Striking out? Should we ban doctors strikes?

by Dominic Wilkinson @Neonatalethics

Consultant neonatologist, Director of Medical Ethics

 

Next week, junior doctors in England and Wales will be taking part in industrial action for 15 hours over two successive days. This is the latest in a series of stoppages since late last year, and relates to a dispute over proposed changes to junior doctors’ contracts and pay. It is the first strike, (and the first in the UK since the establishment of the NHS), to include all medical care, including emergency treatment. Junior doctors will not be at work in accident and emergency departments, intensive care units, operating theatres and hospital wards between 8 and 5 on both of those days.

There are a series of questions raised by these strikes. There are disputed claims about the impact of contract changes on take home pay, on working conditions for doctors and on patient care. There are different views about the actual impact of next week’s strike on patients, on public opinion, or on negotiations about the new contract. But for the purposes of this article, I am going set those specific questions aside, and focus on a more general question. Should doctor strikes (particularly emergency care strikes) be legal, should they be allowed? Continue reading

Guest Post: Scientists aren’t always the best people to evaluate the risks of scientific research

Written by Simon Beard, Research Associate at the Center for the Study of Existential Risk, University of Cambridge

How can we study the pathogens that will be responsible for future global pandemics before they have happened? One way is to find likely candidates currently in the wild and genetically engineer them so that they gain the traits that will be necessary for them to cause a global pandemic.

Such ‘Gain of Function’ research that produces ‘Potential Pandemic Pathogens’ (GOF-PPP for short) is highly controversial. Following some initial trails looking at what kinds of mutations were needed to make avian influenza transmissible in ferrets, a moratorium has been imposed on further research whilst the risks and benefits associated with it are investigated. Continue reading

Announcement: New Publication: Philosophers Take On the World

Philosophers Take on the World book cover

Philosophers Take On the World is based on this blog, ‘Practical Ethics in the News’, and edited by David Edmonds. It is published by OUP and is due out in September 2016.

Every day the news shows us provoking stories about what’s going on in the world, about events which raise moral questions and problems. In Philosophers Take On the World a team of philosophers get to grips with a variety of these controversial issues, from the amusing to the shocking, in short, engaging, often controversial pieces. Covering topics from guns to abortion, the morality of drinking alone, hating a sports team, and being rude to cold callers, the essays will make you think again about the judgments we make on a daily basis and the ways in which we choose to conduct our lives.

This item is not yet published, but may be pre-ordered now for delivery when available.

https://global.oup.com/academic/product/philosophers-take-on-the-world-9780198753728?cc=gb&lang=en&#

Published: 01 September 2016 (Estimated)

ISBN: 9780198753728

Cross Post: Ideas for Australia: Rethinking funding and priorities in IVF – should the state pay for people to have babies?

Written by Professor Julian Savulescu and Professor Kelton Tremellen

This is a cross posting of an article which was originally published at The Conversation

How much should the state spend on helping people to have children? At present, government support for infertility treatment is approximately A$240 million a year. The success of fertility treatments such as IVF is good if you are under 35 years of age, but once a woman hits 40 it plummets, falling to an almost futile one-in-80 chance of producing a baby for women 45 years and older. This raises the question – is IVF a cost-effective use of taxpayers’ money? And what about for older women?

Decisions about funding are usually made on grounds of cost-effectiveness. In Australia, the cost-effectiveness threshold is about A$40,000 per “QALY”. A QALY is a quality adjusted life year. Thus the government will spend, for example, A$40,000 to add a year of full health, or improve the quality of life by 10% for 10 years.

Is IVF cost-effective? It depends on how we measure it. Continue reading

Video Series: Tom Douglas on Asbestos, a Serious Public Health Threat

Asbestos kills more people per year than excessive sun exposure, yet it receives much less attention. Tom Douglas (Oxford Uehiro Centre for Practical Ethics) explains why asbestos is still a serious public health threat and what steps should be undertaken to reduce this threat. And yes, the snow in The Wizard of Oz was asbestos!

