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New York State Compensation Policy For Egg Donors 'Seems Justifiable,' New York Times Editorial States
Although New York state"s decision to allow state-funded embryonic stem cell researchers to compensate women for donating their eggs "has provoked criticism from some ethicists and runs counter to guidelines issued by" NIH and the National Academy of Sciences, it still "seems justifiable" to pay the women "for undergoing an arduous procedure and to spur progress on potentially important research that has been slowed because of a lack of human eggs," a New York Times editorial states. The state"s Empire State Stem Cell Board last month made the decision to allow researchers to pay women up to $10,000 as compensation.According to the editorial, "[w]omen already get paid comparable sums to donate their eggs to help infertile women have a child through in vitro fertilization," so it "is hard to see why they should not be paid for contributing their eggs for research." The editorial notes that the "money is meant as reimbursement for travel, housing, child care or medical expenses," and it also would "compensate the women for the considerable time, burden and inconvenience of harvesting their eggs, a process that can take 56 hours spread out over many weeks.""The board set reasonable constraints, insisting that the research be rigorously reviewed and approved by oversight committees, that donors be fully informed of potential physical and psychological risks and that they give informed consent to the procedure," the editorial states. It adds, "One concern has been that payments could induce women, especially poor women, to provide eggs without fully considering potential risks." The editorial continues, "In an effort to mitigate that possibility, the stem cell board will follow the guidelines of the American Society of Reproductive Medicine, which require justification for payments of $5,000 or more and deem sums above $10,000 inappropriate."The editorial adds, "Human eggs are highly prized for some of the most promising research, notably studies that require matching embryonic stem cells to a particular patient with a particular disease," concluding, "It has proved almost impossible to recruit women to go through the arduous process for free," so the "board was right to allow fair compensation" (New York Times, 7/11).
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Columnists Discuss HIV Statistics, National Testing Day
"It"s getting harder to convince people of the urgency, that knowing your HIV status is better than not knowing, that this is still a serious problem," columnist Wendi Thomas writes in the Memphis Commercial Appeal. She writes that some people "assume being HIV positive is no big deal" because former National Basketball Association player Earvin "Magic" Johnson has lived with HIV since 1991 and appears to be healthy. "But if you are HIV positive and delay finding out, the virus could progress" to a point where it becomes "much more difficult to treat," Thomas adds (Thomas, Memphis Commercial Appeal, 6/25). Philadelphia Inquirer columnist George Curry today discussed HIV statistics and findings from a recent Kaiser Family Foundation survey that looked at U.S. residents" views on HIV/AIDS. He said, "It"s time to refocus our attention on HIV and AIDS. And a good way to do that is by getting tested tomorrow" on National HIV Testing Day (Curry, Philadelphia Inquirer, 6/26).
News of the day
New Detector Promises Earlier Detection Of Viral Infections
A Vanderbilt chemist and a biomedical engineer have teamed up to develop a respiratory virus detector that is sensitive enough to detect an infection at an early stage, takes only a few minutes to return a result and is simple enough to be performed in a pediatrician"s office.
Diagnostics

Let GPs Order MRI Under Medicare, Australia

Patients would spend less time waiting for medical testing and treatment if the Government introduced Medicare rebates for GP-referred MRI (Magnetic Resonance Imaging) and diagnostic testing in GP surgeries, the AMA said today. AMA Federal President, Dr Andrew Pesce, used GP Week to urge the Government to reconsider its decision to axe funding for GP-referred MRI. Dr Pesce said the move would improve access to care because patients would no longer have to wait for specialist appointments before being referred for MRI. "Using MRI where clinically appropriate reduces the cost to the health system of inappropriate tests and would allows GPs to provide better care for patients," he said. "It also avoids unnecessary patient exposure to ionising radiation in CT scanning, and reduces the number of tests ordered, thus ensuring diagnostic service capacity is best utilised." A report prepared for the AMA by the Family Medicine Research Centre at the University of Sydney found allowing GPs to order MRI under Medicare could save the Government up to $42 million a year because GPs would order fewer CT Scans. Dr Pesce said the Government needed to improve patient access to MRI machines, provided the machines met appropriate standards. The AMA also said that patient care would also be improved if Medicare rebates for point-of-care testing - where patients are tested within or close to surgeries - were introduced. The recently released results of the Point of Care Testing (PoCT) Trial in General Practice - which looked at the clinical and cost effectiveness of managing diabetes and hyperlipidaemia, and anti-coagulant therapy - showed PoCT would improve the management of chronic conditions. Australian Medical Association


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