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, May 2, 2017

Ethics office details conflict of interest rules for Ivanka Trump

Olivia Beavers
The Hill
Originally posted May 1, 2017

Here is an excerpt:

Shaub said the ethics rules prevent top White House appointees “from participating personally and substantially in particular matters directly and predictably affecting their financial interests.” They typically do so by recusing themselves from “particular issues that would affect the appointee's personal and imputed financial interests.”

The ethics office plans to review Ivanka Trump’s disclosures after they are filed.

“After the report is revised, OGE seeks information about how the White House is addressing any potential conflicts of interest identified during the review process,” Shaub continued. “OGE then makes a determination regarding apparent compliance with financial disclosure and conflict of interest rules and either certifies or declines to certify the financial disclosure report.”

The article is here.

AI Learning Racism, Sexism and Other Prejudices from Humans

Ian Johnston
The Independent
Originally published April 13, 2017

Artificially intelligent robots and devices are being taught to be racist, sexist and otherwise prejudiced by learning from humans, according to new research.

A massive study of millions of words online looked at how closely different terms were to each other in the text – the same way that automatic translators use “machine learning” to establish what language means.

Some of the results were stunning.

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“We have demonstrated that word embeddings encode not only stereotyped biases but also other knowledge, such as the visceral pleasantness of flowers or the gender distribution of occupations,” the researchers wrote.

The study also implies that humans may develop prejudices partly because of the language they speak.

“Our work suggests that behaviour can be driven by cultural history embedded in a term’s historic use. Such histories can evidently vary between languages,” the paper said.

The article is here.

Would You Become An Immortal Machine?

Marcelo Gleiser
npr.org
Originally posted March 27, 2017

Here is an excerpt:

"A man is a god in ruins," wrote Ralph Waldo Emerson. This quote, which O'Connell places at the book's opening page, captures the essence of the quest. If man is a failed god, there may be a way to fix this. Since "The Fall," we "lost" our god-like immortality, and have been looking for ways to regain it. Can science do this? Is mortality merely a scientific question? Suppose that it is — and that we can fix it, as we can a headache. Would you pay the price by transferring your "essence" to a non-human entity that will hold it, be it silicone or some kind of artificial robot? Can you be you when you don't have your body? Are you really just transferrable information?

As O'Connell meets an extraordinary group of people, from serious scientists and philosophers to wackos, he keeps asking himself this question, knowing fully well his answer: Absolutely not! What makes us human is precisely our fallibility, our connection to our bodies, the existential threat of death. Remove that and we are a huge question mark, something we can't even contemplate. No thanks, says O'Connell, in a deliciously satiric style, at once lyrical, informative, and captivating.

The article is here.

Monday, May 1, 2017

Is Healthcare a Right? A Privilege? Something Entirely Different?

Brian Joondeph
The Health Care Blog
Originally published April 8, 2017

Here is an excerpt:

Most developed countries have parallel public and private healthcare systems. A public option covering everyone, with minimal or no out-of-pocket expense to patients, but with long wait times for care and limited treatment options. And a private option allowing individuals to purchase the healthcare or insurance they want and need, paying for it themselves, without subsidies, tax breaks or any government assistance. One option a right, the other a privilege.

For an analogy, think of K-12 schools. A public option available without cost to students. For most, a good and more than adequate education. And a free-market private school option for those who desire and have the means. Shop around, pay as much as you want, or default to the public option.

Each system has its pros and cons, but they are separate and distinct. Instead we are trying to combine both into a single scheme — Obamacare, Ryancare or whatever finally emerges from Congress. We get the worst of both systems – bureaucracy and high cost. And the best of neither – no universal coverage and limited freedom of choice.

The blog post is here.

Are Moral Judgments Good or Bad Things?

Robb Willer & Brent Simpson
Scientific American
Originally published April 10, 2017

Here is an excerpt:

Beyond the harms, there is also hypocrisy. It is not uncommon to discover that those who make moral judgments—public evaluations of the rightness or wrongness of others’ behavior—do not themselves conform to the moral norms they eagerly enforce. Think, for instance, of politicians or religious leaders who oppose gay rights but are later discovered soliciting sex from other men. These examples and others seem to make it clear: moral judgments are antisocial, a bug in the code of society.

But recent research challenges this view, suggesting that moral judgments are a critical part of the social fabric, a force that encourages people to consider the welfare of others. Our work, and that of others, implies that—while sometimes disadvantageous—moral judgments have important, positive effects for individuals and the groups they inhabit.

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To summarize, we find that moral judgments of unethical behavior are generally viewed as a legitimate means for maintaining group-beneficial norms of conduct. Those who use them are generally seen as moral and trustworthy, and individuals typically act more morally after communicating judgments of others.

The article is here.

Sunday, April 30, 2017

Why Expertise Matters

Adam Frank
npr.org
Originally posted on April 7, 2017

Here is an excerpt:

The attack on expertise was given its most visceral form by British politician Michael Gove during the Brexit campaign last year when he famously claimed, "people in this country have had enough of experts." The same kinds of issues, however, are also at stake here in the U.S. in our discussions about "alternative facts," "fake news" and "denial" of various kinds. That issue can be put as a simple question: When does one opinion count more than another?

