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Artificial organs: “good guys” finish last to technology

It is hardly a keen insight to note that there are a lot of problems in the world today, and that there are also lots of suggested solutions. Often these can be classified under three different labels:

  • “Good guy” solutions which rely on changing individual people’s attitudes and behaviours.
  • Institutional solutions which rely on designing good institutions to address the problem.
  • Technological solutions which count on technology to resolve the problem.

In this view, it is tremendously good news that scientists are getting closer to producing artificial organs. If this goal is achieved, it will be a technological solution to the problem of transplant organ shortages – and technological solutions tend to be better than institutional solutions, which are generally much better than “good guy” solutions. The “good guy” solution to organ donation was to count on people to volunteer to donate when they died. Better institutions (such as an opt-out system where you have to make a special effort not to be a donor, rather than a special effort to be a donor) have resulted in much improved donation rates. But cheap artificial organs would really be the ultimate solution.

Of course I don’t denigrate the use of getting people on your side, nor the motivations of those who sincerely want to change things. But changes to people’s attitudes only tend to stick around as long term solutions if this is translated into actual institutional or technological changes.

Take slavery, for instance. Read More »Artificial organs: “good guys” finish last to technology

To kill or to violate?

By Charles Foster

A highly intelligent 32 year old woman has profound anorexia. She has had it for years. It is complicated by alcohol and opiate dependency, and by personality disorder. Her BMI is 11.3. A healthy BMI is around 20. Less than 17.7 is in the anorexic range. Less than 14 indicates dangerous weight loss. Over the last 4 years her BMI has been well below 14. She describes her life as ‘pure torment’. All the things she wanted to do have been frustrated by her illness. She feels unable to give anything to the world, or to take anything out. For years she has had intense treatment for her anorexia and related conditions. On about 10 occasions she has been sectioned under the Mental Health Act. One of those periods lasted almost 4 months. Twice she has executed advance decisions refusing life-saving or life-prolonging treatment.
There are only two options: death or the violation of her autonomy . If she is not admitted against her will to hospital, detained there for not less than a year, and forcibly fed under physical or chemical restraint, she will die. She understands this perfectly well. She doesn’t actively seek death, but doesn’t want to be force fed. As well as the anorexic’s usual horror of calories, the forcible medical administration of nutrition reminds her horribly of the sexual abuse she suffered as a child.Read More »To kill or to violate?

Should you take ecstasy to improve your marriage? Not so fast …

Love drugs and science reporting in the media: Setting the record straight 

By Brian D. Earp, Julian Savulescu, and Anders Sandberg

Love. It makes the world go round. It is the reason we have survived as a species. It is the subject of our art, literature, and music—and it is largely the product of chemical reactions within the brain.

No wonder science is starting to unravel the ways in which we can influence it, and perhaps even control it.

Just as Darwin’s finding that we are descended from apes shocked people in the nineteenth century, so people will be shocked to find that our most lofty social ideal is something we share with our mammalian cousins and which is the subject of scientific scrutiny and even chemistry-book manipulation.

In 2008, two of us (Julian Savulescu and Anders Sandberg) published an article in the journal Neuroethics on the topic of “love drugs” – a term we use to refer to pharmacological interventions based on existing and future bio-technologies that could work to strengthen the bond between romantic partners. All three of us have an article just published in the journal Philosophy & Technology in which we build upon that earlier work. Interested readers will take the time to study those papers in full, but we have a feeling that much of the population will stop at a handful of media reports that have recently summarized our ideas, including at least one article that we think has the potential to mislead. Let us set the record straight.

Read More »Should you take ecstasy to improve your marriage? Not so fast …

The Queen’s an anachronism: another problem with predicting the future

The Queen serve many roles, it seems. She provides stability to the British government, fosters links with the ex-colonies, promotes tourism, serves a safe focus for nationalist sentiment, gives the nation a centralised way of taking care of various palaces, provides nationalised opportunities for neighbours to come together, warms that deep part of the human heart that admires leaders but disdains those that make hard choices, is a focal point for unity, tradition and precedent, a link to history… The list is long, and to some extent genuine: she does provide these services to the nation.

But say we’d sat down, without any knowledge of the monarchy, and looked at that long list of desires, included in a list of a million other things we’d want. Nobody would have said: “You know, thinking about it, for issues 137, 2220 and 3558b… Well, the most efficient way we could deal with these is to institute an unelected hereditary figurehead, passing down by primogeniture. Come to think about it, that would also help with issue 344c…” The monarchy is certainly not the best way of accomplishing all the tasks we want it to accomplish, is likely very far from the best way. But it is the way we currently do so, changing it would require a lot of effort, and it has adapted itself to work in practice, within our current society.

