Ethical Principles Paper
PSY/305
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Henrietta (Loretta) Pleasant, born in August of 1920 in Roanoke, VA, was an African American woman who was raised by her grandfather in a small cabin on a plantation. At the age of 14, she gave birth to her first child, a son, followed by a daughter four years later. She married the father of her children, her first cousin David Lacks, shortly thereafter. After having moved to Maryland for work, the couple had three other children. The last, Joseph, was born in November of 1950, and two months later, in January of 1951, Henrietta went to the hospital with abnormal bleeding. A malignant tumor of her cervix was discovered, and was treated with radiation therapy, which was
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Consent
In the two and a half decades of research that was done on HeLa cells from the 1950s through mid-1970s, no thought was given regarding the family of the woman whose cells were being utilized in such diverse ways. Then things changed, due in part to a discovery regarding the invasiveness of the cells and the presence of an enzyme which is only found in certain gene pools. Because scientists wished to study the genetics of the Lack family, they contacted members to ask for blood samples, whereupon it was revealed that Henrietta’s cells were alive and well and being used for the greater good of the scientific community. The family then began to make their own inquires about what had been done with the cells from Henrietta, which were harvested without her consent.
This initial inquiry started a large controversy, evolving to the larger issues that we still have today over cervical and stem cell lines. The core ethical issue, in both the case of stem cell research and in the Henrietta Lacks case, is one of informed consent. Stem cells, particularly those for research purposes, are gathered from embryonic tissue, which begs the question; who gives consent? There are many who hesitate to advocate the use of stem cell research even today, and there are even more individuals who are strongly opposed to such research without the informed consent of the individual.
The case of Henrietta Lacks raises questions about the use of genetic materials from a human
Henrietta Lacks was born Loretta Pleasant on August 1st, 1920 to Eliza and John Randall Pleasant, in Roanoke, Virginia. It is uncertain how her name changed from Loretta to Henrietta. After her mother, Eliza, passed away giving birth to her tenth child in 1924 her father, John, distributed his children to relatives in Clover, Virginia. Henrietta ended up with her grandfather in a log cabin that previously had been slave quarters for a white ancestor’s plantation. Henrietta shared a room in the cabin with her cousin, David Lacks. In 1935, when Henrietta was 14 years of age, the cousins had their son Lawrence. Four years later the couple had Elsie their handicapped daughter, following her birth they proceeded to marry in 1941. In Maryland, where they moved at the urging of their cousin, they had three more children: David Jr., Deborah, and Joseph. At Johns Hopkins Hospital on January 29th, 1952, Physician Howard Jones quickly diagnosed Henrietta with cervical cancer. On October 4th, 1957, at the age of 31, Henrietta Lacks passed away at Johns Hopkins Hospital.
The truth is the doctors that took Henrietta’s cells were doing it for a good cause. They didn’t do it to ruin her and her family’s life, they did it to help people and save lives. There were no laws prohibiting the taking of one’s cells, in fact in a later Supreme Court of California ruling, it was actually defended. When tissues are removed from your body, with or without consent, any claim to ownership
Henrietta Lacks was a poor African American that became one of the most vital tools in developing medicines like polio vaccine, cloning, gene mapping, and much more. She was a loving mother of five, wife, sister, and friend to many that was taken on October 4, 1951 at the age of thirty-one to cervical cancer. Henrietta’s cells were taken without her knowledge to develop the first ever immortal line of cells.
The main ethical issues in this case is that researches at Johns Hopkins Hospital used Henrietta’s cell in multiple researches and send her cells to other researchers around the world without her family’s consent. Moreover, the Lackes themselves were used in medical research without informed consent, and Henrietta’s medical records were release to journalists without her family knowing.
