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

Saturday, September 23, 2017

Tom Price Flies Blind on Ethics

Editors
Bloomberg View
Originally published September 21, 2017

Under the lax ethical standards President Donald Trump brought to the White House, rampant conflicts of interest are treated with casual indifference. This disregard has sent a message to his entire administration that blurring lines -- between public and private, right and wrong -- will be not just tolerated but defended. At least one cabinet member appears to have taken the message to heart.

Health and Human Services Secretary Tom Price took five chartered flights last week, including one to a conference at a resort in Maine. Two of the flights -- round-trip from Washington to Philadelphia -- probably cost about $25,000, or roughly $24,750 more than the cost of an Amtrak ticket, for a trip that would have taken roughly the same amount of time. Total costs for the five flights are estimated to be at least $60,000.

The department has yet to reveal how many times Price has flown by charter since being sworn into office. There would be no problem were he picking up the tab himself, as Education Secretary Betsy DeVos reportedly does. But cabinet secretaries -- other than for the Defense and State departments, who often ride in military planes -- typically fly commercial. Taxpayers should not have to foot the bill for charters except in emergency situations.

The article is here.

Friday, September 22, 2017

I Lie? We Lie! Why? Experimental Evidence on a Dishonesty Shift in Groups

Kocher, Martin G. and Schudy, Simeon and Spantig, Lisa
CESifo Working Paper Series No. 6008.

Abstract

Unethical behavior such as dishonesty, cheating and corruption occurs frequently in organizations or groups. Recent experimental evidence suggests that there is a stronger inclination to behave immorally in groups than individually. We ask if this is the case, and if so, why. Using a parsimonious laboratory setup, we study how individual behavior changes when deciding as a group member. We observe a strong dishonesty shift. This shift is mainly driven by communication within groups and turns out to be independent of whether group members face payoff commonality or not (i.e., whether other group members benefit from one’s lie). Group members come up with and exchange more arguments for being dishonest than for complying with the norm of honesty. Thereby, group membership shifts the perception of the validity of the honesty norm and of its distribution in the population.

The article is here.

3D bioprint me: a socioethical view of bioprinting human organs and tissues

Vermeulen N, Haddow G, Seymour T, et al
Journal of Medical Ethics 2017;43:618-624.

Abstract

In this article, we review the extant social science and ethical literature on three-dimensional (3D) bioprinting. 3D bioprinting has the potential to be a ‘game-changer’, printing human organs on demand, no longer necessitating the need for living or deceased human donation or animal transplantation. Although the technology is not yet at the level required to bioprint an entire organ, 3D bioprinting may have a variety of other mid-term and short-term benefits that also have positive ethical consequences, for example, creating alternatives to animal testing, filling a therapeutic need for minors and avoiding species boundary crossing. Despite a lack of current socioethical engagement with the consequences of the technology, we outline what we see as some preliminary practical, ethical and regulatory issues that need tackling. These relate to managing public expectations and the continuing reliance on technoscientific solutions to diseases that affect high-income countries. Avoiding prescribing a course of action for the way forward in terms of research agendas, we do briefly outline one possible ethical framework ‘Responsible Research Innovation’ as an oversight model should 3D bioprinting promises are ever realised. 3D bioprinting has a lot to offer in the course of time should it move beyond a conceptual therapy, but is an area that requires ethical oversight and regulation and debate, in the here and now. The purpose of this article is to begin that discussion.

The article is here.

Thursday, September 21, 2017

Jimmy Kimmel Monologues on Health Care Legislation



Jimmy Kimmel keeps it simple on Graham-Cassidy healthcare legislation.

When is a lie acceptable? Work and private life lying acceptance depends on its beneficiary

Katarzyna Cantarero, Piotr Szarota, E. Stamkou, M. Navas & A. del Carmen Dominguez Espinosa
The Journal of Social Psychology 
Pages 1-16 | Received 02 Jan 2017, Accepted 25 Apr 2017, Published online: 14 Aug 2017

ABSTRACT

In this article we show that when analyzing attitude towards lying in a cross-cultural setting, both the beneficiary of the lie (self vs other) and the context (private life vs. professional domain) should be considered. In a study conducted in Estonia, Ireland, Mexico, The Netherlands, Poland, Spain, and Sweden (N = 1345), in which participants evaluated stories presenting various types of lies, we found usefulness of relying on the dimensions. Results showed that in the joint sample the most acceptable were other-oriented lies concerning private life, then other-oriented lies in the professional domain, followed by egoistic lies in the professional domain; and the least acceptance was shown for egoistic lies regarding one’s private life. We found a negative correlation between acceptance of a behavior and the evaluation of its deceitfulness.

Here is an excerpt:

Research shows differences in reactions to moral transgressions depending on the culture of the respondent as culture influences our moral judgments (e.g., Gold, Colman, & Pulford, 2014; Graham, Meindl, Beall, Johnson, & Zhang, 2016). For example, when analyzing transgressions of community (e.g., hearing children talking with their teacher the same way as they do towards their peers) Indian participants showed more moral outrage than British participants (Laham, Chopra, Lalljee, & Parkinson, 2010). Importantly, one of the main reasons why we can observe cross-cultural differences in reactions to moral transgressions is that culture influences our perception of whether an act itself constitutes a moral transgression at all (Haidt, 2001; Haidt & Joseph, 2004; Shweder, Mahapatra, & Miller, 1987; Shweder, Much, Mahapatra, & Park, 1997). Haidt, Koller and Dias (1993) showed that Brazilian participants would perceive some acts of victimless yet offensive actions more negatively than did Americans. The authors argue that for American students some of the acts that were being evaluated (e.g., using an old flag of ones’ country to clean the bathroom) fall outside the moral domain and are only a matter of social convention, whereas Brazilians would perceive them as morally wrong.

