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Julian Savulescu’s Posts

The Continuing Tragedies of Home Birth and the Rights of the Future Child

By Lach De Crespigny and Julian Savulescu

Windsor Coroner’s Court has heard that a mother died within hours of giving birth at home after a private midwife committed a horrifying catalogue of errors . According to reports, the woman had previously delivered twins by emergency caesarean section, one of which later died. Her husband said his wife was ‘brainwashed’ into having a home birth by the midwife, who insisted it was safe. The Royal College of Obstetricians and Gynaecologists advise delivery in hospital after caesarean section so that an emergency caesarean delivery can be carried out if necessary. The midwife denied trying to persuade the couple to have a home birth. However she has greater responsibilities than this; as professionals we should try to persuade women to deliver in hospital if this is a safer option. But the midwife seems to have prioritized homebirth over life itself when she reportedly stated:

“Claire had a great pregnancy, she had a really lovely spontaneous birth at home and I hope Simon in time will remember that”

Read More »The Continuing Tragedies of Home Birth and the Rights of the Future Child

Why Does the USADA Want Convicted Dopers to Win the Tour de France?

Lance Armstrong may be stripped of his 7 Tour De France wins after he announced today that he will mount no defence against USADA’s charges of doping throughout his career.

USADA have claimed this as a victory, calling the result “a reassuring reminder that there is hope for future generations to compete on a level playing field without the use of performance-enhancing drugs”.

If Armstrong is stripped of his Tour victories, the new list of “winners” will contain many names familiar to those who have followed cycling’s infamous doping scandals: Jan Ullrich (banned for doping), Ivan Basso (banned for doping), Andreas Klöden (accused of blood doping- the case was closed when he made a 25000 Euro payment to settle the charges, without an admission of guilt. NADA, the German anti-doping agency, have recently expressed an interest in re-opening the case),  and Joseba Beloki (implicated though not charged in Operacion Puerto investigations). Of the new victors, only Jaan Kirsipuu has been neither implicated nor proven to be doping. If he is the hope that USADA is banking on, it is a slim one. Along with many who have previously been banned for doping, Basso and Klöden are still riding, still performing at a competitive elite level (5th in Giro d’Italia 2012 and 11th in Tour de France 2012 respectively). The Olympic gold medal in road cycling was won by Vinokourov, another convicted doper.

Read More »Why Does the USADA Want Convicted Dopers to Win the Tour de France?

Philosophy and the Badminton Scandal

I was emailed by a journalist yesterday from Bloomberg for a comment on the Badminton expulsion scandal. Several teams have been expelled for deliberately losing to gain better places in the draw to increase their chances of winning.

Here is the story that came out in Bloomberg

Here is the actual quote I sent the journalist:

“The players were ejected for violating the Players’ Code of Conduct, Sections 4.5 and 4.6, for “not using one’s best efforts to win a match” and “conducting oneself in a manner that is clearly abusive or detrimental to the sport.”

However, many competitors fail for various psychological reasons to use their best efforts to win a match. Having a temper tantrum is hardly using your best efforts. And since when is strategy abusive to sport. If there is a problem, then the rules for the draw should be changed. This is typical of the puritanical moralism that is infecting sport. First it was a war on performance enhancement because it was against the spirit of sport – nonsense, it is the spirit of sport. Now we see the same moralists trying to define a good sport and enforce some anachronistic account of the spirit of sport. Boo them by all means, but don’t disqualify them if they have not broken clear rules. This kind of subjective code of conduct belongs to Victorian times. It is absurd to have a rule that you have to try to win in competitive sport. It’s like having a law that you have to try to love someone in a marriage. Of course you should do it, but it’s absurd to have rules that require it. You can get dropped from the team, or booed, or divorced, for not trying hard enough – but this is not the place for these kinds of rules or laws.”

One thing I did not write was that there is another philosophical diagnosis of this scandal. That is, attachment on the part of Olympic officials to the so-called “intention-foresight” distinction that also grounds the famous Catholic Doctrine of Double Effect. According to the intention-foresight distinction, there is a moral distinction between the effects of our actions that we intend and those that we foresee, but don’t directly intend.

