Last week the US Ambassador visited the Medical School to meet with Maltese doctors to discuss the US health plan. He came across as a humble person, actually asking us about our system and how they, as Americans, can learn from Europeans, who have managed to create health care systems which are based on a social justice system different from that in the US. (The Malta Independent
It’s been one year since President Barack Obama lifted the Bush era’s eight-year ban on federal funding for embryonic stem cell research. Read excerpts from producer Susan Goldstein’s and correspondent Betty Rollin’s recent interview about ethical guidelines, current research, and the limitations of Obama’s policy with Dr. George Daley of Children’s Hospital Boston, where a new web site is now available on the state of stem cell research. (PBS)
Criticisms of the ethical justification of antidoping legislation are not uncommon in the literatures of medical ethics, sports ethics and sports medicine. Critics of antidoping point to inconsistencies of principle in the application of legislation and the unjustifiability of ethical postures enshrined in the World Anti-Doping Code, a new version of which came into effect in January 2009. This article explores the arguments concerning the apparent legal peculiarities of antidoping legislation and their ethically salient features in terms of: notions of culpability, liability and guilt; aspects of potential duplication of punishments and the limitations of athlete privacy in antidoping practice and policy. It is noted that tensions still exist between legal and ethical principles and norms that require further critical attention. [Premium (Journal of Medical Ethics)]
Many people are worried that the health-care reform proposed by President Obama and congressional Democrats will fail to bend the “cost curve.” A number of commentators are urging no votes because of this, and Republicans have asked the president to start health reform over, focusing squarely on the issue of cost reduction. [Premium (Wall Street Journal)]
I have proposed that a scenario of slower-than-disruptive tech development over the next 15-20 years combined with weak or reduced opposition to human enhancement could result in “increasing irrelevance” for transhumanists. But what exactly does that mean? (IEET)
Dr. Peter J. Pronovost, 45, is medical director of the Quality and Safety Research Group at Johns Hopkins Hospital in Baltimore, which means he leads that institution’s quest for safer ways to care for its patients. He also travels the country, advising hospitals on innovative safety measures. The Hudson Street Press has just released his book, “Safe Patients, Smart Hospitals: How One Doctor’s Checklist Can Help Us Change Health Care from the Inside Out,” written with Eric Vohr. An edited version of a two-hour conversation follows. (New York Times)
Disability groups are split over a Family Court decision to approve the sterilisation of an 11-year-old girl. Family Court judge Paul Cronin found that the performance of a hysterectomy on the child, identified only as Angela, was “in the child’s best interests”. (Sydney Morning Herald)
by Sue Trinidad (noreply@blogger.com) at March 10, 2010 04:01 PM
By Wesley J. Smith, J.D., Special Consultant to the CBC
There has been an attempt ongoing for some time to harness the respectability of science and conflate it with an increasingly popular philosophy known as scientism. But scientism and science are different things. The latter is a powerful method of obtaining and applying material facts and information. The latter creates a subjective world view using the pretense that science has the capacity to tell us objectively right from wrong, the ethical from the unethical, best from worst, etc..
But that’s oxymornic. Science is incapable of doing any of that, since as a method, it is utterly amoral. Indeed, the amorality of science is precisely why ethical parameters must be built around it, hopefully loose enough to allow us to benefit from its prowess, yet strict enough ensure that science serves society rather than devours it. In that dual mandate (if you will) are dynamic tensions that can never be fully resolved.
An article by philosopher professor Edward Feser over at Public Discourse explores the differences between science and scientism. From the article:
Scientism is the view that all real knowledge is scientific knowledge—that there is no rational, objective form of inquiry that is not a branch of science…Despite its adherents’ pose of rationality, scientism has a serious problem: it is either self-refuting or trivial. Take the first horn of this dilemma. The claim that scientism is true is not itself a scientific claim, not something that can be established using scientific methods. Indeed, that science is even a rational form of inquiry (let alone the only rational form of inquiry) is not something that can be established scientifically. For scientific inquiry itself rests on a number of philosophical assumptions: that there is an objective world external to the minds of scientists; that this world is governed by causal regularities; that the human intellect can uncover and accurately describe these regularities; and so forth. Since science presupposes these things, it cannot attempt to justify them without arguing in a circle. And if it cannot even establish that it is a reliable form of inquiry, it can hardly establish that it is the only reliable form. Both tasks would require “getting outside” science altogether and discovering from that extra-scientific vantage point that science conveys an accurate picture of reality—and in the case of scientism, that only science does so.
Feser points out that philosophy often governs how scientific findings are interpreted, and then gets to his next critique:
Here we come to the second horn of the dilemma facing scientism. Its advocate may now insist: if philosophy has this status, it must really be a part of science, since (he continues to maintain, digging in his heels) all rational inquiry is scientific inquiry. The trouble now is that scientism becomes completely trivial, arbitrarily redefining “science” so that it includes anything that could be put forward as evidence against it.