Which brings us to the problem of prediction.Read More »The Queen’s an anachronism: another problem with predicting the future

Philosophical Shock Tactics

Not long ago Peter Singer sent a shock wave around his home country when on national television he provided an ethical justification for bestiality. This year three analytical philosophers were taken aback at the ridicule they attracted for proposing that humans be biologically engineered to reduce their carbon footprints as a response to global warming. And… Read More »Philosophical Shock Tactics

Who is to define your identity?

http://carriemaeweems.net/

To categorize people into different groups seems to be not only a fundamental function of human cognition, but also of our whole society: child vs. grownup, man vs. woman, black vs. white… Based on such categorizations, we assign rights and duties as for example the right to vote or the monthly fee we have to pay for our health insurance. How people get categorized by others, however, does not necessarily accord with how they categorize themselves.

A New York Times article I stumbled upon some days ago prompted me to do some research on the internet. This resulted in a vivid example of such “categorization disagreement”: race in the U.S. census. Until 1950, census takers were sent out by the government to record data on the residents of the USA. They categorized people into different racial groups based on their appearance. Later, the U.S. government changed their way of data collection: they began to assess their residents by letter. This meant that people now categorized their race themselves. This new self-assessment had a huge impact on the statistics on race. For example, between 1940 and 1990, the Native American population increased by 455 % (up to almost two million). Even though there is more than one reason for this rapid population growth, research shows that self-assignment of race is the most important factor. Another example: in the 1910 census, 65.5% of Puerto Ricans were categorized as “white” by census takers. In 2000, 80.5% of Puerto Ricans categorized themselves as “white”. As shown, this is not due to an actual growth of the white population, but rather due to differences in race classification. (For more census statistics, see here and here.) Read More »Who is to define your identity?

Repent, brother Dawkins

By Charles Foster

Richard Dawkins is at it again in the Guardian. It’s the familiar stuff: a fluent, funny, whingeing litany of jibes about genocidal Israelites, filicidal Gods and benighted Tennessean Creationists. We’ve all heard it all before, of course. Dawkins has become a hackneyed national treasure. He’s a sort of pantomime dame – always doing the same old gags. We’d miss him if he didn’t appear. We love him for his ridiculousness, the extremity of his speech, and the extravagant colour of his bile, just as we love the dame’s unfeasibly enormous breasts and her outrageously striped tights. You’ve got to admire the Dawkins-Dame. He never rests on his laurels. His lines might be the same, but he tries to alternate his frocks. This time he’s wearing a very fetching little pretext: read the King James Version. It’s great literature, and it’ll tell you, almost as well as Dawkins himself, just how absurd religion is.Read More »Repent, brother Dawkins

A fatal irony: Why the “circumcision solution” to the AIDS epidemic in Africa may increase transmission of HIV

By Brian D. Earp 

* Note: this article has been re-posted at various other sites, sometimes with minor edits. This is the original and should be referred to in case of any discrepancies.

 

A fatal irony: Why the “circumcision solution” to the AIDS epidemic in Africa may increase transmission of HIV

1. Experimental doubts 

A handful of circumcision advocates have recently begun haranguing the global health community to adopt widespread foreskin-removal as a way to fight AIDS. Their recommendations follow the publication of three [1] randomized controlled trials (RCTs) conducted in Africa between 2005 and 2007.

These studies have generated a lot of media attention. In part this is because they claim to show that circumcision reduces HIV transmission by about 60%, a figure that (interpreted out of context) is ripe for misunderstanding, as we’ll see. Nevertheless, as one editorial [2] concluded: “The proven efficacy of MC [male circumcision] and its high cost-effectiveness in the face of a persistent heterosexual HIV epidemic argues overwhelmingly for its immediate and rapid adoption.”

Well, hold your horses. The “randomized controlled trials” upon which these recommendations are based are not without their flaws. Their data have been harnessed to support public health recommendations on a massive scale whose implementation, it has been argued, may have the opposite of the claimed effect, with fatal consequences. As Gregory Boyle and George Hill explain in their extensive analysis of the RCTs:

Read More »A fatal irony: Why the “circumcision solution” to the AIDS epidemic in Africa may increase transmission of HIV

European versus US attitudes to geoengineering

Casual observation suggests that among scientists researching geoengineering technologies there is a marked difference in attitude between Americans and continental Europeans. The United Sates is the home of the idea of the technofix, so American researchers tend to have more faith in the possibilities for technological intervention to control the global climate. There is a… Read More »European versus US attitudes to geoengineering