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Stop Persecuting Armstrong: Time for a Doping Amnesty in Cycling

By Julian Savulescu and Bennett Foddy

The anti-doping witch hunt being perpetrated by the US Anti-Doping Agency (USADA) is ruining cycling. There is a simple solution: an amnesty for dopers and relax anti-doping laws.

The Story So Far

Lance Armstrong has accused the USADA of running a vendetta amidst claims from a Dutch newspaper that 4 former team mates are witnesses against him, all of whom are riding in this year’s Tour de France. Speculation on what was offered to these riders in exchange from their testimony has focussed on a six month ban, delayed until after the Tour de France, though this has been denied. USADA has refused to name any of the 10 witnesses. Lance Armstrong, in a tweet, has labelled the anonymity and immunity offered in exchange for testimony against him as ‘selective prosecution’ and a ‘vendetta’.

Armstrong stands accused of doping violations between 1998 and 2005, and, if found guilty, will face losing all his seven wins, with accusations including the use of EPO, blood transfusions and steroids, following his treatment for cancer and throughout his Tour de France wins. His former team mates Hincapie, Leipheimer, Vande Velde and Zabriskie did not stand for consideration for the United States Olympic team. A two year federal investigation resulted in no charges filed and Armstrong has not failed any drug tests but has been dogged by rumours and accusations for many years.

The fact is though that every winner of the Tour de France has been implicated in doping since Miguel Indurain, except Cadel Evans and Andy Schleck.

Read More »Stop Persecuting Armstrong: Time for a Doping Amnesty in Cycling

Should you take ecstasy to improve your marriage? Not so fast …

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 …

Frankenlamb

A headless lamb was recently born. This is a natural phenomenon. It is similar to anencephaly in human beings.

I wrote recently on the moral obligation that vegetarians have to support the development and consume frankenmeat, derived from stem cell technology.

The occurrence of the headless lamb raises another intriguing option for those who oppose the rearing of animals in the food industry on grounds of suffering caused by farming practices. Headless animals, including lambs, do not suffer.

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A moral argument against the war on drugs

By Julian Savulescu and Bennett Foddy 

Former Brazilian President, Fernando Henrique Cardoso, has argued that the war on drugs has failed and cannabis should be decriminalised. He argued that the hardline approach has brought “disastrous” consequences for Latin America. Having just returned from Rio, one can only agree. One of us was staying with an eminent professor of philosophy. We were returning to her house with her 11 year old daughter, only to have our way blocked by police with machine guns. They were hunting a drug lord in the local favela – this road was the only escape route and they were preparing for possible altercation.

Cardoso highlights the practical failure of a zero-tolerance approach. A zero tolerance approach to a crime like taking drugs must always fail, in the same way as a zero-tolerance approach to alcohol, prostitution or drugs in sport will always fail. Paradoxically, the worst thing you could do to the drug lords in Rio is not to wage a war on them, but to decriminalise cocaine and marijuana. They would be out of business in one day. Supplies could be monitored, controlled and regulated – the harm to users and third parties significantly reduced.

The case for legalizing drugs has been made often, most recently by Cardoso and by Australia’s foreign minister, Bob Carr, who this week co-signed a report declaring that ‘the war on drugs has failed’. The argument is nearly always put forward in terms of the burdens that the drug war has imposed on us in terms of crime and public health. And it is true that these things give us good reason to abandon Nixon’s war on drugs. But we so rarely hear a moral argument in favour of liberalizing drug laws. This is a mistake. Although experts have told us time and time again that things would be better without the drug war, politicians have ignored the expert advice because voters do not want drugs laws to be loosened. And voters feel this way not because they think they know better than the experts, but because they have moral objections to drug use. There is a hidden moral debate driving the war on drugs that we never seem to bring out in the open.

