By Brian D. Earp See Brian’s most recent previous post by clicking here. See all of Brian’s previous posts by clicking here. Follow Brian on Twitter by clicking here. UPDATED as of 27 May, 2013. See the bottom of the post. The AAP report on circumcision: Bad science + bad ethics = bad medicine For… Read More »The AAP report on circumcision: Bad science + bad ethics = bad medicine
In ethical discussions, we are often quick to lambast advertisements for the way in which they can subvert the consumer’s autonomy. It is certainly true, as other posts on this blog record, that some advertisements aim to intentionally deceive consumers, and to manipulate their preferences in a manner which can serve to undermine their autonomy.Read More »Advertising, Autonomy and Breastfeeding: Some Reflections.
It is hardly a keen insight to note that there are a lot of problems in the world today, and that there are also lots of suggested solutions. Often these can be classified under three different labels:
In this view, it is tremendously good news that scientists are getting closer to producing artificial organs. If this goal is achieved, it will be a technological solution to the problem of transplant organ shortages – and technological solutions tend to be better than institutional solutions, which are generally much better than “good guy” solutions. The “good guy” solution to organ donation was to count on people to volunteer to donate when they died. Better institutions (such as an opt-out system where you have to make a special effort not to be a donor, rather than a special effort to be a donor) have resulted in much improved donation rates. But cheap artificial organs would really be the ultimate solution.
Of course I don’t denigrate the use of getting people on your side, nor the motivations of those who sincerely want to change things. But changes to people’s attitudes only tend to stick around as long term solutions if this is translated into actual institutional or technological changes.
Take slavery, for instance. Read More »Artificial organs: “good guys” finish last to technology
By Charles Foster
A highly intelligent 32 year old woman has profound anorexia. She has had it for years. It is complicated by alcohol and opiate dependency, and by personality disorder. Her BMI is 11.3. A healthy BMI is around 20. Less than 17.7 is in the anorexic range. Less than 14 indicates dangerous weight loss. Over the last 4 years her BMI has been well below 14. She describes her life as ‘pure torment’. All the things she wanted to do have been frustrated by her illness. She feels unable to give anything to the world, or to take anything out. For years she has had intense treatment for her anorexia and related conditions. On about 10 occasions she has been sectioned under the Mental Health Act. One of those periods lasted almost 4 months. Twice she has executed advance decisions refusing life-saving or life-prolonging treatment.
There are only two options: death or the violation of her autonomy . If she is not admitted against her will to hospital, detained there for not less than a year, and forcibly fed under physical or chemical restraint, she will die. She understands this perfectly well. She doesn’t actively seek death, but doesn’t want to be force fed. As well as the anorexic’s usual horror of calories, the forcible medical administration of nutrition reminds her horribly of the sexual abuse she suffered as a child.Read More »To kill or to violate?
Love drugs and science reporting in the media: Setting the record straight
By Brian D. Earp, Julian Savulescu, and Anders Sandberg
Love. It makes the world go round. It is the reason we have survived as a species. It is the subject of our art, literature, and music—and it is largely the product of chemical reactions within the brain.
No wonder science is starting to unravel the ways in which we can influence it, and perhaps even control it.
Just as Darwin’s finding that we are descended from apes shocked people in the nineteenth century, so people will be shocked to find that our most lofty social ideal is something we share with our mammalian cousins and which is the subject of scientific scrutiny and even chemistry-book manipulation.
In 2008, two of us (Julian Savulescu and Anders Sandberg) published an article in the journal Neuroethics on the topic of “love drugs” – a term we use to refer to pharmacological interventions based on existing and future bio-technologies that could work to strengthen the bond between romantic partners. All three of us have an article just published in the journal Philosophy & Technology in which we build upon that earlier work. Interested readers will take the time to study those papers in full, but we have a feeling that much of the population will stop at a handful of media reports that have recently summarized our ideas, including at least one article that we think has the potential to mislead. Let us set the record straight.
