Skip to content

Biomedical enhancement and the need for more precise conceptions

Biomedical enhancement and the need for more precise conceptions

Much of the discussion about biomedical enhancements is about arguing whether some biomedical enhancement would, or would not be a good, ethical, or efficient means for enhancing a particular human characteristic. In this blog and in other bioethical literature bioethicists discuss the proposed effects that biomedical enhancements would have, for example, to intelligence and other cognitive capacities, empathy, sunny mood, altruism, sense of justice, or to halting climate change. The list is extensive and endless. The discussion on efficacy, ethics, justice, and human nature is an important part of the whole philosophical debate, as is the discussion about the limits of philosophy, reality, and science fiction. However, an important point that might be in need of emphasis would be to take under inspection the very concepts that are the target of enhancement. What do intelligence, sunny mood, altruism, sense of justice, and the-characteristics-that-prevents-us-halting-climate-change really mean?

If the target characteristics are looked at carefully, it seems that much of the discussion can be described as a form of language bewitchment where conceptions of the human language and conceptions of the empirical science of biology are mixed. Just because the human language includes conceptions such as intelligence, altruism, sunny mood, criminal, and sense of justice, it does not mean that there would be any corresponding concrete physical entities to these conceptions.

Read More »Biomedical enhancement and the need for more precise conceptions

Was it the State?

Two months ago today in Mexico, on September 26, María de los Ángeles Pineda, wife of the former mayor of Iguala, José Luis Abarca, prepared to give a speech in which she was to report on her work as president of the local public institution dedicated to social assistance (DIF). At the same time, a group of students from the Normal School Ayotzinapa—an institution well known for its tradition in political resistance—were on their way to Iguala (apparently, in buses they had hijacked) to protest government education reforms. The mayor, afraid that the students might interfere with his wife’s speech and jeopardize her aspirations to become the next mayoress, gave orders to the police to stop them. In a series of vicious clashes with the police, six people including three students were killed (one had his eyes torn out and his face flayed to a skull), and 43 students disappeared.

According to the reconstruction of the facts provided by the Attorney General of Mexico, the 43 students were loaded on a pickup truck and driven to the nearby Cocula, where they were handed over to a drug gang known as Guerreros Unidos (Warriors United). As reported by three arrested members of this group, the students were then killed and burned (some of them still alive) on a pyre. It appears that both José Luis Abarca and his wife were members of Guerreros Unidos, that the mayor used public funds to transfer between 2 and 3 million pesos a month to the criminal group (roughly between  £90,000 and £140,000), and that he had previously assassinated one of his political enemies.

In one of the mass protests that have taken place since the students went missing, a sign was painted in Mexico City’s main square that read: “It was the State.” A photo of the sign circulated widely on the Internet, and the phrase became a viral hashtag in social networks. In response, Mexico’s Attorney General said that “Iguala is not the Mexican State.”

Was it the State?

Read More »Was it the State?

Lying to children

A study published this month shows that school-aged children are more likely to lie to an adult if that adult had recently lied to them. The British Psychological Society’s Research Digest summarizes the study here.

Hays and Carver took school-aged (and preschool-aged) children and assigned them to one of two experimental conditions. In the first condition – the lie condition – the child was told that there was a large bowl of sweets in the experiment room when in fact there was no such bowl. Read More »Lying to children

The Wrongness of Do Not Resuscitate Orders Being Ignored

  • by

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

  • by

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