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2012

Back from the grave: Should we allow Elective Ventilation?

Mary is 62 years old. She is brought to hospital after she collapsed suddenly at home. Her neighbour found her unconscious, and called the ambulance. When they arrived she was deeply unconscious and at risk of choking on her own secretions. They put a breathing tube in her airway, and transported her urgently to hospital.

When Mary arrives she is found to have suffered a massive stroke. A brain scan shows very severe bleeding inside her brain. In fact the picture on the scan and her clinical state is described by the x-ray specialist as ‘devastating’. She is not clinically brain dead, but there is no hope. The emergency department doctors have contacted the neurosurgical team, but they have decided not to proceed with surgery as her chance of recovery is so poor.

In Mary’s situation, the usual course of events is to contact family members urgently, to explain to them that there is nothing more that can be done, and to remove her breathing tube in the emergency department. She would be likely to die within minutes or hours. She would not be admitted to the intensive care unit – if called, the ICU team would be likely to say that she is not a “candidate” for intensive care. However, new guidance from the National Institute of Clinical Effectiveness, released late last year, and endorsed in a new British Medical Association working paper, has proposed a radical change to this usual course of events.Read More »Back from the grave: Should we allow Elective Ventilation?

H5N1: Why Open the Stable Door?

Professor Paul Keim, who chairs the US National Science Advisory Board for Biosecurity, recently recommended the censoring of research that described the mutations which led to the transformation of the H5N1 bird-flu virus into a form that can be transmitted between humans through droplets in breath (in ferrets, the number of mutations required is frighteningly… Read More »H5N1: Why Open the Stable Door?

Sergei Lavrov’s Deontology

In Syria, Assad has sought to silence protests against his dictatorial regime using violence. Refusing to be cowed, the protests have resisted. The regime has since escalated the violence. As I write, the Syrian army continues to use massive force against a mainly civilian population. There is little doubt that serious crimes are being committed. After months of ignoring the situation, the West is finally beginning to sympathise with the plight of the Syrians. Yet an emasculated Security Council resolution was thwarted this week by the vetoes of Russia and China. Since then, various explanations have been offered to justify this stance. However, one justification in particular struck me.

Read More »Sergei Lavrov’s Deontology

Reflexiones sobre el caso Contador

Dick Pound afirma, en su autobiografía titulada Inside Dope que repasa los años que pasó luchando contra el dopaje al frente del Comité Olímpico Internacional (COI) y de la Agencia Mundial Antidopaje (AMA), que un periodista de L’Equipe solía referirse a él como “el sheriff del salvaje oeste”, porque se concibe como el chico bueno de la ciudad que tiene que atrapar a los chicos malos: los deportistas que se dopan.

Dick Pound fue el ideólogo, principal promotor y primer presidente de la AMA. Dedicó todos sus esfuerzos a declarar una guerra total al dopaje, sin importar los medios, las formas y, sobre todo, la realidad que vive el deporte de élite –incluso las investigaciones criminales encubiertas le parecían “excitantes”. Lo importante es que, como él mismo afirma en su otra biografía Inside the Olympics, “los tramposos podrán correr, por un tiempo,  pero no podrán esconderse para siempre”. El problema es que la AMA y todas las asociaciones deportivas que apoyan su guerra contra el dopaje han heredado la agresividad y beligerancia de la posición de su fundador.Read More »Reflexiones sobre el caso Contador

Reflections on Contador’s case

Dick Pound says in his autobiography Inside Dope, that a L’Equipe journalist used to call him the “sheriff from the Wild West”. The reason for this nickname is that Dick Pound thought of himself as the good guy who was in charge of catching the bad guys: the athletes who used enhancing-performance substances.

 

Dick Pound was WADA’s ideologue as well as its main promoter and first president. He spent his entire career developing a bellicose anti-doping campaign. The actual situation of athletes in contemporary sports or the means used to fight against that “evil” did not matter to him –in fact, he found the idea of undercover criminal investigations “exciting”. The only important thing to him was, as he assured the world in another autobiography, entitled Inside the Olympics; that “the cheaters may run, for a while, but they can no longer hide”. Read More »Reflections on Contador’s case

Is Drug Addiction a Lifestyle Choice?