The paper is here.

Wednesday, September 20, 2017

What is moral injury, and how does it affect journalists covering bad stuff?

Thomas Ricks
Foreign Policy
Originally published September 5, 2017

Here is an excerpt:

They noted that moral injury is the damage done to a “person’s conscience or moral compass by perpetrating, witnessing, or failing to prevent acts that transgress personal moral and ethical values or codes of conduct.”

While not all journalists were affected the same way, the most common reactions were feelings of guilt at not having done enough personally to help refugees and shame at the behavior of others, such as local authorities, they wrote.

Journalists with children had more moral injury-related distress while those working alone said they were more likely to have acted in ways that violated their own moral code. Those who said they had not received enough support from their organization were more likely to admit seeing things they perceived as morally wrong. Less control over resources to report on the crisis also correlated significantly with moral injury. And moral injury scores correlated significantly with guilt. Greater guilt, in turn, was noted by journalists covering the story close to home and by those who had assisted refugees, the report added.

Feinstein and Storm wrote that moral injury can cause “considerable emotional upset.” They noted that journalists reported symptoms of intrusion. While they didn’t go into detail, intrusion can mean flashbacks, nightmares and unwanted memories. These can disrupt normal functioning. In my view, guilt and shame can also be debilitating.

The article is here.

Companies should treat cybersecurity as a matter of ethics

Thomas Lee
The San Francisco Chronicle
Originally posted September 2, 2017

Here is an excerpt:

An ethical code will force companies to rethink how they approach research and development. Instead of making stuff first and then worrying about data security later, companies will start from the premise that they need to protect consumer privacy before they start designing new products and services, Harkins said.

There is precedent for this. Many professional organizations like the American Medical Association and American Bar Association require members to follow a code of ethics. For example, doctors must pledge above all else not to harm a patient.

A code of ethics for cybersecurity will no doubt slow the pace of innovation, said Maurice Schweitzer, a professor of operations, information and decisions at the University of Pennsylvania’s Wharton School.

Ultimately, though, following such a code could boost companies’ reputations, Schweitzer said. Given the increasing number and severity of hacks, consumers will pay a premium for companies dedicated to security and privacy from the get-go, he said.

In any case, what’s wrong with taking a pause so we can catch our breath? The ethical quandaries technology poses to mankind are only going to get more complex as we increasingly outsource our lives to thinking machines.

That’s why a code of ethics is so important. Technology may come and go, but right and wrong never changes.

The article is here.

Tuesday, September 19, 2017

Massive genetic study shows how humans are evolving

Bruno Martin
Nature
Originally published 06 September 2017

Here is an excerpt:

Why these late-acting mutations might lower a person’s genetic fitness — their ability to reproduce and spread their genes — remains an open question.

The authors suggest that for men, it could be that those who live longer can have more children, but this is unlikely to be the whole story. So scientists are considering two other explanations for why longevity is important. First, parents surviving into old age in good health can care for their children and grandchildren, increasing the later generations’ chances of surviving and reproducing. This is sometimes known as the ‘grandmother hypothesis’, and may explain why humans tend to live long after menopause.

Second, it’s possible that genetic variants that are explicitly bad in old age are also harmful — but more subtly — earlier in life. “You would need extremely large samples to see these small effects,” says Iain Mathieson, a population geneticist at the University of Pennsylvania in Philadelphia, so that’s why it’s not yet possible to tell whether this is the case.

The researchers also found that certain groups of genetic mutations, which individually would not have a measurable effect but together accounted for health threats, appeared less often in people who were expected to have long lifespans than in those who weren't. These included predispositions to asthma, high body mass index and high cholesterol. Most surprising, however, was the finding that sets of mutations that delay puberty and childbearing are more prevalent in long-lived people.

The article is here.

Note: This article is posted, in part, because evolution is not emphasized in the field of psychology. There are psychologists who believe that humans did not evolve in the way other plants and animals evolved.  I have argued in lectures and workshops that we humans are not in our final form.

The strategic moral self: Self-presentation shapes moral dilemma judgments

Sarah C. Roma and Paul Conway
Journal of Experimental Social Psychology
Volume 74, January 2018, Pages 24–37

Abstract

Research has focused on the cognitive and affective processes underpinning dilemma judgments where causing harm maximizes outcomes. Yet, recent work indicates that lay perceivers infer the processes behind others' judgments, raising two new questions: whether decision-makers accurately anticipate the inferences perceivers draw from their judgments (i.e., meta-insight), and, whether decision-makers strategically modify judgments to present themselves favorably. Across seven studies, a) people correctly anticipated how their dilemma judgments would influence perceivers' ratings of their warmth and competence, though self-ratings differed (Studies 1–3), b) people strategically shifted public (but not private) dilemma judgments to present themselves as warm or competent depending on which traits the situation favored (Studies 4–6), and, c) self-presentation strategies augmented perceptions of the weaker trait implied by their judgment (Study 7). These results suggest that moral dilemma judgments arise out of more than just basic cognitive and affective processes; complex social considerations causally contribute to dilemma decision-making.

The article is here.