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Is Home Birth Really As Safe As Hospital Birth? “Woman-centred Care” vs “Baby-centred Care”

Is Home Birth Really As Safe As Hospital Birth? “Woman-centred Care” vs “Baby-centred Care”

Imagine that you and your partner are having a baby in hospital. Tragically something goes wrong unexpectedly during birth and the baby is born blue. He urgently needs resuscitation if there is to be a chance of preventing permanent severe brain damage. How long would it be reasonable for doctors to wait before starting resuscitation? 15 minutes? 5 minutes? 1 minute?

What would be a reasonable excuse for delaying the commencement of resuscitation? They wanted to get a cup of coffee? The mother wanted to hold the baby first? The mother had catastrophic bleeding and this needed urgent attention?

If it were my baby, I would not want any delay in starting resuscitation. And there would be no justification for delaying resuscitation except some more serious, more urgent problem for another patient, such as the mother.

Yet when people choose homebirth, delay is precisely what they choose. It is simply not possible to start advanced resuscitation in the home within minutes. And their reason is not typically some relevant competing health concern that necessitates delivery at home.

Choosing home birth is choosing delay if some serious problem arises which requires immediate resuscitation.

Read More »Is Home Birth Really As Safe As Hospital Birth? “Woman-centred Care” vs “Baby-centred Care”

Do people have a right to be bigots?

 Last month Australia’s Attorney-General said in parliament that “people have the right to be bigots”. The remark came in the context of a debate about the government’s proposed amendments to sections of the country’s Racial Discrimination Act 1975 that deal with racial hate speech.

The relevant provisions of the Act make it unlawful for a person to ‘do an act’, otherwise than in private, if:

(a)    the act is reasonably likely, in all the circumstances, to offend, insult, humiliate or intimidate another person or a group of people; and

(b)   the act is done because of the race, colour or national or ethnic origin of the other person or of some or all of the people in the group.

This section was added in 1995 and until recently had largely gone unnoticed by the majority of Australians. But the newly elected government made a commitment prior to its election that it would amend the provision (and a defence provision) on the grounds that it unduly restricts free speech – and so a hearty debate has ensued.

The question is: are hate-speech laws, and in particular the Australian provision, overly restrictive of free speech?

 Read More »Do people have a right to be bigots?

‘Hello Kitty’, Society, Utopia

Several people have asked me why I wrote a post to defend Avril Lavigne’s music video ‘Hello Kitty’. I’m a little bemused by the question, as I thought my main motive was self-explanatory: it is a part of philosophers’ job to consider when it’s appropriate to use normative terms to blame someone or something. It’s one… Read More »‘Hello Kitty’, Society, Utopia

Reporters Shouldn’t Embrace Bias

For a long time, objectivity and impartiality were perceived to be noble and uncontroversial goals for journalists.  Objectivity is straightforwardly appealing – we want information that is accurate and undistorted by reporters’ personal politics.  However, there is of late some pushback against that view (often called ‘The View from Nowhere’, which has apparently become such common parlance in the industry that the Wikipedia entry focuses on the term’s use in journalism rather than Nagel’s book whose title inspired the movement).  The idea, roughly, is that personal bias is unavoidable among journalists (and indeed the public in general).  It is hypocritical to claim to offer impartial reporting because that impartiality can never be achieved; instead, reporters should simply embrace their normative perspectives and be up front about it and its influence on their work.  But this move is a serious mistake, one that will subvert the central internal purpose of journalism and only serve to promote greater ignorance about the world.  Read More »Reporters Shouldn’t Embrace Bias

Lethal Injection: Time for the Chop

On 29th April 2014, Clayton Lockett, 38, was executed by lethal injection in Oklahoma for the heinous crimes he committed fourteen years earlier.

 That evening, he was escorted to the execution chamber and placed on the table.  An intravenous line was inserted in his groin.