In the example with the HeLa cells, a great debate was raised when the book The Immortal Life of Henrietta Lacks was published. The debate centered around the lack of information of where the cells came from, who should have known about the original harvesting, and the lack of compensation for Henrietta’s family once the cells started generating income. Also discussed was the tendency of the medical community to
Many people would assume that, because of HeLa’s impact on society, the Lacks family is probably very wealthy and well informed about HeLa cells; unfortunately, that is not the case. Not only did the Lacks feel taken advantage of by the medical community, but it wasn’t until an article by Howard Jones in December 1971 that Henrietta’s real name was finally revealed. That same article was used to inform Bobbette Lacks, Henrietta’s daughter-in-law, that the immortal cells she had been reading about in the paper were Henrietta’s. Bobbette was the first member of the Lacks family to learn about the fate of Henrietta’s cells and she immediately ran to the family yelling, “Part of your mother, it’s alive!”(181). The family felt misinformed, confused, betrayed and most of all, angry. In 1976, Mike Rodgers published an article in Rolling Stone that informed the Lacks family that people were buying and selling Henrietta’s cells. The family immediately accused Hopkins of withholding money from them. Lawrence, Henrietta’s eldest son, was quoted saying, “Hopkins say they gave them cells away, but they made millions! It’s not fair! She’s the most important person in the world and her family living in poverty. If our mother so important to
With the numerous legal, ethical and moral issues that were highlighted in Henrietta Lacks case, two major ones to note: 1) the Lacks never specifically consented to providing samples of Henrietta’s cervical tissue for research, and 2) Johns Hopkins University releasing Henrietta’s name and medical records to third parties without her or her family’s
Due to the fact that Henrietta’s cells were the first human cells grown in a lab that did not die after a few cell divisions, they could be used for conducting many experiments. Her cells were considered “immortal”. This was a major breakthrough in medical and biological research. One major breakthrough was the development of a vaccine for polio. To test the vaccine the cells were quickly put into mass production in the first-ever cell production factory. Another enormous breakthrough was the successful cloning of human cells in 1955. Demand for the HeLa cells grew quickly. Since they were put into mass production, Henrietta’s cells have been mailed to scientists around the globe from “research into cancer, AIDS, the effects of radiation and toxic substances, gene mapping, and countless other scientific pursuits.” (Smith, 2002, "Wonder Woman: The Life, Death, and Life After Death of Henrietta Lacks, Unwitting Heroine of Modern Medical Science".) HeLa cells have been used to test human sensitivity to tape, glue, cosmetics, and many other products. Scientists have grown some 20 tons of her cells, and there are almost 11,000 patents involving HeLa cells. (Batts, 2010)
In 1951, Henrietta Lacks was diagnosed with cervical cancer at John Hopkins Hospital. Without any consent, Henrietta’s doctors took tissue samples from her cervix and attempted to grow them and keep them alive. These cells, known as HeLa cells, began to grow at an unbelievable rate; The HeLa cell became vital for the development of vaccines and other scientific research. However because of Henrietta’s race and economic standpoint, Henrietta Lacks and the rest of the Lacks family was exploited by doctors. The exploitation of the family allowed the doctors and researchers to benefit scientifically and monetarily.
Her family would later find out Henrietta was misdiagnosed. Henrietta went to John Hopkins for treatment due to it being the only hospital in her area who would treat African Americans. Many doctors during this time would use the public for research without the patient’s consent, and this happened to Henrietta. Without Henrietta’s permissions, a doctor treating Henrietta’s tumor proceeded to take tissue from her cancer tumors and her healthy cervical tissue. Her tissue ended up in Gey’s lab which were named HeLa. Two days later Henrietta’s cells began growing, and soon after Gey began giving samples of HeLa to his closest colleagues (Skloot 41). Henrietta never knew of her cells growing in the lab. Unfortunately, Henrietta’s cancer began to spread throughout her body. Treatment was not working for Henrietta, and she passed away October 4th, 1951 (Skloot 86). No one knew who Henrietta was for a long time, and she lost a lot of time of receiving credit for her cells. Henrietta’s cells ended up being sold for a profit by a manufacturer. Her family did not receive anything from Henrietta’s cells being used. Henrietta’s cells helped changed the medical world. Her cells were used for creating a polio vaccine and IVF. They also helped understand HPV, HIV, and AIDs. Henrietta’s cells have done a lot for cancer research. However, Henrietta’s family suffered deeply after her death, and
Diagnosed with cervical cancer, she was sent to John Hopkins hospital for treatment. Henrietta’s doctor, without consent, gave cell samples to Dr. Gey for cancer research. Dr. Gey soon realized the cells did not die in vitro, but continued to divide and flourish. Twenty years passed since the death of Henrietta Lacks, and her family remained impoverished and lacked health care. Coincidentally, a member of the Lacks family met an employee of the National Cancer Institute. Recognizing her surname, he claimed he was working with the cells of a women named Henrietta Lacks. The Lacks family was shocked and did not completely understand how their mother could still exist as the smallest unit of life. Today, companies who sell HeLa cells make billions of dollars, while the Lacks family does not receive any compensation or health
Another factor that played a significant role in Henrietta 's life was a combination of not only poverty, but racism too. The book calls into question the name Henrietta Lacks. “We are officially introduced to Henrietta as Loretta Pleasant. Henrietta, or also known as Loretta, grew up with eight other siblings, and an abusive father.” (Biogrophy.com) Henrietta spent most of her youth living with her grandfather and future husband. During this time in history, Henrietta along with other African Americans, were subjected to segregation. Her life was far from easy, she grew up as many African American children did during those times, working in the tobacco fields.
The Immortal Life of Henrietta Lacks focuses on many issues that Henrietta and her family have faced over the years resulting from the discovery of HeLa cells. One such issue that was recurrently present was the ethical issue of informed consent, or the lack of it, in the Lacks’ case. In the beginning when Henrietta was first being treated with radium to kill her cancerous tumor, her primary doctor, Dr. TeLinde, took a sample of the tissue and sent it to Dr. Gey, head of tissue
Henrietta Lacks was a “mother of five who died of cervical cancer at only thirty-one years of age” (Gabbay). When she passed away the doctors at John Hopkins asked her husband,
The medical community did not explain to or inform the Lacks family of the HeLa cells; along the way the scientists altogether forgot that Henrietta and her family were not abstractions but actual people. The family felt that this was unethical; they felt their mother was robbed and taken advantage of. Despite the spread of HeLa cells and the whirlwind of new research that followed, there were no recent news or stories about “the birth of the amazing HeLa cell line” (Skloot 58). In the beginning, when Gey had kept the origin of the cells- or Henrietta - a secret, no one knew where the cells had came from and no one cared to ask.