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How do you want to die?

How do you want to die? Quickly, painlessly, peacefully lying in your own bed?

Most people say that. But then, people seem to cling to their lives, even if that could mean a less peaceful end. When asked whether they would want physicians to perform certain interventions to prolong their lives like CPR (cardiopulmonary resuscitation) or mechanical ventilation (‘breathing machine’), people say ‘yes’.

Interestingly, a study discussed in a Radiolab podcast from earlier this year reveals that contrary to lay people, physicians do not want these life-saving interventions they perform on their patients performed on themselves.Read More »How do you want to die?

Killing by praying

Dale and Leilani Neumann are Pentecostal Christians. Their 11 year old daughter, Kara, fell ill. In fact she had (undiagnosed) diabetes. Her parents refused to obtain medical help. Instead they prayed.

‘Kara’s father testified that death was never on their minds.  He testified that he knew Kara was sick but was “never to the alarm of death,” and even after she died, her father thought that Jesus would bring Kara back from the dead, as he did with Lazarus.

The parents and friends testified that the parents took tangible steps to help Kara.  The mother tried to feed Kara soup and water with a syringe, but the liquid just dribbled out of Kara’s mouth.  The father tried to sit Kara up, but she was unable to hold herself up.  At some point, Kara involuntarily urinated on herself while lying unresponsive on the couch, so they carried her upstairs and gave her a quick sponge bath while she lay on the bathroom floor.

At one point, Kara’s maternal grandfather suggested by telephone that they give Kara Pedialyte, a nutritional supplement, in order to maintain the nutrients in her body.  The mother responded that giving Kara Pedialyte would be taking away the glory from God.  Kara’s mother had told another visiting friend that she believed that Kara was under “spiritual attack.”

Friends Althea and Randall Wormgoor testified that they arrived at the Neumanns’ home on Sunday at approximately 1:30 p.m.  The Wormgoors saw that Kara was extremely ill and nonresponsive.  Her eyes were partially open but they believed she needed immediate medical attention.  Randall Wormgoor pulled Kara’s father aside and told him that if it was his daughter, he would take her to the hospital.  The father responded that the idea had crossed his mind, and he had suggested it to his wife, but she believed Kara’s illness was a test of faith for their family and that the Lord would heal Kara….’ [1]

But the Lord did not. Or at least not physically. Kara died from diabetic ketoacidosis. The evidence was that, with conventional medical care, she would have lived. Read More »Killing by praying

Are You A Fox or A Hedgehog?

by David Edmonds

Follow David on twitter @DavidEdmonds100

Are you a Fox or a Hedgehog?  In practical ethics, far better to be a hedgehog.

Isaiah Berlin drew a famous distinction when discussing great writers and thinkers of the past.  The hedgehog knew one big thing.  The fox knew many things. Read More »Are You A Fox or A Hedgehog?

A WHITE MAN’S COURT

Is it a White Man’s Court?  I went to a talk recently in which the International Criminal Court, the ICC, was accused of racial bias.  The evidence seems pretty damning.  Virtually no non-African has been targeted by the Court.  Yet nobody believes Africa is the only continent in the world to experience grave war crimes.  The Chairman of the African Union, the Ethiopian Prime Minister, Hailemariam Desalegn, recently made a similar claim:  he talked of the ICC “hunting” Africans. Read More »A WHITE MAN’S COURT

Cultural bias and the evaluation of medical evidence: An update on the AAP

By Brian D. Earp Follow Brian on Twitter by clicking here. Cultural bias and the evaluation of medical evidence: An update on the AAP Since my article on the American Academy of Pediatrics’ recent change in policy regarding infant male circumcision was posted back in August of 2012, some interesting developments have come about. Two major critiques of… Read More »Cultural bias and the evaluation of medical evidence: An update on the AAP

Forced Physical Exercise as an Intervention for Mental Disorders?

Studies have shown that regular physical activity has benefits for mental health: exercise can help people to recover from depression and anxiety disorders. However, not all people like exercise, and a mental disorder like depression can additionally decrease motivation for physical activity. So the disorder itself might inhibit behaviour that helps to overcome it.

We would assume that pressurising people is no solution here: several studies have shown that restricting freedom of choice or control increases stress in both humans and animals. However, new research tentatively indicates that controllability might play a smaller role than expected when it comes to exercise, and that even forced exercise might protect against depression and anxiety symptoms:

Read More »Forced Physical Exercise as an Intervention for Mental Disorders?

How to deal with double-edged technology

By Brian D. Earp

 World’s smallest drone? Or how to deal with double-edged technology 

BBC News reports that Harvard scientists have developed the world’s smallest flying robot. It’s about the size of a penny, and it moves faster than a human hand can swat. Of course, the inventors of this “diminutive flying vehicle” immediately lauded its potential for bringing good to the world:

1. “We could envision these robots being used for search-and-rescue operations to search for human survivors under collapsed buildings or [in] other hazardous environments.”

2. “They [could] be used for environmental monitoring, to be dispersed into a habitat to sense trace chemicals or other factors.”

3. They might even behave like many real insects and assist with the pollination of crops, “to function as the now-struggling honeybee populations do in supporting agriculture around the world.”

These all seem like pretty commendable uses of a new technology. Yet one can think of some “bad” uses too. The “search and rescue” version of this robot (for example) would presumably be fitted with a camera; and the prospect of a swarm of tiny, remote-controlled flying video recorders raises some obvious questions about spying and privacy. It also prompts one to wonder who will have access to these spy bugs (the U.S. Air Force has long been interested in building miniature espionage drones), and whether there will be effective regulatory strategies capable of tilting future usage more toward the search-and-rescue side of things, and away from the peep-and-record side.

Read More »How to deal with double-edged technology

Postponed: Wellcome Lectures in Neuroethics 2013

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With apologies to speakers and attendees, the above lecture has had to be postponed to next term. A new announcement will be posted shortly with the new details. Please accept our apologies for any inconvenience.    POSTPONED: Wellcome Lecture in Neuroethics 2013 Venue: Lecture Theatre, Philosophy Faculty, Radcliffe Humanities Radcliffe Observatory Quarter, Woodstock Road, Oxford,… Read More »Postponed: Wellcome Lectures in Neuroethics 2013

Journal of Medical Ethics special issue on the ethics of stem cell-derived gametes

Recent scientific developments suggest that it may become possible to create viable human gametes from human stem cells. It has been suggested that this will lead to the development of a range of new fertility treatments as well as new strands of research. More speculatively, some have argued that it may

  • Allow the radical enhancement of human reproductive capabilities, for example, by allowing same-sex couples or post-menopausal women to have genetically-related offspring
  • Provide new means of creating ‘designer babies’, for example, by easing constraints on the number of embryos that can be produced in IVF.

In a feature article forthcoming in the Journal of Medical Ethics, Robert Sparrow discusses the possibility that stem cell technologies might be used to facilitate what he calls ‘in vitro eugenics’; the deliberate and selective breeding of multiple generations of human embryos in vitro. The Editors of the Journal of Medical Ethics now invite submissions for a special issue addressing the ethical questions raised by Sparrow’s paper and by stem cell-derived gametes more generally.

Read More »Journal of Medical Ethics special issue on the ethics of stem cell-derived gametes