 At 6.23pm, he was given midazolam, a sedative intended to render him unconscious.  He should normally have lost consciousness within a minute or two.  Seven minutes later, a doctor declared that Mr Lockett was still conscious.  After a further three minutes, the doctor checked again and declared him unconscious.  It is unclear what criteria he used to come to this conclusion, but the events that followed indicate that Mr Lockett was still partially conscious.  Vecuronium was then administered to paralyse his muscles, followed by potassium chloride to stop his heart.Read More »Lethal Injection: Time for the Chop

Cognitive science and threats to free will

It is often asserted that emerging cognitive science – especially work in psychology (e.g., that associated with work on automaticity, along with work on the power of situations to drive behavior) and cognitive neuroscience (e.g., that associated with unconscious influences on decision-making) – threatens free will in some way or other. What is not always clear is how this work threatens free will. As a result, it is a matter of some controversy whether this work actually threatens free will, as opposed to simply appearing to threaten free will. And it is a matter of some controversy how big the purported threat might be. Could work in cognitive science convince us that there is no free will? Or simply that we have less free will? And if it is the latter, how much less, and how important is this for our practices of holding one another morally responsible for our behavior?Read More »Cognitive science and threats to free will

In Defence of Avril Lavigne: Racism, Cultural Appropriation and the Meaning of ‘Hello Kitty’

By Kei Hiruta

The latest music video by the Canadian singer Avril Lavigne has been accused of racism and cultural appropriation.[i] Bearing the name of the world-famous Sanrio character, ‘Hello Kitty’ shows the pop star singing and dancing in what appears to be a girl’s room in Tokyo. She also explores the city, shopping at a candy store, eating sushi, drinking shochu, and waving at her fans as she strolls in the fashionable Shibuya area. Throughout, she is accompanied by four young Japanese women, acting as backup dancers inside the room and following her outside.Read More »In Defence of Avril Lavigne: Racism, Cultural Appropriation and the Meaning of ‘Hello Kitty’

Political speech crime

In an article at The conversation  Professor Torcello has proposed that ‘an organised campaign funding misinformation ought to be considered criminally negligent’. I am wholly in agreement with him. I cannot think of a political party whose campaign can be characterised as anything other than an organized campaign funding misinformation and I would be delighted if we could bang them all up in chokey for it and be rid of them. Sorry, what’s that? He wasn’t talking about politicians? Well who was he talking about then?Read More »Political speech crime

Moral Enhancement and Violence

In recent years, I’ve written a lot on moral enhancement, including moral bioenhancement (e.g., here, here and here), and argued that we should not reject its potential benefits out of hand. One common objection has been to say something along the lines of “sure, this would be good in theory, but the science behind it is so far off that you may as well be talking about the number of angels on a pinhead”.

But recent research suggests our moral behavior is already improving in some respects. In the UK, admissions to hospital due to violent crime fell by 12% . And in the US, a recent survey revealed a decline in violence experienced by children over the past decade, particularly assault and sexual violence.  This is also a major theme of Stephen Pinker’s “Better Angels of Our Nature.” Pinker documents the widespread reduction in violence over centuries.

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Complicity and Contraception: Rethinking Hobby Lobby’s Claim of ‘Substantial Burden on the Exercise of Religion’

Within the next month, the United States Supreme Court will decide whether for-profit corporations shall receive an exemption from providing certain types of contraceptives that are otherwise mandated for healthcare coverage by federal law to employees on the basis of the religious objections of the corporations’ owners.  The two cases considered in tandem by the Supreme Court, Sebelius v Hobby Lobby Stores, Inc., and Conestoga Wood Specialties Corporation v Sebelius (Hobby Lobby from here on out), feature a Christian-owned arts and crafts chain and a Mennonite Christian-owned furniture manufacturer, the owners of which object to four specific forms of birth control that they claim cause abortions.

In making their argument for an exemption, the claimants rely mainly on the Religious Freedom Restoration Act (RFRA) passed by Congress in 1993. The RFRA states, “Government shall not substantially burden a person’s exercise of religion…” unless “that application of the burden to the person – 1) is furtherance of a compelling governmental interest; and 2) is the least restrictive means of furthering that compelling governmental interest.” This sets up three tests for judging the permissibility of a government act: the substantial burden test, the compelling interest test, and the least restrictive means test. For the claimants in Hobby Lobby to be successful under the RFRA, the Supreme Court would need to decide first that the government’s ‘contraception mandate’ is indeed a ‘substantial burden’ and second that the provision of contraception is both a compelling government interest and that employer based health insurance is the least restrictive method for securing that interest.

Scholars and journalists have taken various approaches in responding to the range of questions related to these three tests. However, I argue here that Hobby Lobby’s exemption claim can be denied without diving into this spectrum by showing that it fails to meet the first test: the government does not place a substantial burden on the exercise of religion by Hobby Lobby and Conestoga Wood in its ‘contraception mandate.’Read More »Complicity and Contraception: Rethinking Hobby Lobby’s Claim of ‘Substantial Burden on the Exercise of Religion’