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Experimenting with oversight with more bite?

It was probably hard for the US National Science Advisory Board for Biosecurity (NSABB) to avoid getting plenty of coal in its Christmas stockings this year, sent from various parties who felt NSABB were either stifling academic freedom or not doing enough to protect humanity. So much for good intentions.

The background is the potentially risky experiments on demonstrating the pandemic potential of bird flu: NSABB urged that the resulting papers not include “the methodological and other details that could enable replication of the experiments by those who would seek to do harm”. But it can merely advice, and is fairly rarely called upon to review potentially risky papers. Do we need something with more teeth, or will free and open research protect us better?

Read More »Experimenting with oversight with more bite?

Taking drugs to help others

Primaquine is an anti-malarial drug. When taken as a single dose by someone infected with the falciparum malaria parasite, it reduces the risk of transmission to mosquitoes and so to other people. However it confers no direct benefit on the individual who takes the drug. Indeed it poses a net risk, since it has side-effects, including the potential for a severe haemolytic reaction (breakdown of red blood cells) in a certain class of individuals (those with genetic G6PD deficiency).  Nevertheless, primaquine is taken as a single dose by millions of people annually.

Cyproterone acetate (CPA) is a testosterone-blocking drug that has been used to ‘chemically castrate’ certain sexual offenders, including paedophiles. It can’t redirect misplaced sexual desires. But it can attenuate them, thereby reducing recidivism. Again, though, it can have serious side effects for the user, including liver damage and possibly depressive mood changes. Still, more than twenty countries allow the use of CPA in sex-offenders, and several US states have authorised the use of a related agent (MPA).

Primaquine and CPA might appear to have little in common. But ethically, there are some interesting parallels.Read More »Taking drugs to help others

The subtle line between conscientious objection and sabotage

The Washington Post recently reported the news of a dozen of nurses from a New Jersey hospital who claimed the right not to assist a patient before and after an abortion.                                                                                                                                                                   Although conscience clauses are very common worldwide, they usually allow the health care personnel to refuse to perform abortions (or other morally controversial treatments) but not to refuse to assist a patient before and after the abortion. For this reason, the request put forward by the New Jersey nurses is particularly interesting.One of these nurses declared to the newspapers “I’m a nurse so I can help people, not help kill, and it just doesn’t seem right to me”. Now, it is hard to understand how someone who takes care of a woman who just had an abortion is somehow helping to kill. The care these nurses are refusing to provide involves feeding and washing the patient, maybe giving her pain killer drugs, but certainly not helping to kill, because the killing happens during the abortion, not before or after.

Read More »The subtle line between conscientious objection and sabotage

Legalize heroin

By Brian Earp

Follow Brian on Twitter by clicking here.

 

Forget about “medical marijuana.” Isn’t it time to legalize heroin in the United States? Recreational cocaine? Ecstasy? LSD? How about the whole nefarious basketful of so-called ‘harder’ drugs?

Yes, it is, says Ron Paul, a fourteen-term libertarian congressman and obstetrician from the state of Texas. It’s a view shared by virtually none of his Republican colleagues, nor, for that matter, very many Democrats. Nor really anyone in the “mainstream” of American politics. But in this post, I’ll argue that he’s right.

Paul—who is currently making his third bid for President of the United States—offered his perspective to comedian and Daily Show host Jon Stewart in an interview earlier this week:

Read More »Legalize heroin

Why Pro-Life Counsellors Ought to Lie

Those who are pro-choice often get frustrated by anti-abortion advocates, who are seen as using underhanded and immoral tactics to decrease numbers of abortions. These include presenting misleading information about abortions at their advice centres.
For example, it is claimed that some abortion counsellors show pictures of late-stage abortions when discussing early-stage abortions, exaggerate the trauma felt by people who have had abortions and assert that foetuses feel pain earlier than scientists believe they do. A large part of the opposition to the amendment proposed by Nadine Dorries , which would have prevented bodies which carry out abortions from counselling women, was that this might mean that more women would be counselled by anti-abortion groups who cannot be trusted to provide accurate information about abortion. I’m going to suggest that it is a mistake to think that anti-abortion advisors are failing morally by providing misleading information about abortions. Indeed, they might be failing morally if they did not do so.Read More »Why Pro-Life Counsellors Ought to Lie

Is the non-therapeutic circumcision of infant boys morally permissible?

On the ethics of non-therapeutic circumcision of minors, with a pre-script on the law

By Brian D. Earp (Follow Brian on Twitter by clicking here.)

PRE-SCRIPT AS OF 25 SEPTEMBER 2012: The following blog post includes material from an informal article I wrote many years ago, in high school, in fact, for a college essay competition. I would like to think that my views have gained some nuance since that time, and indeed with increasing speed, as I have researched the topic in more detail over the past several months–specifically during the period of a little over a year since the blog post first appeared online. Since quite a few (truthfully: many thousands of) people have come across my writings in this area, and since I am now being asked to speak about circumcision ethics in more formal academic company, I feel it is necessary to bring up some of the ways in which my thinking has evolved over those many months.

