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2014

The Wrongness of Do Not Resuscitate Orders Being Ignored

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Guest Post by Joseph Bowen

Joseph is a BPhil Student studying at Oxford University.

Following a surprise inspection of Colchester General Hospital by the Care Quality Commission (CQC) on Friday 14th November, it was reported that inspectors had found that some patients (“elderly people, some [suffering from] dementia”) had been inappropriately restrained, and/or sedated without consent, and that ‘Do Not Resuscitate’ (DNR) notices were being disregarded. What struck me about this case is that, while all are horrible practices, the DNRs being ignored seemed worse than the inappropriate restraint and sedation without consent.Read More »The Wrongness of Do Not Resuscitate Orders Being Ignored

What Kind of Altruism is Most Effective?

Imagine that you have been left a large legacy, and would like to donate it to a charity, with a view to doing the most good possible.

It’s natural to think that one set of charities you should consider are those which cheaply save people’s lives, and perhaps particularly young people’s lives. For then you can count the good in the rest of those people’s lives as a good you’ve brought about.Read More »What Kind of Altruism is Most Effective?

The ethics of DocAdvisor: Is accountability always a good thing?

Dominic Wilkinson @NeonatalEthics

 

In the news this morning, the NHS has released data on individual surgeons’ performance, so called “surgeon report cards”. This represents the latest move towards increased transparency and accountability in the National Health Service. Elsewhere in the media today, there are numerous reports of the UK couple who were apparently charged £100 after posting a negative hotel review on an online website.

These parallel stories highlight one concern about certain types of health accountability: sensitivity to the negative impact of reviews (or poor performance figures) could lead to harmful changes in behaviour. For surgeon report cards, one frequently cited concern is that publishing report cards could lead surgeons to avoid high-risk cases. If surgeons choose patients with lower risk of dying, they will potentially end up with a better report card. However, then the results would be misleading (it would be the equivalent of someone getting a higher mark by choosing to sit an easier test). More worrying, it may mean that some high-risk patients are unable to access surgery.

Should we be worried about the negative effect of report cards on surgeons behaviour?Read More »The ethics of DocAdvisor: Is accountability always a good thing?

Cognitive enhancement, legalising opium, and cognitive biases

Suppose you want to enhance your cognition. A scientist hands you two drugs. Drug X has at least 19 controlled studies on the healthy individual showing it is effective, and while a handful of studies report a slight increase in blood pressure, another dozen conclude it is safe and non-addictive. Drug Y is also effective, but it increases mortality, has addiction potential and withdrawal symptoms. Which one do you choose? Great. Before you reach out for Drug X, the scientist warns you, “I should add, however, that Drug Y has been used by certain primitive communities for centuries, while Drug X has not.” Which one do you choose? Should this information have any bearing on your choice? I don’t think so. You probably conclude that primitive societies do all sort of crazy things and you would be better off with actual, double-blind, controlled studies.

Now what if I told you that, regardless of your interest in cognitive enhancers, you have been choosing Drug Y over and over, day after day, for several years?Read More »Cognitive enhancement, legalising opium, and cognitive biases

Should men be allowed to discuss abortion?

@JimACEverett

 www.jimaceverett.com

Feminists are kicking up quite a storm in Oxford at the moment. Oxford Students for Life have organized a debate on abortion to happen tomorrow (the 18th November, 2014), which has inspired some rather troubling attacks. Now, Oxford feminists (‘WomCam’) are generally rather intolerant of any pro-life rhetoric (or, indeed, anyone that disagrees with them), but what has really got their goat this time is that the debate is between two men.

“It is absurd to think we should be listening to two cisgender men debate about what people with uteruses should be doing with their bodies. By only giving a platform to these men, OSFL [Oxford Students for Life] are participating in a culture where reproductive rights are limited and policed by people who will never experience needing an abortion.”

Read More »Should men be allowed to discuss abortion?

One Million Readers: Thank You

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We are pleased to have reached our one millionth reader since our records began. Thank you to all our authors, guest posters, readers and commentators who have supported the blog over a number of years. And thanks to reader one million, whoever you are… We would like to mark the occasion by taking stock about… Read More »One Million Readers: Thank You

A Methodological Worry for ‘Top Down’ Accounts of Human Rights

The language of human rights is pervasive both in academic literature and international legal practice. We often take the satisfaction of human rights to be a necessary condition for a state’s legitimacy, and the failure of a state to respect human rights as grounds for international intervention. However, providing an account of the nature of human rights—figuring out what exactly it is for something to be a human right—is quite a difficult task. Here I want to present two problems I’ve been thinking about recently with ‘top down’ approaches to determining the nature of human rights.[1]Read More »A Methodological Worry for ‘Top Down’ Accounts of Human Rights

Why I Am Not a Utilitarian

Utilitarianism is a widely despised, denigrated and misunderstood moral theory.

Kant himself described it as a morality fit only for English shopkeepers. (Kant had much loftier aspirations of entering his own “noumenal” world.)

The adjective “utilitarian” now has negative connotations like “Machiavellian”. It is associated with “the end justifies the means” or using people as a mere means or failing to respect human dignity, etc.

For example, consider the following negative uses of “utilitarian.”

“Don’t be so utilitarian.”

“That is a really utilitarian way to think about it.”

To say someone is behaving in a utilitarian manner is to say something derogatory about their behaviour.

Read More »Why I Am Not a Utilitarian

Doing Good by Doing Nothing?

@JimACEverett

 www.jimaceverett.com

 

A common theme running through debates on combating global problems like poverty and common change is the idea that something must be done. Usually, this is taken to mean that some prosocial behaviour must be actively encouraged and sought out: for example, encouraging people to recycle, or having public health campaigns to encourage people to vaccinate. These solutions typically require individuals going out of their way to do what is often a costly behaviour, and consequently, have only limited success. But what if prosocial behaviour could also be encouraged by making use of the passivity of human nature? What if people could do good by doing nothing?

Read More »Doing Good by Doing Nothing?

Sinnott-Armstrong on Implicit Moral Attitudes

On October 30th, Professor Walter Sinnott-Armstrong of Duke University gave the 2014 Wellcome Lecture in Neuroethics.  His talk, “Implicit Moral Attitudes”, concerned the practical and theoretical implications of recent empirical research into unconscious or sub-conscious beliefs or associations.  Recordings of his talk will be made available soon Audio recording of the talk is available here: http://media.philosophy.ox.ac.uk/neuro/MT14_WLN_WSA.mp3.  For those interested that were unable to attend, I will summarise the main points of Sinnott-Armstrong’s talk and some of the discussion that occurred during the Q&A afterwards. Read More »Sinnott-Armstrong on Implicit Moral Attitudes