Welcome to the Nexus of Ethics, Psychology, Morality, Philosophy and Health Care

Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy

Tuesday, March 17, 2015

Straight Talk for White Men

By Nicholas Kristof
The New York Times
Originally published on February 21, 2015

Here is an excerpt:

The study found that a résumé with a name like Emily or Greg received 50 percent more callbacks than the same résumé with a name like Lakisha or Jamal. Having a white-sounding name was as beneficial as eight years’ work experience.

Then there was the study in which researchers asked professors to evaluate the summary of a supposed applicant for a post as laboratory manager, but, in some cases, the applicant was named John and in others Jennifer. Everything else was the same.

“John” was rated an average of 4.0 on a 7-point scale for competence, “Jennifer” a 3.3. When asked to propose an annual starting salary for the applicant, the professors suggested on average a salary for “John” almost $4,000 higher than for “Jennifer.”

It’s not that we white men are intentionally doing anything wrong, but we do have a penchant for obliviousness about the way we are beneficiaries of systematic unfairness. Maybe that’s because in a race, it’s easy not to notice a tailwind, and white men often go through life with a tailwind, while women and people of color must push against a headwind.

The entire article is here.

Artificial intelligence could kill us because we're stupid, not because it's evil

By Andrew Griffin
The Independent
Originally published February 24, 2015

Artificial intelligence will be a threat because we are stupid, not because it is clever and evil, according to experts.

We could put ourselves in danger by creating artificial intelligence that looks too much like ourselves, a leading theorist has warned. “If we look for A.I. in the wrong ways, it may emerge in forms that are needlessly difficult to recognize, amplifying its risks and retarding its benefits,” writes theorist Benjamin H Bratton in the New York Times.

The entire article is here.

Monday, March 16, 2015

Measles, Vaccination, and the Tragedy of the Commons

By Katharine Brown
Bioethics Forum
Originally published on February 25, 2015

Here is an excerpt:

To understand why, think of vaccination and the quest for herd immunity as a collective action problem. Garrett Hardin’s “tragedy of the commons” illustrates the basic logic of collective action problems. Imagine that 50 farmers share common land (“the commons”) upon which they graze their sheep. The commons are lush, and so each farmer can easily allow four sheep to graze at a given time without depleting the resource. But imagine that each farmer seeks to maximize his own good (what economic theory refers to as “rational” behavior) and it is better for him to graze more sheep than fewer. The farmers will, in effect, be “free-riding” – in this case, taking more than their fair share of the common resource while benefitting from the restraint of others. The trouble is that, while adding one more sheep to the commons does not deplete the resource, adding 50 does. The combined actions of each farmer, acting rationally, leads to an outcome that is worse for all.

The tragedy of the commons reveals that what is good for the individual is at odds with what is good for all. This is the basic logic of collective action problems. We see a similar logic in the case of vaccines. If most get vaccinated, then everyone will be better off. But it would be best for any particular individual if all others got vaccinated and he or she did not.

The entire article is here.

Climate skeptic’s fossil fuel funding puts spotlight on journal conflict policies

By David Malakoff
Science Magazine
Originally published February 22, 2015

Here is an excerpt:

“We’re concerned about the lack of transparency in science… and a possible ethical breach in not disclosing potential conflicts of interest in an area with important public policy implications,” says Kert Davies, Executive Director of the CIC in Alexandria, Virginia. (Soon’s work, he notes, is routinely cited by politicians opposed to government action on climate, and widely disputed by mainstream climate researchers.)

Davies, a former Greenpeace staffer, helped spur the effort to use the federal Freedom of Information Act (FOIA) to obtain the documents that detail Soon’s funding sources. The law applies to the Smithsonian because it is a quasi-government entity (it operates the CfA in cooperation with the Harvard College Observatory). Greenpeace has been using such FOIA requests to document Soon’s sources of funding for years. Last week, Davies began providing recently-obtained documents to media outlets, including ScienceInsider,  leading to stories in the New York Times, Nature, The Guardian, the Boston Globe, and Inside Climate News.

The entire article is here.

Sunday, March 15, 2015

Game Theory Analysis Shows How Evolution Favors Cooperation’s Collapse

By Katherine Unger Baillie
University of Pennsylvania
Press Release
Originally released on November 24, 2014

Last year, University of Pennsylvania researchers Alexander J. Stewart and Joshua B. Plotkin published a mathematical explanation for why cooperation and generosity have evolved in nature. Using the classical game theory match-up known as the Prisoner’s Dilemma, they found that generous strategies were the only ones that could persist and succeed in a multi-player, iterated version of the game over the long term.

