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What should happen when doctors and parents disagree about what would be best for a child? When should courts become involved? Should life support be stopped against parents’ wishes?

The case of Charlie Gard, reached global attention in 2017. It led to widespread debate about the ethics of disagreements between doctors and parents, about the place of the law in such disputes, and about the variation in approach between different parts of the world.

In this book, medical ethicists Dominic Wilkinson and Julian Savulescu critically examine the ethical questions at the heart of disputes about medical treatment for children. They use the Gard case as a springboard to a wider discussion about the rights of parents, the harms of treatment, and the vital issue of limited resources. They discuss other prominent UK and international cases of disagreement and conflict.

From opposite sides of the debate Wilkinson and Savulescu provocatively outline the strongest arguments in favour of and against treatment. They analyse some of the distinctive and challenging features of treatment disputes in the 21st century and argue that disagreement about controversial ethical questions is both inevitable and desirable. They outline a series of lessons from the Gard case and propose a radical new ‘dissensus’ framework for future cases of disagreement.

  • This new book critically examines the core ethical questions at the heart of disputes about medical treatment for children.
  • The contents review prominent cases of disagreement from the UK and internationally and analyse some of the distinctive and challenging features around treatment disputes in the 21st century.
  • The book proposes a radical new framework for future cases of disagreement around the care of gravely ill people.

1. Cover image - p. Cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Copyright - p. iii 5. Foreword 1 - p. iii 6. Foreword 2 - p. iii 7. Preface - p. iii 8. Acknowledgements - p. iii 9. List of Tables - p. iii 10. Part I: Disagreement - p. iii 11. Chapter 1: The Charlie Gard case - p. iii 12. Part II: Agreement - p. iii 13. Chapter 2: Futility - p. iii 14. Chapter 3: Best interests - p. iii 15. Chapter 4: Resources - p. iii 16. Chapter 5: Research - p. iii 17. Chapter 6: Parents - p. iii 18. Part III: Agreeing to Disagree - p. iii 19. Chapter 7: Dissensus and value pluralism - p. iii 20. Chapter 8: Embracing disagreement - p. iii 21. Chapter 9: Learning from Charlie Gard: What Should Be Done Next Time? - p. iii 22. Appendices - p. iii 23. Wilkinson's view - p. iii 24. Savulescu's view - p. iii 25. Index - p. iii

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What should happen when doctors and parents disagree about what would be best for a child? When should courts become involved? Should life support be stopped against parents’ wishes?

The case of Charlie Gard, reached global attention in 2017. It led to widespread debate about the ethics of disagreements between doctors and parents, about the place of the law in such disputes, and about the variation in approach between different parts of the world.

In this book, medical ethicists Dominic Wilkinson and Julian Savulescu critically examine the ethical questions at the heart of disputes about medical treatment for children. They use the Gard case as a springboard to a wider discussion about the rights of parents, the harms of treatment, and the vital issue of limited resources. They discuss other prominent UK and international cases of disagreement and conflict.

From opposite sides of the debate Wilkinson and Savulescu provocatively outline the strongest arguments in favour of and against treatment. They analyse some of the distinctive and challenging features of treatment disputes in the 21st century and argue that disagreement about controversial ethical questions is both inevitable and desirable. They outline a series of lessons from the Gard case and propose a radical new ‘dissensus’ framework for future cases of disagreement.

  • This new book critically examines the core ethical questions at the heart of disputes about medical treatment for children.
  • The contents review prominent cases of disagreement from the UK and internationally and analyse some of the distinctive and challenging features around treatment disputes in the 21st century.
  • The book proposes a radical new framework for future cases of disagreement around the care of gravely ill people.

1. Cover image - p. Cover 2. Title page - p. ii 3. Table of Contents - p. iii 4. Copyright - p. iii 5. Foreword 1 - p. iii 6. Foreword 2 - p. iii 7. Preface - p. iii 8. Acknowledgements - p. iii 9. List of Tables - p. iii 10. Part I: Disagreement - p. iii 11. Chapter 1: The Charlie Gard case - p. iii 12. Part II: Agreement - p. iii 13. Chapter 2: Futility - p. iii 14. Chapter 3: Best interests - p. iii 15. Chapter 4: Resources - p. iii 16. Chapter 5: Research - p. iii 17. Chapter 6: Parents - p. iii 18. Part III: Agreeing to Disagree - p. iii 19. Chapter 7: Dissensus and value pluralism - p. iii 20. Chapter 8: Embracing disagreement - p. iii 21. Chapter 9: Learning from Charlie Gard: What Should Be Done Next Time? - p. iii 22. Appendices - p. iii 23. Wilkinson's view - p. iii 24. Savulescu's view - p. iii 25. Index - p. iii

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