“Now we must wait, wait. These hours…. The gurgling starts again — but how slowly a man dies! …By noon I am groping on the outer limits of reason. …every gasp lays my heart bare.” Erich Maria Remarque, All Quiet on the Western Front
In Remarque’s novel, the agony of the German soldier, witnessing the slow death of an enemy combatant, is heightened by his own guilt (the narrator had stabbed another soldier in self defense). However, his powerful evocation of distress (and guilt) at witnessing a slow dying is very close to the expressed concerns of parents and clinicians who are watching the death of a child.
Following six months in the UK with no access to a television, I’ve had the opportunity to rediscover the delights of prime-time news media exposure since returning to Australia.
If I had to point to the (world) issue that is foremost in the media’s minds at the moment, I would probably gesture wildly at the current concerns over the conflict with ISIS (or ISIL) in the Middle East. Indeed, it seems so important to the public that it is one of the few causes that currently has complete bipartisan political support; and to such an extent that the current Treasurer has been (subtly) reprimanded by Prime Minister Tony Abbot for daring to question the Opposition’s commitment. Continue reading
Something of a twitter storm erupted last week over a poster placed in a supermarket window. The poster, placed in a branch of Sainsbury’s, issued a “50p Challenge”, urging employees to encourage every customer to “spend an additional 50p during each shopping trip between now and the years-end”. After a passer-by named Chris Dodd took a photo of the poster and posted it on twitter, a Sainsbury’s representative confirmed that the poster was intended only for employees and that it was not intended for public display. See a news report here. Continue reading
One argument that has been put forward against voting for Scottish independence in the Scottish referendum is that it would be irrational for Scotland to break free of the rest of Great Britain. The grounds for this claim are that the Scottish economy would be significantly worse under independence. This is an empirical claim and for the sake of argument I am going to grant it. What I am interested in is whether, supposing that to be true, it would in fact be irrational. There are a number of things seriously wrong with this inference.
As a borderline-obsessive dog lover, the news of the blaze at the Manchester Dogs’ Home this week particularly saddened me. A fire was started – it seems deliberately by a 15-year old boy – and around 60 dogs died, with another 150 alive after being rescued. Yet, alongside this there was some uplifting news. A number of passers-by ran into the burning building to rescue dogs, and as I write this the Just Giving page for people to donate to the home after the fire has now reached £1,416,549 in just a few days, with 140,914 donations. Of particular interest to me were the number of people calling the suspect ‘evil’ – this act really pulled at the heartstrings. More worryingly (but I am ashamed to say, understandable to me) were the visceral reactions to this where people were calling for this child to be burned alive himself.
What is so special about dogs? Do we have any particular moral obligations to dogs? Are there any rational reasons for the enhanced moral status of dogs?
It’s still summery, and so here is a little story for the beach or the side of the pool
‘There are challenges, certainly’, said the Boss. ‘But we’re confident that we can meet them. Or at least’, he went on, looking over his glasses for signs of dissent, ‘for a critical mass of stakeholders’.
A graph appeared on the screen at his side. He traced its lines with a red laser dot.
‘Here’, he said, ‘we have the expected rise of temperature with time. And here’ (he stabbed with the dot, as if doing the killing himself), ‘we have the consequent reduction in human population – assuming’ (and he held up a schoolmasterly finger), ‘we don’t have any HR66.’
He sipped some water, and waited for this to sink in. It did.
‘But don’t worry’, he said. ‘There’s good news. We do have HR66. Not enough for everyone, sadly, but enough to ensure that the human baton is passed on. And enough, I’m glad to say, for everyone in this room.’
There was a ripple of relief.
‘And their families, of course’, the Boss continued. ‘Families are very important to us. But all this assumes that you want to have the HR66. No one will make you. But, frankly, what’s not to like? You take a single dose, and you survive. If you don’t take it, you don’t survive. It’s as simple as that. It even tastes of candy floss. It has only one side-effect, and that’s a wholly good thing. It increases – increases, mark you – your IQ. Very, very significantly. By about 100 points, in fact. Not only will you be alive; you’ll be a genius beside whom Einstein would have seemed a hopeless retard.’
One more press of the button, and up flashed the logo of the corporation that manufactured HR66. The Boss didn’t think it relevant to mention his shareholding.
‘Naturally’, said the Boss, ‘we have to vote for this in the usual way. Yes, humanity’s facing apocalypse, and there’s one, and only one way out. But we’ve still got to do things properly. But I expect that we can move to a vote now, can’t we?’
‘I’m sure we can’, agreed the Deputy. ‘You’ve all seen the motion. All those in favour….’
The Boss and the Deputy, up on the podium, stared. Everyone else turned. A little man in tweed lisped through a badger’s beard. ‘I’d like some clarification, please.’
‘But of course, Tom’, said the Boss, magnanimous and desperately alarmed. ‘Anything you like.’
No one really knew how Tom had got into the government, or why he wanted to be there. He had no strategically significant connections, no dress sense, no publications other than some monographs on moths and mediaeval fonts, no assets other than a dumpy wife, some anarchic, unwashed children and a small cottage on Dartmoor, and no entries in the Register of Members’ Interests apart from ‘Masturbation’. This entry had caused a terrible storm. He’d been accused of injuring the dignity of the House, but, after expensive legal advice had been taken, it had been ‘reluctantly concluded’ that there was no power to force him to remove it.
‘I’d like to know’, said Tom, ‘who’s going to get the drug. And why them rather than anyone else.’ Continue reading
Subtly designing people’s choice environment in a way that they decide for a desired cause of action – so called “nudging” – receives growing interest as a potential tool for practical ethics. New psychological research suggests a surprisingly simple, but potentially powerful strategy to nudge people.
Epigenetics and Blaming Pregnant Women: Hasty Conclusions, Control, and Simplified Burden of Responsibility
In a recent (13.8.2014) article in Nature , Sarah S. Richardson and colleagues maintain that careless discussion of epigenetic research on how early life affects health across generations could harm women.
Authors discuss the extensive history of placing the burden of responsibility of a child’s health on the lifestyle of the pregnant mother – and the means for controlling women’s behavior. Authors describe how, for example, evidence of any fetal harm easily lead to zero-tolerance regulatory frameworks and severe informal and formal consequences (e.g. social condemnation for an occasional sip of alcohol despite the ambiguous evidence that very moderate and occasional drinking should harm the fetus), and how the “lack of emotional warmth” of the “refrigerator mothers ” was considered to be the reason to child autism as late as the 1970s. Going even more backwards in the history, various defects were attributed, for example, to the company the mother kept during pregnancy.
Last week various newspapers (see here and here) reported on a planned research study of adrenaline for patients suffering a cardiac arrest outside hospital. The PARAMEDIC 2 trial (full protocol here) involves ambulance officers randomly giving patients either the traditional resuscitation drug adrenaline, or a salt-water solution (placebo). The trial has been strongly criticized by Ruth and Lindsay Stirton, writing in the Journal of Medical Ethics.
There are two main controversial elements to the trial design. The first involves the lack of consent for involvement in the trial, the second involves the researchers’ plan not to inform families of patients who died that their loved one had been in a research trial.