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, February 10, 2018

Could Biologically Enhancing Our Morality Save Our Species?

Julian Savulescu
Leapsmag.com
Originally published January 12, 2017

Here is an excerpt:

Our limitations have also become apparent in another form of existential threat: resource depletion. Despite our best efforts at educating, nudging, and legislating on climate change, carbon dioxide emissions in 2017 are expected to come in at the highest ever following a predicted rise of 2 percent. Why? We aren’t good at cooperating in larger groups where freeriding is not easily spotted. We also deal with problems in order of urgency. A problem close by is much more significant to us than a problem in the future. That’s why even if we accept there is a choice between economic recession now or natural disasters and potential famine in the future, we choose to carry on drilling for oil. And if the disasters and famine are present day, but geographically distant, we still choose to carry on drilling.

So what is our radical solution? We propose that there is a need for what we call moral bioenhancement. That is, for seeking a biological intervention that can help us overcome our evolved moral limitations. For example, adapting our biology so that we can appreciate the suffering of foreign or future people in the same instinctive way we do our friends and neighbors. Or, in the case of individuals, in addressing the problem of psychopathy from a biological perspective.

The information is here.

Friday, February 9, 2018

Robots, Law and the Retribution Gap

John Danaher
Ethics and Information Technology
December 2016, Volume 18, Issue 4, pp 299–309

We are living through an era of increased robotisation. Some authors have already begun to explore the impact of this robotisation on legal rules and practice. In doing so, many highlight potential liability gaps that might arise through robot misbehaviour. Although these gaps are interesting and socially significant, they do not exhaust the possible gaps that might be created by increased robotisation. In this article, I make the case for one of those alternative gaps: the retribution gap. This gap arises from a mismatch between the human desire for retribution and the absence of appropriate subjects of retributive blame. I argue for the potential existence of this gap in an era of increased robotisation; suggest that it is much harder to plug this gap than it is to plug those thus far explored in the literature; and then highlight three important social implications of this gap.

From the Discussion Section

Third, and finally, I have argued that this retributive gap has three potentially significant social implications: (i) it could lead to an increased risk of moral scapegoating; (ii) it could erode confidence in the rule of law; and (iii) it could present a strategic opening for those who favour nonretributive approaches to crime and punishment.

The paper is here.

Benjamin Franklin built his character around 13 virtues

Trent Hamm
The Simple Dollar - Business Insider
Originally published January 13, 2018

Here are two excerpts:

One of the things that has really stood out to me each time I've read his autobiography is the fact that he attributed most of his success (beyond that of luck) to practicing 13 core life virtues, to the best of his ability. He believed that by living those virtues, he had done everything he could to put himself in a position to be on the good side of the unexpected events of life.

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Once you've defined a set of virtues or specific skills that you want to work on in your life and integrate into your normal behaviors, take it a step further and copy Franklin's entire system, using your desired virtues and skills as the basis for your practice.

You can start by making a set of cards for the virtues you want to practice. It's pretty simple to design a small table, with rows for each thing you want to improve and columns for each day of the week, in your preferred word processing program. Just design a size that prints easily on a blank 4″ by 6″ index card and print them yourself. If you prefer, you can also design them by hand using a ruler and a pen.

On each card, simply write the days of the week at the top of each column and an abbreviation of the skill or virtue you want to practice to the left of each row.

Consider designing a set of these cards, one with each virtue or skill you want to practice at the top with a brief description, so that you have a particular virtue or skill to focus on that week. Print off (or make) the entire set at once, cycle through all of them, and then make a new set and start from scratch.

The article is here.

Thursday, February 8, 2018

What I’ve learned from my tally of 757 doctor suicides

Pamela Wible
The Washington Post
Originally published January 13, 2018

Here are two excerpts:

Physician suicide is a public health crisis. One million Americans lose their doctors to suicide each year.

Many doctors have lost a colleague to suicide. Some have lost up to eight during their career — with no opportunity to grieve.

We lose way more men than women. For every female physician on my suicide registry, there are seven men. Suicide methods vary by region and gender. Women prefer to overdose and men choose firearms. Gunshot wounds prevail out West. Jumping is popular in New York City. In India, doctors have been found hanging from ceiling fans.

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Patient deaths hurt doctors. A lot. Even when there’s no medical error, doctors may never forgive themselves for losing a patient. Suicide is the ultimate ­self-punishment. In several cases, the death of a patient seemed to be the key factor in pushing them over the edge.

Malpractice suits can be devastating. Humans make mistakes. Yet when doctors make mistakes, they’re publicly shamed in court, on TV and in newspapers (that live online forever). Many continue to suffer the agony of harming someone else — unintentionally — for the rest of our lives.

Academic distress kills medical students’ dreams. Failing medical-board exams and not getting a post-medical-school assignment in a specialty of choice has led to suicides. Doctors can be shattered if they fail to gain a residency: Before his suicide, Robert Chu, unmatched to residency, wrote a letter to medical officials and government leaders calling out a system that he said ruined his career.

The information is here.