Oxford Uehiro Prize in Practical Ethics: Are offensive jokes more permissible if they’re funny? Written by Raphael Hogarth

This essay received an Honourable Mention in the Undergraduate Category of the Oxford Uehiro Prize of Practical Ethics

Written by New College Oxford student Raphael Hogarth

Three moral agents walk into a bar. They get to joking and, with each round, their banter becomes more risqué. After the second pint, Agent A ventures a humourless and offensive joke about Jews and big noses: Agents B and C scowl and move on. After the third pint, Agent A has another crack with a joke about the holocaust – a more insensitive joke, but also apparently one with more potential to amuse. Agent B can’t help but giggle; Agent C is incandescent with outrage. Agents A and B retort in chorus: “But it’s funny!”[1] Continue reading

Guest Post: Should you give to beggars? Yes, you should.

Written by Richard Christian.

 

In a stimulating and controversial post on this blog, and later in a paper published in Think, Ole Martin Moen has argued that you should not give to beggars. His argument is simple and familiar. It is that the beggar one encounters in the rich world is, in the scheme of things, doing very well for herself. The London beggar is hungry, ragged, addicted, and schizophrenic; but she is like unto a king in comparison to the starving Ethiopian. If she receives only a few pounds a day and falls asleep in a doorway, she is still much better off than the millions of people in the world now dying for lack of food or clean water. It follows that a pound put in the hand of that beggar is a pound wasted: it should have gone to the person whose need is most urgent. Moen counsels you to ignore the beggar as you pass her on the street, and to give all your spare pounds instead to charities that assist the world’s most needy. In general, in your action, you should aim to do the most good you can. I wish to say here a word in favour of the beggar, and to show what I think is wrong with this currently fashionable line of reasoning in applied ethics. Continue reading

“Cognitive Enhancement: Defending the Parity Principle”, St Cross Special Ethics Seminar by Neil Levy

Last Thursday Professor Neil Levy has defended his Parity Principle for analysing the ethics of cognitive enhancement at the St Cross Special Ethics Seminar. Such principle would oppose a common form of objection against enhancement which claims that there is a worrying asymmetry between enhancement and traditional means to human improvement. Conversely, Neil contends that the function is all that matters morally when comparing enhancement with traditional means and that comparing isofunctional modifications reveals that there are little unique problems with enhancement. The Parity Principle leads to a useful analysis of several proposed critiques of cognitive enhancement. Continue reading

Animal suffering and the pointlessness of moral philosophy

(Above image here) Consider the infamous Chinese dog market. Dogs are rounded up, sometimes beaten while still alive (ostensibly to improve the flavour of their meat), killed, and eaten.

Everyone I know thinks it’s obscene, and that the suffering of the dogs cannot possibly be outweighed by the sensual satisfaction of the diners, the desirability of not interfering, colonially, with practices acceptable in another culture, or by any other consideration. It’s just wrong.

‘It’s just wrong’ is the observation that moral philosophers exist to denounce. They draw their salaries for interrogating this observation, exploding its naivety, and showing that the unexamined observation is the observation not worth making.

But what can the moral philosophers bring to the discussion about the Chinese dogs? Alone, and unaided by science, not much. The philosophy turns out to be either (a) reheated science or (b) a description of our intuitions, together with more or less bare assertions that those intuitions are either good or bad.  Continue reading

Should Rhodes stay or should he go? On the ethics of removing controversial statues

This is an unedited version of an article originally published by The Conversation.

Picture this: it’s 20 April 2021 and the charming Austrian village of Braunau am Inn – Hitler’s birth place – reveals a new statue of Adolf Hitler on the main square. In his inauguration speech, the mayor stresses that although Hitler obviously did many immoral deeds, he also achieved some good things, such as building motorways and railroads, and advancing rocket science. With the new statue, the village wishes to commemorate Hitler’s valuable contributions to Germany and Austria, contributions from which many still reap benefits.

If this scenario were to occur,[1] it would cause a public outcry. It would be considered offensive and disrespectful towards Hitler’s victims and their families. It would also be seen as conveying implicit approval or tolerance of the atrocities that were committed in his name, perhaps making the village authorities complicit in the continuing stigmatisation of those same groups targeted by Hitler. In no time, the village would succumb to the pressure to take it down.

If there are good reasons not to erect a statue of Hitler, are there also good reasons to remove existing statues that some find problematic, such as that of the controversial British imperialist Cecil Rhodes?

In January, after months of heated debate and Rhodes Must Fall activism, Oxford University’s Oriel College decided to leave a statue of Rhodes on his pedestal at the front of the college. But protests are continuing against Oriel’s decision – mixed in with calls to remove statues of other controversial imperialist figures. Continue reading

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