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

Friday, December 16, 2016

Why moral companies do immoral things

Michael Skapinker
Financial Times
Originally published November 23, 2016

Here is an excerpt:

But I wondered about the “better than average” research cited above. Could the illusion of moral superiority apply to organisations as well as individuals? And could companies believe they were so superior morally that the occasional lapse into immorality did not matter much? The Royal Holloway researchers said they had recently conducted experiments examining just these issues and were preparing to publish the results. They had found that political groups with a sense of moral superiority felt justified in behaving aggressively towards opponents. In experiments, this meant denying them a monetary benefit.

“It isn’t difficult to imagine a similar scenario arising in a competitive organisational context. To the extent that employees may perceive their organisation to be morally superior to other organisations, they might feel licensed to ‘cut corners’ or behave somewhat unethically — for example, to give their organisation a competitive edge.

“These behaviours may be perceived as justified … or even ethical, insofar as they promote the goals of their morally superior organisation,” they told me.

The article is here.

How a doctor convicted in drugs-for-sex case returned to practice

Danny Robbins
Atlantic Journal Constitution
Part of a series on Physical and Sexual Abuse

Here is an excerpt:

“The pimp with a prescription pad” is what one prosecutor called him during a trial in which it was revealed that more than 400 sexually explicit photos of female patients and other women had been discovered in his office.

In some states, where legislatures have enacted laws prohibiting doctors who commit certain crimes from practicing, Dekle’s career would be over. But in Georgia, where the law gives the medical board the discretion to license anyone it sees fit, he was back in practice two years after leaving prison.

More than a dozen years later, that decision still leads some to wonder what the board was thinking.

“It’s particularly damning that he was using his ability to write prescriptions to further his sexual activities,” said Chris Dorsey, the Georgia Bureau of Investigation agent who led the probe that sent Dekle to prison. “A doctor burglarizes a house and then pays his debt to society, could he be a good doctor? I could argue it both ways. But when you have someone who abused everything centering on a medical practice to victimize all these people, that’s really a separate issue.”

The article is here.

Thursday, December 15, 2016

Informed Consent in Organ Donation and Abandonment of the Dead-Donor Rule

Matthew Phillip Mead
Journal of Cognition and Neuroethics 3 (2): 47–56.

Abstract

There has been considerable discussion regarding the ethics of organ transplantation and the dead-donor rule (DDR). Much of the medical and philosophical literature reveals inherent difficulties in definitions of death and the appropriate time to begin organ procurement. In this essay, an argument is presented for abandoning the DDR and switching to a practice in which donors are informed of the conditions under which their organs will be removed, rather than the current practice of requiring a declaration of death. Informed organ donation consent (IODC) would allow for greater transparency in the organ procurement process and alleviate many of the ethical concerns raised in the literature today surrounding these practices. This has the potential to improve public trust of organ procurement and increase the numbers of donors.

The article is here.

How Well Does Your State Protect Patients?

By Carrie Teegardin
Atlantic Journal-Constitution
A series on Physicians and Abuse

Here is an excerpt:

In most states, doctors dominate medical licensing boards and have the authority to decide who is fit to practice medicine and who isn’t. Usually the laws do not restrict a board’s authority by mandating certain punishments for some types of violations. Many licensing boards — including Georgia’s — say that’s how it should be.

“Having a bold, bright line saying a felony equals this or that is not good policy,” said Bob Jeffery, executive director of the Georgia Composite Medical Board.

Jeffery said criminal courts punish offenders and civil courts can compensate victims. Medical regulators, he said, have a different role.

“A licensing board is charged with making sure a (doctor) is safe to practice and that patients are protected,” he said.

With no legal prohibition standing in the way in most states, doctor-dominated medical boards often decide that doctors busted for abusive or illegal behaviors can be rehabilitated and safely returned to exam rooms.

New Jersey licensed a doctor convicted of sexual offenses with four patients. Kansas licensed a doctor imprisoned in Ohio for a sexual offense involving a child; that doctor later lost his Kansas license after making anonymous obscene phone calls to patients. Utah licensed a doctor who didn’t contest misdemeanor charges of sexual battery for intentionally touching the genitals of patients, staff members and others.

The article is here.

Wednesday, December 14, 2016

If Animals Have Rights, Should Robots?

Nathan Heller
The New Yorker
Originally published November 28, 2016

Here is an except:

This simple fact is responsible for centuries of ethical dispute. One Harambe activist might believe that killing a gorilla as a safeguard against losing human life is unjust due to our cognitive similarity: the way gorillas think is a lot like the way we think, so they merit a similar moral standing. Another might believe that gorillas get their standing from a cognitive dissimilarity: because of our advanced powers of reason, we are called to rise above the cat-eat-mouse game, to be special protectors of animals, from chickens to chimpanzees. (Both views also support untroubled omnivorism: we kill animals because we are but animals, or because our exceptionalism means that human interests win.) These beliefs, obviously opposed, mark our uncertainty about whether we’re rightful peers or masters among other entities with brains. “One does not meet oneself until one catches the reflection from an eye other than human,” the anthropologist and naturalist Loren Eiseley wrote. In confronting similarity and difference, we are forced to set the limits of our species’ moral reach.