Read More »A moral argument against the war on drugs

How Tony Nicklinson Already Has the Right to Die

According to a BBC report, Tony Nicklinson, 58, from Melksham, Wiltshire, has “locked-in syndrome” after a stroke in 2005 and “is unable to carry out his own suicide.” “He is seeking legal protection for any doctor who helps him end his life.”

In fact, it is not quite correct that Tony Nicklinson “is unable to carry out his own suicide.” He could at present refuse to eat food or drink fluids. Hunger strikers do this for political reasons. He could do it for personal reasons. People should not be force fed against their own autonomous wishes.

Now suppose that Tony did refuse to eat or drink, because he wanted to die because he found a life locked-in to be intolerable. He would die in weeks, perhaps less. Given that he will die, he should be given medical treatment to make his last weeks as comfortable as possible. He should be given sedation and analgesia. He could even be given such doses that render him unconscious.

Such a process already happens, int he UK, in a slightly different way. In the famous case of Tony Bland, law lords authorized the removal of a feeding tube that was keeping Tony Bland, who was permanently unconscious. They, his family and doctors all judged that continued life was not in his interests.

Read More »How Tony Nicklinson Already Has the Right to Die

“Liberals Are Disgusting”: In Defence of the Publication of “After-Birth Abortion”

Editorial note: John Harris has responded to this post to clarify his position on infanticide. You can find the relevant post here.

The Journal of Medical Ethics prepublished electronically an article by Alberto Giubilini and Francesca Minerva entitled “After-birth abortion: why should the baby live?”

This article has elicited personally abusive correspondence to the authors, threatening their lives and personal safety. The Journal has received a string abusive emails for its decision to publish this article. This abuse is typically anonymous.

I am not sure about the legality of publishing abusive threatening anonymous correspondence, so I won’t repeat it here. But fortunately there is plenty on the web to choose from. Here are some responses:

“These people are evil. Pure evil. That they feel safe in putting their twisted thoughts into words reveals how far we have fallen as a society.”

“Right now I think these two devils in human skin need to be delivered for immediate execution under their code of ‘after birth abortions’ they want to commit murder – that is all it is! MURDER!!!”

“I don‘t believe I’ve ever heard anything as vile as what these “people” are advocating. Truly, truly scary.”

“The fact that the Journal of Medical Ethics published this outrageous and immoral piece of work is even scarier”

(Comments selected from The Blaze, which features the article as a news item )

As Editor of the Journal, I would like to defend its publication. The arguments presented, in fact, are largely not new and have been presented repeatedly in the academic literature and public fora by the most eminent philosophers and bioethicists in the world, including Peter Singer, Michael Tooley and John Harris in defence of infanticide, which the authors call after-birth abortion.

Read More »“Liberals Are Disgusting”: In Defence of the Publication of “After-Birth Abortion”

Vegetarians Have Moral Obligation to Eat “Frankenmeat”

The Daily Telegraph reports:

Prof Mark Post, of Maastricht University in the Netherlands, yesterday announced the world’s first test tube hamburger would be served up in October. Heston Blumenthal, the experimental chef, will cook the patty grown in a lab from a cow’s stem cells. Each portion will cost £220,000, but Prof Post hopes if the burger is a success he can develop the technology on an industrial scale.

“This is meat produced without the cruelty, carbon footprint or waste of resources,” said Alistair Currie, a spokesman for the vegan campaign group.
“It’s a hugely beneficial development for animals. We welcome this development, which shows this is a viable idea.”

He added the charity had no ethical objections to the fact that the test-tube patty will technically be a meat product.
He said: “Peta [People for the Ethical Treatment of Animals] has no objection to the eating of meat. Peta objects to the killing of animals and their exploitation. I personally don’t fancy eating this, but if other people do that’s fine.”

Even though Mr Currie doesn’t fancy eating Frankenmeat, he has a moral obligation to do so. It is not just other people who should eat this meat, vegans also have a moral obligation to eat it. Here is why.

Read More »Vegetarians Have Moral Obligation to Eat “Frankenmeat”