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Would you shock your brain to cope with culture shock?

In a paper published this last Friday, university of Oxford researchers showed that electrical stimulation may help people learn numbers faster (see Julian Savulescu’s post for Why Bioenhancement of Mathematical Ability Is Ethically Important). In the experiment, 20 min of stimulation to the right parietal lobe, a brain region shown previously to be important in numerical ability, caused subjects to faster learn the relative magnitudes ( i.e. which is bigger) of a set of nonsense symbols. Proper magnitude of each symbol was assigned beforehand by the experimenters.

When Cardiff University’s Christopher Chambers was reached for comment in the BBC article covering this paper, “he said that the study did not prove that the learning of maths skills was improved, just that the volunteers were better at linking arbitrary numbers and symbols and warned that the researchers needed to make sure other parts of the brain were unaffected.” Dr Chambers has an important cautionary point, but could learning the magnitudes of arbitrary symbols alone be beneficial? And how much would it matter if other brain areas were affected?

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Retaining privacy: the EU commission and the right to be forgotten

Do we have a right to be forgotten? That was the question posed to me by BBC Newsnight in the light of the EU Commission's latest draft framework for data protection policies. EU Commissioner for Justice Viviane Reding stated that “The protection of personal data is a fundamental right”, and set out to fix current privacy protection measures in the light of changing technology and globalization. Among other things users should be able to give informed consent to the use of their personal data, and have a "right to be forgotten" when their data is no longer needed or when they want their data deleted.

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Is professional integrity a futile argument?

by Dominic Wilkinson

In an earlier post this week I argued that there are only two substantive reasons for doctors not to provide treatment that they judge futile – either on the basis of a judgement that treatment would harm the patient (a form of paternalism), or on the basis that providing treatment would harm others (on the basis of distributive justice). I rejected the idea that professional integrity provided an additional reason to withhold or withdraw treatment.

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Break my bones, but don’t let me die! Should doctors provide ‘futile’ CPR?

by Dominic Wilkinson

Two recent cases in a Toronto hospital illustrate a dilemma that hospital doctors face all too frequently. What should they do if patients or their representatives insist on treatment that the doctor believes would be futile? Should they just go along with the patient despite their misgivings? Alternatively, should they unilaterally withhold treatment if they feel it would be inappropriate to provide it?

Read More »Break my bones, but don’t let me die! Should doctors provide ‘futile’ CPR?

Anti Addict Mummy Money

A US group that pays drug addicts to undergo sterilisation visits the UK this week, having recently paid its first British client for undergoing a vasectomy. “Project Prevention” claims that its goal is to make addicts and alcoholics use long-term birth control until they can care for the children they conceive. Founder Barbara Harris has said: “We don’t allow dogs to breed. We spay them. We neuter them. We try to keep them from having unwanted puppies, and yet these women are literally having litters of children.”

The visit has provoked strong responses. Some have compared the group to eugenicists, while supporters point to the cost to the children and society of conception by addicted parents. Dominic Wilkinson has controversially suggested on this blog that a version of the programme could be offered on the National Health Service.

This ethical debate is on the level that Mackie (1977) identifies as first order. However, the issue also highlights second order moral issues about the nature of morality. What are we doing when we express a moral view and how do we know that our views are reliable? One approach to answering these sorts of questions is to understand human morality as an adaptation that contributed to our ancestors’ evolutionary fitness. Without addressing the strengths and weaknesses of such an approach here, if correct, it has the potential to illuminate second, and by implication first, order questions.

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Benefit cuts for large, workless families

The UK's culture secretary, Jeremy Hunt, has suggested that the state should limit the provision of social security benefits to large, unemployed families. Hunt said last week that

The number of children that you have is a choice and what we're saying is that if people are living on benefits, then they make choices but they also have to have responsibility for those choices . . . It's not going to be the role of the state to finance those choices.

Two quite different arguments might be offered in support of such a move.

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Should we force parents to vaccinate their children? No: let’s just scare them instead

by Rebecca Roache

The BBC recently reported that some homeopaths are offering their patients homeopathic remedies designed to replace the MMR vaccine.  Given that the efficacy of homeopathic remedies is notoriously unproven, this points to the worrying conclusion that some parents who have chosen a homeopathic alternative to the MMR vaccine believe that their children are immune to measles, mumps, and rubella, when in fact they are unprotected against these diseases.

This development marks another blow for the ongoing campaign to ensure that children receive the recommended vaccinations.  Sir Sandy Macara, ex-chairman of the British Medical Association, has claimed that the UK has lower immunisation rates than some developing countries in which people have poor access to healthcare.  The percentage of the UK population currently vaccinated against MMR falls well below the level needed to achieve ‘herd immunity’ – where the number of immune individuals in the population prevents the spread of disease, thereby protecting those who are not immune – and recent outbreaks of measles in Wales has led the Welsh Assembly to consider making the MMR vaccine compulsory.  Such a move would be highly controversial, but is this a price worth paying to protect public health?

Read More »Should we force parents to vaccinate their children? No: let’s just scare them instead

KILLING 100 IS LESS BAD THAN KILLING 10?

Other things being equal, killing two people must be worse than killing one, and killing three people worse than killing two. Right?

But a new study by Loran Nordgren and Mary McDonell, published in Social Psychology and Personality Science, suggests people don’t respond in such a rational way to the scope of a criminal act.

The study finds that people judge criminals who’ve harmed more people less harshly than criminals who’ve harmed fewer people. What’s more they’d punish them less severely. What’s more more, subjects turned out to be less willing to blow the whistle on a crime if there are more victims. What’s more more more, these results were not just produced with hypothetical examples in the laboratory: when the authors examined how juries in the US had reacted in real court cases they discovered a similar pattern. Juries handed out more lenient punishment to those responsible for harming more people.

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Is the UK’s HPV vaccination programme unethical and/or unlawful?

A colleague recently emailed me. Her daughter, just turned
12, had come back from school bearing an information leaflet about HPV vaccination
with the Glaxo Cervarix vaccine, and a consent form for the parent to sign.

The consent form nodded inelegantly to Gillick, asserting that ‘[t]he decision to consent or refuse is
legally [the girl’s], as long as she understands the issues in giving consent.’
There was no indication given, in the consent form or the accompanying
literature, as to whether and if so how that understanding would be tested. The
reality is that it won’t be tested at all.

Read More »Is the UK’s HPV vaccination programme unethical and/or unlawful?