According to BBC News this week, the brains of some people “may be wired for addiction.” A study has come out in the journal Science that presents evidence of abnormal brain structures that were found in drug addicts and their non-addicted siblings. The lead researcher, Dr Karen Ersche, was quoted by the BBC as saying that the study “shows that drug addiction is not a choice of lifestyle, it is a disorder of the brain and we need to recognize this.”

Has the Ersche et al study in fact shown that drug addiction is not a lifestyle choice? Has it proven that drug addicts should be treated as innocent patients with medical problems rather than being subject to moral censure for their failure to exert self-control, and for their irresponsible and often deeply anti-social behaviour? No! In fact, it is likely that no possible neuroscientific evidence could show such a thing.

Health warning: You may find brain scan images like these confusing!

Read More »Is Drug Addiction a Lifestyle Choice?

Oxford, Warsaw and Mock Tudor

Try this thought experiment.  Imagine three cities. A medieval city (something like Oxford). A city heavily bombed in World War II and completely rebuilt, with original materials etc. (e.g. the centre of Warsaw). A city constructed in 2012 to look just like the medieval city (e.g. .Poundbury the ‘traditional’ village Prince Charles has created in… Read More »Oxford, Warsaw and Mock Tudor

Contador’s Ban: The Death of Cycling?

Over 18 months after the race, Contador has been stripped of his 2010 Tour de France title, and banned for 2 years by the Court of Arbitration for Sport, making Andy Schleck the winner of the 2010 race.

The ban is punishment for the traces of clenbuterol, an anabolic steroid were found in his blood. Initially  cleared by the Royal Spanish Cycling Federation back in February 2011, Contador blamed the traces on contaminated meat brought in by a friend- indeed the traces were small- 40 times lower than the minimum rate WADA insists labs must be able to register to gain accredited status. However, it is possible that Contador was blood doping using blood taken during a training phase that had been insufficiently washed, leaving traces of steroids behind. Plasticizers were also found in his blood and can be a sign of IV usage, though the doctor who invented the test believes these tests may not yet be legally binding. Floyd Landis was also excluded with a similar pattern of steroid detected during the final stages of the race, probably as a result of contaminated blood doping.

Eddy Merckx said to Eurosport: “Sad for him and cycling. I think someone wants the death of cycling. We’re going too far”

Read More »Contador’s Ban: The Death of Cycling?

‘No right not to be offended’?: Part Two

Thanks to everyone who commented on my earlier post, the one in which I cast doubt on the popular claim that ‘nobody has a right not to be offended’. Here – at last – are my responses to the various comments people have made. Should an apology be needed, could I apologise for having taken so long to reply.  Perhaps I should also apologise for the length of this reply, but, given the number of interesting responses to my earlier post, I can’t really see how I could have made it any shorter.

 

I think the best way to organise this response is to set out my original argument step by step, and then deal with the objections which people have raised against each step in turn.  Here, then, is my initial argument in brief summary.

 

Step One: It is easy enough to think of cases in which (i) one person, P, offends another, Q and which are also (ii) examples of behaviour which any person of normal moral sensibility must recognise as morally wrong. (In my initial post, I illustrated the point with the example of someone who hurls verbal abuse at randomly selected passers-by.)

 

Therefore, ….Read More »‘No right not to be offended’?: Part Two

Nothing to lose? Killing is disabling

In a provocative article forthcoming in the Journal of Medical Ethics (one of a new series of feature articles in the journal) philosophers Walter Sinnott Armstrong and Franklin Miller ask ‘what makes killing wrong?’ Their simple and intuitively appealing answer is that killing is wrong because it strips an individual of all of their abilities – acting, moving, communicating, thinking and feeling.

So what, you might ask? If this is right, say Sinnott-Armstrong and Miller, it means that it would be just as bad to commit an act that caused someone to be in a permanent vegetative state, as it would to kill them.Read More »Nothing to lose? Killing is disabling