Advances in medical capability should be accompanied by discussion of their ethical implications. In the military medical context there is a growing interest in developing prophylactic interventions that will mitigate the effects of trauma and improve survival. The ethics of this novel capability are currently unexplored. This paper describes the concept of trauma prophylaxis and outlines some of the ethical issues that need to be considered, including within concept development, research and implementation. Trauma prophylaxis can be divided into interventions that (...) do not and those that do have medical enhancement as an unintended side effect of their prophylactic action. We conclude that type 1 interventions have much in common with established military medical prophylaxis, and the potentially enhancing qualities of type 2 interventions raise different issues. We welcome further debate on both interventions. (shrink)

In depicting the Utopia's main character Raphael Hythloday, Thomas More appears to have drawn on the character Evodius in Augustine's dialogue On Free Choice. Hythloday and Evodius hold similar views on the relation between human law and the divine prohibition on homicide. Hythloday's views appear at first to be inconsistent, but Evodius's arguments for his related views can help make better sense of Hythloday's. Both characters also turn out to display similar moral-political confusions, caused by the interaction of their Christian (...) faith with their insufficient political education, that hurt their ability to serve their country as good citizens. These confusions are typical of educated Christian citizens but not inevitable: More and Augustine each offer alternative models of more clear-sighted Christians who can serve their earthly homeland in full awareness of its imperfections. (shrink)