Today, however, reckonings of that sort may come with a twist. In an automated world, the gaze that meets our own might not be organic at all. There’s a growing chance that it will belong to a robot: a new and ever more pervasive kind of independent mind. Traditionally, the serial abuse of Siri or violence toward driverless cars hasn’t stirred up Harambe-like alarm. But, if like-mindedness or mastery is our moral standard, why should artificial life with advanced brains and human guardianships be exempt? Until we can pinpoint animals’ claims on us, we won’t be clear about what we owe robots—or what they owe us.

Tuesday, December 13, 2016

Consciousness: The Underlying Problem

Conscious Entities
November  24, 2016

What is the problem about consciousness? A Royal Institution video with interesting presentations (part 2 another time).

Anil Seth presents a striking illusion and gives an optimistic view of the ability of science to tackle the problem; or maybe we just get on with the science anyway? The philosophers may ask good questions, but their answers have always been wrong.

Barry Smith says that’s because when the philosophers have sorted a subject out it moves over into science. One problem is that we tend to miss thinking about consciousness and think about its contents. Isn’t there a problem: to be aware of your own awareness changes it? I feel pain in my body, but could consciousness be in my ankle?

Chris Frith points out that actually only a small part of our mental activity has anything to do with consciousness, and in fact there is evidence to show that many of the things we think are controlled by conscious thought really are not: a vindication of Helmholtz’s idea of unconscious inference. Thinking about your thinking messes things up?

The video is here.

Of Tooth and Claw: Predator Self-Identifications Mediate Gender Differences in Interpersonal Arrogance

Robinson, M.D., Bair, J.L., Liu, T. et al. Sex Roles (2016).
Sex Roles, pp 1-15.
doi:10.1007/s11199-016-0706-y

Abstract

Men often score higher than women do on traits or tendencies marked by hostile dominance. The purpose of the present research was to contribute to an understanding of these gender differences. Four studies (total N = 494 U.S. undergraduates) administered a modified animal preference test in which participants could choose to be predator or prey animals, but not labeled as such. Men were consistently more interested in being predator animals than women were, displaying a sort of hostile dominance in their projective preferences. Predator self-identifications, in turn, mediated gender differences in outcomes related to hostile dominance. Studies 1 and 2 provided initial evidence for this model in the context of variations in interpersonal arrogance, and Studies 3 and 4 extended the model to nonverbal displays and daily life prosociality, respectively. The findings indicate that gender differences in hostile dominance are paralleled by gender differences in preferring to think about the self in predator-like terms. Accordingly, the findings provide new insights into aggressive forms of masculine behavior.

Monday, December 12, 2016

Preventing Conflicts of Interest of NFL Team Physicians

Mark A. Rothstein
The Hastings Center Report
Originally posted November 21, 2016

Abstract

At least since the time of Hippocrates, the physician-patient relationship has been the paradigmatic ethical arrangement for the provision of medical care. Yet, a physician-patient relationship does not exist in every professional interaction involving physicians and individuals they examine or treat. There are several “third-party” relationships, mostly arising where the individual is not a patient and is merely being examined rather than treated, the individual does not select or pay the physician, and the physician's services are provided for the benefit of another party. Physicians who treat NFL players have a physician-patient relationship, but physicians who merely examine players to determine their health status have a third-party relationship. As described by Glenn Cohen et al., the problem is that typical NFL team doctors perform both functions, which leads to entrenched conflicts of interest. Although there are often disputes about treatment, the main point of contention between players and team physicians is the evaluation of injuries and the reporting of players’ health status to coaches and other team personnel. Cohen et al. present several thoughtful recommendations that deserve serious consideration. Rather than focusing on their specific recommendations, however, I would like to explain the rationale for two essential reform principles: the need to sever the responsibilities of treatment and evaluation by team physicians and the need to limit the amount of player medical information disclosed to teams.

Cryonics: hype, hope or hell?

Neera Bhatia & Julian Savulescu
The Conversation
Originally posted November 22, 2016

Here is an excerpt:

Is cryonics ethical?

There are some arguments in favour of cryonics, the simplest of which is one of free will and choice. As long as people are informed of the very small chance of success of future re-animation, and they are not being coerced, then their choice is an expression of their autonomy about how they wish to direct the disposal of their bodies and resources after death.

In this light, choosing cryonics can be seen as no different to choosing cremation or burial, albeit a much more expensive option.

However, this case raises several other ethical and problematic concerns. There is the issue of potentially exploiting vulnerable people. Some might argue vulnerable people are trading hype for hope.

But if we were to replace the science of cryonics with the promises of religious or spiritual healers made at the bedside of the dying – of earlier access to “eternal life” in return for large payments known as indulgences – would this be so different?

Serious regulatory problems ahead

Legal and ethical issues aside, there are other serious issues to consider.

How can dying people have confidence in the ability of a company to keep their remains intact? If the cryonic company were to cease operating because of financial difficulties, what would happen to the frozen body?

The article is here.