By definition, an expert is someone whose learning and experience lets them understand a subject deeper than you or I do (assuming we're not an expert in that subject, too). The weird thing about having to write this essay at all is this: Who would have a problem with that? Doesn't everyone want their brain surgery done by an expert surgeon rather than the guy who fixes their brakes? On the other hand, doesn't everyone want their brakes fixed by an expert auto mechanic rather than a brain surgeon who has never fixed a flat?

Every day, all of us entrust our lives to experts from airline pilots to pharmacists. Yet, somehow, we've come to a point where people can put their ignorance on a subject of national importance on display for all to see — and then call it a virtue.

Here at 13.7, we've seen this phenomenon many times. When we had a section for comments, it would quickly fill up with statements like "the climate is always changing" or "CO2 is a trace gas so it doesn't matter" when we a posted pieces on the science of climate change.

The article is here.

Saturday, April 29, 2017

Contempt for ethics hobbles Trump

Norman L. Eisen and Richard W. Painter
USA Today
Originally published April 26, 2017

Here is an excerpt:

Finally, there is Trump’s core ethics promise to “drain the swamp” in Washington. Instead, he has brought a large number of lobbyists and other persons into his administration with a vast array of personal financial conflicts of interest (exceeded only by those of the president himself). The swamp has become a cesspool — an upscale one, dominated by billionaires. A number of the high-ranking officials in Trump's administration, like their leader, insist upon maintaining   their investments in various businesses, while at the same time conducting official U.S. government policy. The Senate vetting of their conflicts has contributed to the historically slow confirmation pace of Trump nominees (another embarrassment). In government, divided loyalties do not work.

The White House's lax attitude toward ethics results in both bad ethics and bad policy, and encourages a host of lesser offenses like the recent promotion of Mar-a-Lago — a club where the president is still selling memberships for $200,000 — as the "winter White House" on official web pages of the State Department. Even a cursory check of ethics rules would have revealed that this is flatly prohibited, but nobody bothered to check. The message sent all over the world is that the United States is a land of "pay to play."

The article is here.

Friday, April 28, 2017

How rational is our rationality?

Interview by Richard Marshall
3 AM Magazine
Originally posted March 18, 2017

Here is an excerpt:

As I mentioned earlier, I think that the point of the study of rationality, and of normative epistemology more generally, is to help us figure out how to inquire, and the aim of inquiry, I believe, is to get at the truth. This means that there had better be a close connection between what we conclude about what’s rational to believe, and what we expect to be true. But it turns out to be very tricky to say what the nature of this connection is! For example, we know that sometimes evidence can mislead us, and so rational beliefs can be false. This means that there’s no guarantee that rational beliefs will be true. The goal of the paper is to get clear about why, and to what extent, it nonetheless makes sense to expect that rational beliefs will be more accurate than irrational ones. One reason this should be of interest to non-philosophers is that if it turns out that there isn’t some close connection between rationality and truth, then we should be much less critical of people with irrational beliefs. They may reasonably say: “Sure, my belief is irrational – but I care about the truth, and since my irrational belief is true, I won’t abandon it!” It seems like there’s something wrong with this stance, but to justify why it’s wrong, we need to get clear on the connection between a judgment about a belief’s rationality and a judgment about its truth. The account I give is difficult to summarize in just a few sentences, but I can say this much: what we say about the connection between what’s rational and what’s true will depend on whether we think it’s rational to doubt our own rationality. If it can be rational to doubt our own rationality (which I think is plausible), then the connection between rationality and truth is, in a sense, surprisingly tenuous.

The interview is here.

First, do no harm: institutional betrayal and trust in health care organizations

Carly Parnitzke Smith
The Journal of Multidisciplinary Healthcare
April, 2017; Volume 10; Pages 133-144

Purpose:

Patients’ trust in health care is increasingly recognized as important to quality care, yet questions remain about what types of health care experiences erode trust. The current study assessed the prevalence and impact of institutional betrayal on patients’ trust and engagement in health care.

Participants and methods:

Participants who had sought health care in the US in October 2013 were recruited from an online marketplace, Amazon’s Mechanical Turk. Participants (n = 707; 73% Caucasian; 56.8% female; 9.8% lesbian, gay, or bisexual; median age between 18 and 35 years) responded to survey questions about health care use, trust in health care providers and organizations, negative medical experiences, and institutional betrayal.

Results:

Institutional betrayal was reported by two-thirds of the participants and predicted disengagement from health care (r = 0.36, p < 0.001). Mediational models (tested using bootstrapping analyses) indicated a negative, nonzero pathway between institutional betrayal and trust in health care organizations (b = -0.05, 95% confidence interval [CI] = [-0.07, -0.02]), controlling for trust in physicians and hospitalization history. These negative effects were not buffered by trust in one’s own physician, but in fact patients who trusted their physician more reported lower trust in health care organizations following negative medical events (interaction b = -0.02, 95%CI = [-0.03, -0.01]).

Conclusion:

Clinical implications are discussed, concluding that institutional betrayal decreases patient trust and engagement in health care.

The article is here.