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Nudge Drugs: should the social side-effects of medications weigh into public health?

Nudge Drugs: should the social side-effects of medications weigh into public health?

You are a public health official responsible for the purchasing of medications for the hospitals within your catchment area in the NHS. Your policies significantly affect which, out of the serpentine lists of heart disease medications, for example, are available to your patients. Today, you must choose between purchasing one of three heart disease medications: Drug A, Drug B, and Drug C. They are pretty similar in efficacy, and all three have been being used for many years. Drug B is slightly less expensive than Drug A and Drug C, but there is emerging evidence that it increases the likelihood that patients will take “bad bets,” i.e. make large gambles when the chance of winning is low (and thus might contribute to large social costs). Drug C costs a tiny bit more than Drug A, but there is some evidence that Drug C may help decrease implicit racial bias. You have been briefed on the research suggesting that implicit racial bias can lead to people making choices that consistently and unintentionally limit the opportunities of certain groups, even when all the involved parties show explicit commitments to social equality.  Finally, there is emerging evidence that drug A both helps people abstain from alcohol and dissociates negative emotional content from memories.

Which drug should you purchase?

 

Let us begin to think about this question through the lens of the idea of the “Nudge,” which has exploded onto the public sphere (and blogosphere) since Thaler and Sunstein’s published their book, “Nudge: improving decisions about health, wealth, and happiness.”   (see the blog here). I briefly and incompletely introduce nudges here, in hopes that we may soon move on to discuss the kind of “nudge drugs” our thought experiment considers.

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Unbelievers are bad and have defective brains

By Charles Foster

You’d better believe that believers are better.

So far as religiosity is concerned, humanity, say Cooper and Pullig , is divided fairly neatly into three clusters: Skeptics, Nominals and Devouts. The bulk of the evidence suggests that there is a relationship between religiousness and moral reasoning. That relationship, though, is complex. Its anatomy needs a lot of exploration. Cooper’s and Pullig’s exciting and audacious paper, which concerns broadly Christian religiosity amongst marketing students in the US, suggests that narcissism is a factor in explaining why individuals make wrong ethical decisions. That in itself isn’t surprising. Narcissism, for instance, is a predictor of white-collar crime in business: narcissistic individuals tend to think that they are above the laws that govern the behaviour of lesser mortals. What is perhaps surprising is that ethical decision-making was affected by narcissism only in Nominals and Devouts. The reasons for that can be speculated about very entertainingly. But I want to highlight one almost incidental observation: ‘Notably, Skeptics in general exhibit worse ethical judgment than respondents in either of the other two clusters.’

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Should the government have policies to deal with fear of zombies?

Would you vote to be protected from him?

From the always sublime Dara O’Briain:

I give out when people talk about crime going up, but the numbers are definitely down. And if you go, “The numbers are down”, they go, “Ahh, but the fear of crime is rising.” Well, so fucking what? Zombies are at an all-time low level, but the fear of zombies could be incredibly high. It doesn’t mean you have to have government policies to deal with the fear of zombies.

But let’s look at this in more detail. If there was a large demand for it, should the government have policies to deal with the fear of zombies? By zombies, we do mean non-existent flesh-eating fictional undead monstrosities that don’t exist.

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A World without Advertising?

Recently , UNICEF launched their Children’s Rights and Business Principles, the sixth of which says that businesses should ‘use marketing and advertising that respect and support children’s rights’. This is hard to deny, as is the claim that many companies are seeking unjustifiably to manipulate children and their parents for profit. Indeed there seems little reason to restrict… Read More »A World without Advertising?

The will is caused, not free

By Brian Earp

See Brian’s most recent previous post by clicking here.

See all of Brian’s previous posts by clicking here.

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The will is caused, not free

Everyone is talking about free will these days. Sam Harris has a new book out. Eric MacDonald has weighed in on that. Jerry Coyne, Paul Bloom, and some philosopher-types have a debate going on in the Chronicle of Higher Education. And way back in 2009 the Society for Personality and Social Psychology hosted a “showdown” between psychologists Roy Baumeister and John Bargh on the topic: What does the ‘free’ in ‘free will’ really mean? [A video of Bargh’s half can be seen here. Baumeister is here.]

The SPSP conference led to a fiery exchange of blog posts between the two principles, and then to a more sedated pair of papers in the society’s newsletter, Dialogue. Baumeister enlisted Kathleen Vohs to co-author his piece, and Bargh (for some reason) enlisted me. Here is what Professor Bargh and I had to say — after this delightful FoxTrot comic by Bill Amend.

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Just give me the Humbug

We’ve all had fun hating Goldman Sachs again after one of their own sold them out . Mr Smith says that ‘culture was the secret sauce that made [Goldman] great and allowed us to earn our clients’ trust for 143 years’ whereas now Goldman pursues its own interest rather than its clients’ due to a ‘decline in the firm’s moral fibre’…. Hold on. Yes, I know its hard not to burst out laughing.

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Old threats never die, they fade away from our minds: nuclear winter

In 1983, scientists published a paper on nuclear winter. This boosted the death toll of all-out nuclear war from ‘only’ 200-500 million to the very real possibility of the complete extinction of the human race*. But some argued the report was alarmist, and there did seem to be some issues with the assumptions. So – a military phenomena that might cause megadeaths, possibly true but requiring further study, and a huge research defense budget that could be used to look into this critical phenomena and that was already spending millions on all aspects of nuclear weapons – can you guess what happened next?

Correct – the issue was ignored for decades. For over twenty years, there were but a tiny handful of papers on the most likely way we could end our own existence, and a vague and persistent sense that nuclear winter had been ‘disproved’. But in 2007, we finally had a proper followup – with the help of modern computers, better models and better observations, what can we now say? Well, that nuclear winter is still a major threat; the initial fear was right. Their most likely scenario was:

A global average surface cooling of –7°C to –8°C persists for years, and after a decade the cooling is still –4°C […]. Considering that the global average cooling at the depth of the last ice age 18,000 yr ago was about –5°C, this would be a climate change unprecedented in speed and amplitude in the history of the human race. The temperature changes are largest over land […] Cooling of more than –20°C occurs over large areas of North America and of more than –30°C over much of Eurasia, including all agricultural regions.

Also, precipitation would be cut in half and we’d lose most of the ozone layer. But there was a more worrying development: it also seems that a small-scale nuclear war could generate its own mini nuclear winter.

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Planet of the (Little) Apes

The Daily Mail has recently published an article entitled ‘Planet of the (little) apes: Save the world by genetically engineering humans to be smaller, suggests NYU philosopher.’ (http://www.dailymail.co.uk/sciencetech/article-2114430/Save-planet-genetically-engineering-humans-smaller-suggests-NYU-philosopher.html)

 It is always good to see the Daily Mail covering philosophy and covering issues in applied ethics in particular. The NYU philosopher in question is former Uehiro Centre researcher S. Matthew Liao. His co-authors, Anders Sandberg and Rebecca Roache are both affiliated with the Future of Humanity Institute here at Oxford and the paper under discussion is called ‘Human Engineering and Climate Change’ and is forthcoming in Ethics Policy and the Environment, an interdisciplinary academic journal which specialises in environmental policy and ethics.

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