Skip to content

Is the NHS surcharge just?

Is the NHS surcharge just?

Not long ago the UK implemented an NHS surcharge – an extra fee that non-EEA nationals (Australia and New Zealand are also exempt) applying for leave to remain in the UK must pay. It costs £200 per year, and must be paid up front. So, for example, if you are applying for a work visa for 3 years, and you have a family of three, you must pay £1800 to cover the surcharge for you and your family (on top of other visa costs).

It is difficult to find much public discussion in the UK regarding this surcharge, outside of a few articles that recently noted that the surcharge is unlikely to do what we were told it would do – namely, benefit the NHS. (See here)

Is the surcharge a just policy? Read More »Is the NHS surcharge just?

Guest Post: Agree to disagree?  Let’s not.

Written by David Aldridge

Oxford Brookes University

 Recently a colleague offered in conversation that we should agree to disagree.  This led me to some observations about the role of agreement and disagreement in dialogue.  Some conversations involve a sort of perpetual agreement or mutual affirmation.  These are instances where we’re really just ‘shooting the breeze’, and there’s nothing much at issue between us.  We exchange the gnomes of accepted wisdom and nod.  Other exchanges are characterised pretty much by disagreement.  These are the situations where we talk at cross purposes, or talk past each other – we can’t even seem to get started on the way in which the matter at hand needs to be interrogated. Read More »Guest Post: Agree to disagree?  Let’s not.

If you want to do the most good, maybe you shouldn’t work for Wall Street

Suppose you are an altruistically minded person who is adamant about doing the most good you possibly can. If you are lucky enough to have a wide range of options, what career should you choose?

Two years ago, William MacAskill, President of 80,000 hours, a non-profit organisation focused on “enabling people to make a bigger difference with their career,” suggested you steer clear of charity work and aim for Wall Street. He called this approach earning to give. A couple of days ago, MacAskill has published a blog post where he admits that heavily pushing for the idea of earning to give was “a marketing strategy,” and that, although 80,000 hours did believe that “at least a large proportion of people” should become high-earners in order to donate more money, placing so much emphasis on this idea may have been mistaken. The 80,000 hours page on earning to give now reads: “This page was last updated in 2012 and no-longer fully reflects our views.” MacAskill’s current point of view is that only a “small proportion” of people should strive to earn to give.Read More »If you want to do the most good, maybe you shouldn’t work for Wall Street

Effort, psychological continuity, human enhancement and superintelligence

One argument against human enhancement is that it is cheating. Cheating others and oneself. One may be cheating oneself for various reasons; because one took the easy path instead of actually acquiring a certain capacity, because once one enhances one is no longer oneself, because enhancements are superficial among others. I would like to try to develop further the intuition that “it is not the same person any more”. I will concentrate in forms of enhancement that involve less effort, are considered easier, or faster than conventional means because the cheating argument seems directed at them. In fact, most forms of non-conventional technological enhancements being proposed seem to be easier routes towards self-improvement. I will also explore how my considerations might mean trouble for any type of disruptive technology besides radical human enhancement, such as superintelligence or whole-brain emulation.Read More »Effort, psychological continuity, human enhancement and superintelligence

Guest Post: A feminist defence of the nanny state

  • by

Written by Anke Snoek

Macquarie University

In Australia Senator David Leyonhjelm http://www.theaustralian.com.au/national-affairs/david-leyonhjelm-declares-war-on-nanny-state/story-fn59niix-1227415288323 has won support for a broad-ranging parliamentary inquiry into what he calls the ‘nanny state’. A committee will test the claims of public health experts about bicycle helmets, alcohol laws, violent video games, the sale and use of alcohol, tobacco and pornography. “If we don’t wind back this nanny state, the next thing you know they’ll be introducing rules saying that you’ll need to have a fresh hanky and clean underpants”.Read More »Guest Post: A feminist defence of the nanny state

Doping: Alive and Well in the Tour But You Won’t Hear About It

Regular readers of this blog will be familiar with my argument for legalising doping in sport, aiming to focus resources on harm reduction rather than zero tolerance. Key safeguards in this approach are (1) doping carried out under the supervision of a doctor, and (2 ) checks on athletes to ensure they maintain normal physiological ranges of relevant parameters.

Many commentators consider this approach unrealistic. But as the world’s elite riders commence the Tour de France 2015, it appears that they will be riding under something very close to that vision.

In March this year, the Cycling Independent Reform Commission published a report into current doping practices. It concludes that doping is still prevalent, with estimates from those in the sport ranging from 20 – 90% of athletes participating in doping.

