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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.

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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

The No harm principle, an ethical principle for economic policy advisors?

In a recent article in the New York Times, Harvard economics professor Gregory Mankiw points out that economic policy advice always relies on political-philosophical standpoints and, inspired by medical ethics, suggests that economists that give policy advice should apply the No harm principle rather than promote policy based on uncertain predictions and political-philosophical convictions. By applying his interpretation of this principle, he claims that economists should not endorse either the Affordable care act, or higher minimum wage because these are in fact policies that cause harm.

It is refreshing with an economist who recognises that there is no such thing as purely scientific, value-free economic policy advice, and it is interesting to consider whether ethical principles can be introduced to deal with biases inherent to policy advice and with uncertainties innate to economic predictions. However, Mankiw’s proposal is as biased as the policy advice he addresses, and his proposed version of the No harm principle is at best a poor re-articulation of his own ideological convictions.Read More »The No harm principle, an ethical principle for economic policy advisors?

Being a Good Person by Deceit?

By Nadira Faulmüller & Lucius Caviola

Recently, Peter Singer, Paul Bloom and Dan Ariely were discussing topics surrounding the psychology of morality. Peter was emphasizing the importance of helping people in need by donating money to poverty fighting charities. That’s easier said than done. Humans don’t seem to have a strong innate desire of helping distant strangers. So the question arises of how we can motivate people to donate considerable amounts to charity. Peter suggested that respective social norms could be established: in order to make people more moral their behaviour needs to be observable by others, as Dan pointed out, only then they will be motivated to help strangers on the other side of the world. Is this true? – do people only behave prosocially because they feel socially pressured into doing so?

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Cricket and mental illness

There is a lively debate in the philosophy of psychiatry over what makes a condition a disease. The debate is particularly heated with regard to addiction: it is a moral failing, a brain disease or something else altogether? People who hold that addiction is a brain disease often claim that their view is more humane, because it removes the stigma from a condition that is not the sufferer’s fault. Unfortunately matters are not so clear cut: there is some evidence that the disease model actually increases stigma, or at least makes mental illness seem more a fixed part of the person’s identity.Read More »Cricket and mental illness

Trouble Brewing? The Ethical Significance of Synthetic Yeast

Back in 2010, I blogged about Craig Venter’s creation of the first synthetic organism, Synthia, a bacteria.

Now, in 2014, the next step has been made by a team at John Hopkins University, the use of synthetic biology in yeast, which, whilst still a simple organism, has a similar cell structure to humans (and other more complex organisms): a nuclei, chromosomes and organelles. The engineered yeast has been reproduced to over 100 generations, passing on its new DNA.

The pace is breathtaking. Moore’s law describes a phenomenon in computing, where computer capacity (so far) doubles every two years. Kurzweil uses Moore’s law to predict the ‘singularity’: a state where humans no longer control, or even comprehend, the progress that technology continues to make.

It’s difficult to measure scientific progress in the same way as computer power, but it’s clear that leaps in progress are now measured in years, not decades. Yet still we wait until technology is upon us before we act.

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Reconsidering the Ethics of Enhanced Punishment

Last summer, on this blog, Rebecca Roache suggested several ways in which technology could enhance retributive punishment—that is, could make punishment more severe—without “resorting to inhumane methods or substantially overhauling the current UK legal system.” Her approbation of this type of technological development has recently been reported in the Daily Mail, and reaffirmed in an interview for Aeon Magazine.

Roache’s original post was, at least, a response to the sentencing of the mother and stepfather of Daniel Pelka, who was four when he died as a result of a mixture of violence and neglect perpetrated by his parents. They each received the maximum sentence possible in the UK, a minimum of thirty years in prison before the possibility of parole is discussed (and even then they might not get it). This sentence, Roache wrote, was “laughably inadequate.”Read More »Reconsidering the Ethics of Enhanced Punishment

For theta’s sake, smash up your TV and go for a walk

You can get experienced meditators to produce, on demand, feelings of timelessness and spacelessness. Tell them ‘Try to be outside time’, and ‘try not to be in the centre of space’, and they will.

These sort of sensations tend to happen together – so strikingly so that Walter Stace proposed, as one combined element of mystical experience, ‘non-spatial-and-non-temporal’.1

Why should that be? asked an Israeli research group in a recent and fascinating paper.  And was the generation of these sensations related to alterations in the sense of the body?Read More »For theta’s sake, smash up your TV and go for a walk

Luck and Success

I have long been uncomfortably aware that luck has played a major factor in my success (such as it is). I spent more than three years after my PhD alternating between unemployment and low paying part-time jobs, before I got two lucky breaks. First one philosophy department urgently needed a full-time lecturer for a few months due to an unexpected absence, than a second; in both cases, I just happened to be around at the right time. The second job got renewed a few times, and then I was around when the department secured a very large grant which kept me employed for the next five years. I was able to take advantage of my lucky breaks by publishing a lot, but I was lucky to be given the time and conditions to do research. I know that lots of other people who left philosophy due to the scarcity of jobs would have done as well, or better, if they had had the breaks I had.Read More »Luck and Success