or agreement of parents, and should be permitted to do so. It is now generally considered a form of patients rights; formerly, the mature minor rule was largely seen as protecting health care providers from criminal and civil claims by parents of minors at least 15.

References

  1. 1 2 "Eike-Henner Kluge - University of Victoria". UVic.ca. Retrieved 2019-09-14.
  2. 1 2 "royal society Eike Kluge - University of Victoria". UVic.ca. Retrieved 2019-07-30.
  3. Kluge, Eike-Henner W. (2001). The ethics of electronic patient records. New York: P. Lang. ISBN   0820452599. OCLC   45122866.
  4. "Eike-Henner Kluge - University of Victoria". UVic.ca. Retrieved 2019-07-30.
  5. Kluge, Eike-Henner W. (1989). "The Canadian Scene". Hastings Center Report. 19 (6): 4. doi:10.2307/3561977. JSTOR   3561977.
  6. admin. "IMIA Code of Ethics - Updated Version 2016". IMIA. Retrieved 2019-07-30.
  7. 1 2 3 "royal society Eike Kluge - University of Victoria". UVic.ca. Retrieved 2019-04-02.
  8. "royal society Eike Kluge - University of Victoria". UVic.ca. Retrieved 2019-09-14.
  9. "Dr. Eike-Henner Kluge: There is no such thing as the right to die". Choices In Dying Victoria. 2014-11-06. Retrieved 2019-09-14.
  10. "Law School Admission Council Investigation, 2008 CanLII 28249 (PCC)". CANLII.
  11. Shadow Company , retrieved 2020-06-10