However, two mechanisms within anti – doping policy, the Athlete Biological Passport, and the Therapeutic Use Exemption, appear to be functioning effectively as regulators on doping behaviour: enhancing its safety and limiting its impact, without preventing its use outright.

Read More »Doping: Alive and Well in the Tour But You Won’t Hear About It

Reincarnation and discrimination

by Dominic Wilkinson @Neonatalethics

In California, in the last week, there have been further motions in a long running lawsuit relating to a brain-dead child. Oakland teenager Jahi McMath died after a tonsillectomy in December 2013. However, her parents rejected the medical diagnosis of brain death, and despite a Californian court providing judicial backing for doctors’ determination, organized for her to have a tracheostomy and be transferred to another medical facility. More than 18 months later it appears that Jahi’s heart is still beating and she is still connected to a breathing machine somewhere in New Jersey.Read More »Reincarnation and discrimination

Guest Post: Housing in Australia– Investment Vehicle or Social Institution?

Written by Christopher Chew

Monash University

 JOURNALIST:

Treasurer, do you accept that housing in Sydney is unaffordable and the only way we’re going to make it affordable is if real house prices in real terms actually fall over the near term?

TREASURER JOE HOCKEY:

No. Look, if housing were unaffordable in Sydney, no one would be buying it…it’s expensive.…but, having said that…a lot of people would much rather have their homes go up in value…

JOURNALIST:

You say that housing is affordable…what about for first home buyers…people that don’t have access to equity in other properties?

TREASURER JOE HOCKEY:

…the starting point for a first home buyer is to get a good job that pays good money… you can go to the bank and you can borrow money and that’s readily affordable…

Source: http://jbh.ministers.treasury.gov.au/transcript/144-2015/

Recent careless comments made by Australian Treasurer Joe Hockey during a radio interview (see above) have provoked a firestorm of media outrage and scorn, with accusations of being ‘out of touch’ and elitist. In all fairness, more has been made of these comments than is likely warranted – though the Treasurer’s enviable property portfolio, including an AUD$5.4 million primary residence, a history of previous embarrassing gaffes hasn’t helped.

Read More »Guest Post: Housing in Australia– Investment Vehicle or Social Institution?

Guest Post: Genetics education, genetic determinism, and the trickle-down effect

Written By Johanna Ahola-Launonen

University of Helsinki

In bioethical discussion, it is often debated whether or not some studies espouse genetic determinism. A recent study by Tuomas Aivelo and Anna Uitto[1] give important insight to the matter. They studied main genetics education textbooks used in Finnish upper secondary school curricula and compared the results to other similar studies from e.g. Swedish and English textbooks. The authors found that gene models used in the textbooks are based on old “Mendelian law”-based gene models not compatible with current knowledge on gene-gene-environment-interaction. The authors also identified several types of genetic determinism, that is, weak determinism and strong determinism, which both were present in the textbooks. The somewhat intuitive remark is that genetic education has to have a strong trickle-down effect on how people understand genes, and that we should be careful not to maintain these flawed conceptions. Furthermore, it would be useful to separate the discussion on genetic determinism into the terms “weak” and “strong”, of which the strong version is undoubtedly rarer while the weak is more prevalent.

Read More »Guest Post: Genetics education, genetic determinism, and the trickle-down effect

Guest Post: Impractical ethics

Written by Constantin Vica

Postdoctoral Fellow, Romanian Academy Iasi Branch

Research Center in Applied Ethics, University of Bucharest

This post is not, as one might expect, about that part of ethics which is not concerned about practical issues, e.g. meta-ethics. Neither is it about moral philosophical endeavors which are incomprehensible, highly conceptual and without any adherence to real people’s lives. And, more than that, it is not about how impractical a philosophy/ethics diploma is for finding a job.

One month ago Peter Singer, the leading ethicist and philosopher, was ‘disinvited’ from a philosophy festival in Cologne. It wasn’t the first time such a thing happened and perhaps Peter Singer wasn’t too impressed by the incident. Despite all of these things, the fact has a not-so-nice implication: “you, the practical ethicist, are not welcome to our city!” Of course, Peter Singer is not the first philosopher ‘disinvited’ (horribile dictu) by an ‘honorable’ audience; the history of philosophy and free thinking has an extensive collection of undesirable individuals expelled, exiled, and even killed by furious or ignorant citizens and stubborn elites. But, one might wonder, what is different this time?Read More »Guest Post: Impractical ethics