But now they’ve come out with a somewhat less rosy view of evolution. With a new analysis of the Prisoner’s Dilemma played in a large, evolving population, they found that adding more flexibility to the game can allow selfish strategies to be more successful. The work paints a dimmer but likely more realistic view of how cooperation and selfishness balance one another in nature.

“It’s a somewhat depressing evolutionary outcome, but it makes intuitive sense,” said Plotkin, a professor in Penn’s Department of Biology in the School of Arts & Sciences, who coauthored the study with Stewart, a postdoctoral researcher in his lab. “We had a nice picture of how evolution can promote cooperation even amongst self-interested agents and indeed it sometimes can, but, when we allow mutations that change the nature of the game, there is a runaway evolutionary process, and suddenly defection becomes the more robust outcome.”

The entire press release is here.

Saturday, March 14, 2015

What pushes scientists to lie? The disturbing but familiar story of Haruko Obokata

By John Rasko and Carl Power
The Guardian
Originally posted February 18, 2015

Here is an excerpt:

Two obvious reasons spring to mind. First, unbelievable carelessness. Obokata drew suspicion upon her Nature papers by the inept way she manipulated images and plagiarised text. It is often easy to spot such transgressions, and the top science journals are supposed to check for them; but it is also easy enough to hide them. Nature’s editors are scratching their heads wondering how they let themselves be fooled by Obokata’s clumsy tricks. However, we are more surprised that she didn’t try harder to cover her tracks, especially since her whole career was at stake.

Second, hubris. If Obokata hadn’t tried to be a world-beater, chances are her sleights of hand would have gone unnoticed and she would still be looking forward to a long and happy career in science. Experiments usually escape the test of reproducibility unless they prove something particularly important, controversial or commercialisable. Stap cells tick all three of these boxes. Because Obokata claimed such a revolutionary discovery, everyone wanted to know exactly how she had done it and how they could do it themselves. By stepping into the limelight, she exposed her work to greater scrutiny than it could bear.

The entire article is here.

Friday, March 13, 2015

Bias, Black Lives, and Academic Medicine

By David A. Ansell and Edwin K. McDonald
The New England Journal of Medicine
Originally published February 18, 2015

Here is an excerpt:

First, there is evidence that doctors hold stereotypes based on patients' race that can influence their clinical decisions.  Implicit bias refers to unconscious racial stereotypes that grow from our personal and cultural experiences. These implicit beliefs may also stem from a lack of day-to-day interracial and intercultural interactions. Although explicit race bias is rare among physicians, an unconscious preference for whites as compared with blacks is commonly revealed on tests of implicit bias.

Second, despite physicians' and medical centers' best intentions of being equitable, black–white disparities persist in patient outcomes, medical education, and faculty recruitment.

The entire article is here.

#BlackLivesMatter — A Challenge to the Medical and Public Health Communities

By Mary T. Bassett
The New England Journal of Medicine
Originally posted February 18, 2015

Here is an excerpt:

As New York City's health commissioner, I feel a strong moral and professional obligation to encourage critical dialogue and action on issues of racism and health. Ongoing exclusion of and discrimination against people of African descent throughout their life course, along with the legacy of bad past policies, continue to shape patterns of disease distribution and mortality. There is great injustice in the daily violence experienced by young black men. But the tragedy of lives cut short is not accounted for entirely, or even mostly, by violence. In New York City, the rate of premature death is 50% higher among black men than among white men, according to my department's vital statistics data, and this gap reflects dramatic disparities in many health outcomes, including cardiovascular disease, cancer, and HIV. These common medical conditions take lives slowly and quietly — but just as unfairly. True, the black–white gap in life expectancy has been decreasing, and the gap is smaller among women than among men. But black women in New York City are still more than 10 times as likely as white women to die in childbirth, according to our 2012 data.

The entire article is here.

Thursday, March 12, 2015

Why We Ignore the Obvious: The Psychology of Willful Blindness

By Maria Popova
BrainPickings.org

Here is an excerpt:

The concept of “willful blindness,” Heffernan explains, comes from the law and originates from legislature passed in the 19th century — it’s the somewhat counterintuitive idea that you’re responsible “if you could have known, and should have known, something that instead you strove not to see.” What’s most uneasy-making about the concept is the implication that it doesn’t matter whether the avoidance of truth is conscious. This basic mechanism of keeping ourselves in the dark, Heffernan argues, plays out in just about every aspect of life, but there are things we can do — as individuals, organizations, and nations — to lift our blinders before we walk into perilous situations that later produce the inevitable exclamation: How could I have been so blind?

The entire blog post is here.