Read More »Should you take ecstasy to improve your marriage? Not so fast …
Yesterday, with the help of first lady Michelle Obama, the Walt Disney Company announced that from 2015, it will no longer allow the advertisement of junk food on its media outlets (http://www.bbc.co.uk/news/world-us-canada-18336478). This announcement has been lauded by those who are alarmed by the colossal statistics regarding childhood obesity in the USA. Mrs. Obama herself hailed the initiative as a “game changer”.
The USA (but not only the USA) is facing an epidemic of childhood obesity. 17% of all children and adolescents in the USA are clinically obese, triple the rate of what it was one generation ago (http://www.cdc.gov/obesity/childhood/index.html). This percentage might even be higher according to a recent study (http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0033308). Given the numerous health problems associated with obesity, this is clearly a cause for grave concern.Read More »Banning Junk Food Ads On Disney Media Outlets: A “Game-Changer”, or a Mickey Mouse Measure?
* Note: this article has been re-posted at various other sites, sometimes with minor edits. This is the original and should be referred to in case of any discrepancies.
A fatal irony: Why the “circumcision solution” to the AIDS epidemic in Africa may increase transmission of HIV
1. Experimental doubts
A handful of circumcision advocates have recently begun haranguing the global health community to adopt widespread foreskin-removal as a way to fight AIDS. Their recommendations follow the publication of three [1] randomized controlled trials (RCTs) conducted in Africa between 2005 and 2007.
These studies have generated a lot of media attention. In part this is because they claim to show that circumcision reduces HIV transmission by about 60%, a figure that (interpreted out of context) is ripe for misunderstanding, as we’ll see. Nevertheless, as one editorial [2] concluded: “The proven efficacy of MC [male circumcision] and its high cost-effectiveness in the face of a persistent heterosexual HIV epidemic argues overwhelmingly for its immediate and rapid adoption.”
Well, hold your horses. The “randomized controlled trials” upon which these recommendations are based are not without their flaws. Their data have been harnessed to support public health recommendations on a massive scale whose implementation, it has been argued, may have the opposite of the claimed effect, with fatal consequences. As Gregory Boyle and George Hill explain in their extensive analysis of the RCTs:
Wellcome Lecture in Neuroethics: The brain disease model of addiction: Assessing its validity, utility and implications for public policy towards the treatment and prevention of addiction Wayne Hall, NHMRC Australia Fellow, University of Queensland Centre for Clinical Research Thursday 14 June, 5.30 – 7.00 p.m., Seminar Room 1, Oxford Martin School, 34 Broad St. ALL… Read More »Wellcome Lecture in Neuroethics: Wayne Hall on the brain disease model of addiction
New York Times writes about “In Choosing a Sperm Donor, a Roll of the Genetic Dice”: recipients of sperm donation have found out the hard way that there is a risk of genetic disease affecting their children. In at least one case a donor with a clean bill of health and who had, according to the laboratory, been tested for genetic conditions. Unfortunately he turned out to be a carrier for cystic fibrosis like the mother, and the child suffered. Other cases of transmission of genetic conditions to multiple children from a single donor have appeared, suggesting a need to do something. Is there an ethical need for ensuring genetic testing in the case of sperm donation – or is the problem that some donors father many children?
Suppose that a despotic political regime is keeping its citizens in cramped and unhygenic labour camps. The survival and and economic productivity of the incarcerated individuals is sustained only through the widespread administration of antibiotics which helps to prevent epidemics. It is difficult for international organisations to do anything about these work camps, but one thing they could do is cut off the supply of antibiotics. This would risk the lives of thousands of inmates in the short term, but can also be expected to put an end to the work-camp system in the longer term, since it would render the camps uneconomic.
Should the international organisations cut-off the supply of antibiotics? It is doubtful whether they should.
But now suppose we replace the work-camps with chicken houses and sow stalls, and the citzens with farm animals. Many farm animals held under cramped and unhygenic conditions are kept alive, and economically productive, only through the widespread administration of antibiotics. Restricting access to these antibiotics would force the agricultural industry to reform these practices. In this case it seems more plausible that antibiotic use should be restricted. At least, this is what Robert S. Lawrence writes in The Atlantic.