The most significant evolution is away from my original emphasis on banning circumcision. I do maintain that it is morally wrong to remove healthy tissue from another person’s genitals without first asking for, and then actually receiving, that person’s informed permission; but I also recognize that bringing in the heavy hand of the law to stamp out morally problematic practices is not always the best idea. It is a long road indeed from getting one’s ethical principles in order, to determining which social and legal changes might most sensibly and effectively bring about the outcome one hopes for, with minimal collateral damage incurred along the way. Until enough hearts and minds are shifted on this issue, any strong-armed ban would be a mistake.

In the long term, however, I think the goal remains: that each child should have the same moral, legal, and policy protections regardless of sex or gender, designed to preserve their sexual anatomy in their healthy, intact form until such time as they are mentally competent to make a decision about altering them, surgically or otherwise.

The project for the meantime is to work on hearts and minds.

I am grateful to the many hundreds of individuals who have left thoughtful comments on my sequence of posts on the ethics of circumcision, and I look forward to developing my arguments in ever more sophisticated ways in the coming months and years as this important debate continues. I am especially grateful to those of my interlocutors who have disagreed with me on various points, but who have done so in a thoughtful and productive manner. May we all aim at mutual understanding, so that the best arguments may emerge from both sides, and so that the underlying points of genuine disagreement may be most clearly identified. — B.D.E.

* * *

Routine neonatal circumcision in boys is unethical, unnecessary, and should be made illegal in the United States. Or so I argue in this post.

Yet lawmakers in California, it is now being reported, have introduced a bill with the opposite end in mind. They wish to ban legislation that could forbid circumcision-without-consent. What could be going on?

Read More »Is the non-therapeutic circumcision of infant boys morally permissible?

Government encourages traumatic brain injury on city streets?

What happened to governments sending this type of message?
Traumatic Brain Injury

I was just in LA. I was surprised and pleased when a good friend of mine mentioned this brilliant new transportation scheme the city had developed. Basically, with sponsorship from a few businesses the city had placed hundreds of electric cars at street-side parking-spots (where the car batteries recharged) throughout the most frequented neighborhoods. The idea was that anyone (tourist or city-dweller) could rent the electric car by the half-hour, paying by card at a nearby pay station. Then the renter could bring the electric car back to any of the city parking spots by the set time. What was even more convenient was that city-dwellers could get an “LA-Car Card” by paying a nominal fee that would allow them to take out electric cars for up to a half hour at a time for free! Environmental AND convenient! So of course I went straight to the nearest electric car parking-spot, paid the fee, and was soon zooming about the streets of LA. I had never driven an electric car before, so it felt a bit odd, but I was so excited by the new car scheme that I didn’t let it bother me. Everything was grand until a reckless driver ran a red light in front of me and nearly took me off the road. Thankfully it was only nearly. But with that close-call, I realized that the reason the car had felt a bit odd is that the car had NO SEATBELTS! That’s right: no seatbelts. What would have happened if I had been in a car accident?

These electric cars were environmentally friendly, yes. Super-convenient, yes. But wasn’t it irresponsible for the city to encourage needless risk-taking (and traumatic brain injury) by providing this transport without the most basic safety feature?? For worried as I was about my safety in not having a seat-belt (and I would never drive my own car without my seat-belt), I found myself renting and driving the cars for the rest of my stay just because they were so darn convenient. I oscillated between decrying the city’s irresponsible behavior and applauding their creation of such a convenient scheme. Which was the proper stance? And was there a rational reason why these cars did not have seat-belts??

Read More »Government encourages traumatic brain injury on city streets?

“The Madness of Normality” – On why the DMS-5 is fundamentally wrong

The DSM (Diagnostic and Statistical Manual of Mental Disorders) is the world widely recognized classificatory system of psychiatric disorders, published by the American Psychiatric Association (APA). It is currently under major revision; the release version DSM-5 is expected in May 2013. The “psychiatrist´s bible“ has overwhelming impact: Inclusion in the DSM carries weight far beyond the psychiatrist’s office. It has major influence on whether insurers will cover therapy for a condition, whether research will be pursued for a specific disease or whether the health technology assessment agencies will approve medications that can be marketed for it.

Many interesting issues in DSM-5 could be discussed: the prevailing categories “substance abuse” and “dependence” will be substituted by “addiction and related disorders”, gender and ethnicity specific distinctions will we introduced and instead of distinguishing different entities like “Autistic disorder” or “Asperger´s disorder”, the manual introduces the term “Autism spectrum disorder”.

In this blog post, I want to focus on one particular innovation: The introduction of so-called risk syndromes. This is a collective term for all those conditions, which do not “yet” meet the “full” clinical diagnostic criteria, e.g. for schizophrenia: In this case, you would suffer from the “attenuated psychotic syndrome”. The aim is obvious: “Young people at risk for later manifestation of a psychotic disorder can be identified“. (http://www.dsm5.org/ProposedRevision/Pages/proposedrevision.aspx?rid=412#). This is a clear paradigm shift towards early diagnosis and prediction in psychiatry. Is this shift ethically justified?

Read More »“The Madness of Normality” – On why the DMS-5 is fundamentally wrong

Shocking behavior: Government scare tactics, smoking, and public health

Coming to a mini-mart near you. The FDA has just approved nine very grisly looking warning labels—to be slapped on cigarette packs throughout the USA. But will they work to cut smoking … or will they backfire?

Here are some of the top reasons why these labels may not only fail to achieve the FDA’s desired outcome, but could actually do the opposite – leading to more smoking, not less.Read More »Shocking behavior: Government scare tactics, smoking, and public health