How can groups make good decisions? Deliberation & Diversity

Mariano Sigman and Dan Ariely
TED Talk
Originally recorded April 2017

We all know that when we make decisions in groups, they don't always go right -- and sometimes they go very wrong. How can groups make good decisions? With his colleague Dan Ariely, neuroscientist Mariano Sigman has been inquiring into how we interact to reach decisions by performing experiments with live crowds around the world. In this fun, fact-filled explainer, he shares some intriguing results -- as well as some implications for how it might impact our political system. In a time when people seem to be more polarized than ever, Sigman says, better understanding how groups interact and reach conclusions might spark interesting new ways to construct a healthier democracy.

Wednesday, February 7, 2018

America is spiritually bankrupt.

Cornel West
The Guardian
Originally published January 14, 2018

Here are two excerpts:

The distinctive features of our spiritual blackout are threefold.

First, we normalize mendacity and naturalize criminality. We make our lies look like the normal order of things. And we make our crimes look like the natural order of things. We too often say Wall Street is a good servant – rather than a bad master – of the common good. Then we look away from the criminal behavior of big banks because they are too indispensable to prosecute.

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Second, we encourage callousness and reward indifference. We make mean-spiritedness look manly and mature. And we make cold-heartedness look triumphant and victorious. In our world of the survival of the slickest and the smartest, we pave the way for raw greed and self-promotion. We make cowardice and avarice fashionable and compassion an option for losers. We prefer market-driven celebrities who thrive on glitzy spectacles and seductive brands over moral-driven exemplars who strive on with their gritty convictions and stouthearted causes.

Third, we trump the moral and spiritual dimensions of our lives and world by applauding our short-term gains and superficial successes. This immoral and brutal disposition reinforces – and, in part, is a result of – the all-encompassing commodification of a predatory capitalism, running out of control in our psyches and societies.

The opinion is here.

Ben Carson’s family ethics drama, explained

Emily Stewart
Vox.com
Originally posted February 3, 2018

Here is an excerpt:

Still, questions persist. Secretary Carson’s family has had more involvement in official business than is par for the course — executive branch officials aren’t supposed to use their offices to advance private or commercial interests, and anti-nepotism laws bar officials from employing or promoting the interests of their relatives. Documents obtained by Democratic-leaning nonprofit American Oversight and shared with CNN this week show multiple HUD-organized meetings for Carson Jr. and “friends.” Emails also suggest Ben Carson’s wife, Candy Carson, pushed for her son to get a meeting with Transportation Secretary Elaine Chao.

In a statement on Thursday, Carson asked his agency’s inspector general to look into his listening tour. “In my role as HUD secretary, I try to be as inclusive as possible and talk with a wide variety of people because when it comes to increasing access to affordable housing, no rock should remain unturned,” he said.

Carson just can’t seem to stay out of hot water, ethically speaking

This isn’t the first time Carson has been the subject of ethics scrutiny. Carson’s appearance at a campaign-style rally alongside President Trump in August raised questions about whether he had violated the Hatch Act, which bars executive branch officials from using their government positions to influence elections. Ethics watchdogs eventually agreed it was probably not a violation.

The article is here.

Tuesday, February 6, 2018

State Supreme Court Establishes Right To Sue Over Medical Record Breaches

Edmund H. Mahony
Hartford Courant
Originally published January 10, 2018

The state Supreme Court established Thursday that patients in Connecticut have the right to sue doctors and other health care providers for the unauthorized and negligent disclosure of their confidential medical records.

The majority decision creates new state law and adds Connecticut to a growing number of states that allow patients to sue for damages over the release of private records by their physicians. Courts in Connecticut have held previously — as have courts elsewhere — that private suits were blocked by federal law under the 1996 Health Insurance Portability and Accountability Act or HIPAA law.

HIPAA laws establish procedures to protect medical records and empower government to impose civil and criminal penalties for violation. But HIPAA does not permit private suits to collect damages for unauthorized disclosures.

“Finally we have a remedy in Connecticut that recognizes that there is a duty of confidentiality, the breach of which can lead to compensation for damages,” said attorney Bruce L. Elstein of Trumbull, whose client, Emily Byrne, sued over an unauthorized release of her medical history.

The article is here.

Do the Right Thing: Experimental Evidence that Preferences for Moral Behavior, Rather Than Equity or Efficiency per se, Drive Human Prosociality

Capraro, Valerio and Rand, David G.
(January 11, 2018). Judgment and Decision Making.

Abstract

Decades of experimental research show that some people forgo personal gains to benefit others in unilateral anonymous interactions. To explain these results, behavioral economists typically assume that people have social preferences for minimizing inequality and/or maximizing efficiency (social welfare). Here we present data that are incompatible with these standard social preference models. We use a “Trade-Off Game” (TOG), where players unilaterally choose between an equitable option and an efficient option. We show that simply changing the labelling of the options to describe the equitable versus efficient option as morally right completely reverses the correlation between behavior in the TOG and play in a separate Dictator Game (DG) or Prisoner’s Dilemma (PD): people who take the action framed as moral in the TOG, be it equitable or efficient, are much more prosocial in the DG and PD. Rather than preferences for equity and/or efficiency per se, our results suggest that prosociality in games such as the DG and PD are driven by a generalized morality preference that motivates people to do what they think is morally right.

Download the paper here.