Right. But all rational analysis isn’t scientific. And certainly, concepts of meaning and purpose–or lack thereof–are not scientific as such issues cannot be proved or disproved scientifically. And that problem leads scientism into necessary contortions:
The irony is that the very practice of science itself, which involves the formulation of hypotheses, the weighing of evidence, the invention of technical concepts and vocabularies, the construction of chains of reasoning, and so forth—all mental activities saturated with meaning and purpose—falls on the “subjective,” “manifest image” side of scientism’s divide rather than the “objective,” “scientific image” side. Human thought and action, including the thoughts and actions of scientists, is of its nature irreducible to the meaningless, purposeless motions of particles and the like. Some thinkers committed to scientism realize this, but conclude that the lesson to draw is not that scientism is mistaken, but that human thought and action are themselves fictions. According to this radical position—known as “eliminative materialism” since it entails eliminating the very concept of the mind altogether instead of trying to reduce mind to matter—what is true of human beings is only what can be put in the technical jargon of physics, chemistry, neuroscience and the like. There is no such thing as “thinking,” “believing,” “desiring,” “meaning,” etc.; there is only the firing of neurons, the secretion of hormones, the twitching of muscles, and other such physiological events.
Which I find ironic, because that kind of reductionism seems to lead directly to a variation of the Buddhist view that what we think we know is really all illusion.
And here comes the human exceptionalism part: We alone in the known universe are a believing species. Whether one is a Christian, Buddhist, atheist, or a follower of philosophical scientism, none of it is purely objective. At some point, unless we avoid all deeper reflection, we have to choose our subjective poison. And once we are in the realm of subjectivity, while we may use scientific findings to under gird our beliefs, we have actually left the realm of science behind. (Example: Science can tell us that a human embryo is a living organism. Deciding whether it is right or wrong to use that organism as a natural resource is not science.)
Human immunodeficiency virus (HIV) can infect bone marrow cells — including, possibly, hematopoietic stem cells, according to a study published online today (March 7) in Nature. The findings suggest the virus can hide in an inactive state for long periods of time, evading treatment, even in individuals without detectable viral loads. (The Scientist)
The UK Human Tissue Authority (HTA) has issued an official warning that unlawful collections of umbilical cord blood have been taking place in the UK, and that such instances ‘may compromise safety and quality standards’. (PHG Foundation)
THE JUDGE Rotenberg Center in Canton, which stands alone in its use of painful skin shocks to eradicate self-mutilation and sudden assault, is a storehouse of ethical and medical dilemmas. But it’s no shock - and no shame - that the parents of some autistic and mentally retarded children embrace this controversial school. (The Boston Globe)
Among patients with advanced heart failure, blacks and Hispanics are less likely to receive hospice care than whites, researchers found. After adjustment for sociodemographic, clinical, and geographic factors, blacks were 41% less likely to have hospice care than whites (OR 0.59, 95% CI 0.47 to 0.73) and Hispanics were 51% less likely (OR 0.49, 95% CI 0.37 to 0.66), according to Jane Givens, MD, of Beth Israel Deaconess Medical Center in Boston, and colleagues. (MedPage Today)
The judge who sentenced an Oregon couple to prison Monday for the death of their son says members of their church must quit relying on faith healing when their children’s lives are at stake. (The Associated Press)
A campaign to give elderly people in the Netherlands the right to assisted suicide said Monday it has gathered more than 100,000 signatures, hoping to push the boundaries another notch in the country that first legalized euthanasia. (The Associated Press)
When 87-year-old Bunny Olenick suffered a massive stroke in December 2008, doctors told her family there was no chance she could recover fully, although her limitations probably wouldn’t be known for months. A neurologist told her sons that if she did survive, her ability to communicate would be diminished, and she would likely need around-the-clock care for the rest of her life. (Kaiser Health News)
By Wesley J. Smith, J.D., Special Consultant to the CBC
The Dutch show the consequences of opening the door to the assisted suicide banshee. A proposal to allow doctors to assist suicides based solely on age is gaining strength in the Netherlands. From the story:
A campaign to give elderly people in the Netherlands the right to assisted suicide said Monday it has gathered more than 100,000 signatures, hoping to push the boundaries another notch in the country that first legalized euthanasia. The signatures are enough to force a debate in parliament, where it is certain to face resistance. Even if widely approved, the proposal would normally go through a lengthy process of committee work and consensus-building that could take years. The legalization of euthanasia for the terminally ill in 2002 was preceded by decades of discussion and quiet negotiation that attached stringent conditions and medical supervision.
Can’t media ever get it right? Assisted suicide has been openly practiced since 1973, only being formally legalized in 2002. It has never been limited to the terminally ill, and the “guidelines” are not “stringent,” nor are they enforced with any vigor. Indeed, Dutch doctors now openly engage in infanticide, nearly 1,000 people are euthanized each year who have not asked to die, and the country’s Supreme Court has made it legally available to the depressed.
Those points aside, this story proves what I have stated repeatedly: The Culture of Death is never satiated. It is always hungry. It always wants more.
Studies in Ethics, Law, and Technology (Volume 3, Issue 3, 2009) is now available by subscription only.
Articles include:
Sociology of Health & Illness (Volume 32, Issue 2, February 2010) is now available by subscription only.
Articles include: