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, September 8, 2020

Fallen Soldier Insults Give Trump a Lot to Fear

Cass Sunstein
bloomberg.com
Originally published 6 Sept 20

Here is an excerpt:

Building on Haidt’s work, Harvard economist Benjamin Enke has studied the rhetoric of numerous recent presidential candidates, and found that one has done better than all others in emphasizing loyalty, authority and sanctity: Trump. On the same scales, Hillary Clinton was especially bad. (Barack Obama was far better.) Enke also found that Trump’s emphasis on these values mattered to many voters, and attracted them to his side.

This framework helps sort out what many people consider to be a puzzle: Trump avoided military service, has been married three times, and has not exactly been a paragon of virtue in his personal life. Yet many people focused on patriotism, religious faith and traditional moral values have strongly supported him. A key reason is that however he has lived his life, he speaks their language — and indeed does so at least as well as, and probably better than, any presidential candidate they have heard before.

That’s why his reported expressions of contempt and disrespect for American soldiers threaten to be uniquely damaging — far more so than other outrageous comments he has made. When he said that Mexico is sending rapists to the U.S., made fun of the looks of prominent women, mocked disabled people, or said that protesters should be roughed up, people might have nodded or cringed, or laughed or been appalled.

As a matter of pure politics, though, saying that soldiers are “losers” or “suckers” is much worse for Trump because it attacks the foundation of his appeal: However he lives his life, at least he expresses deep love for this country and reverence for those who fight for it, and at least he speaks out for traditional moral values.

There are strong lessons here for both Trump and his Democratic challenger, former Vice President Joe Biden. Through both word and deed, the president needs to do whatever he can to make it clear that he respects and supports American soldiers.

The info is here.

Pharma drew a line in the sand over Covid-19 vaccine readiness, because someone had to

Ed Silverman
statnews.com
Originally posted 7 Sept 20

Here is an excerpt:

The vaccine makers that are signing this pledge — Pfizer, Merck, AstraZeneca, Sanofi, GlaxoSmithKline, BioNTech, Johnson & Johnson, Moderna, and Novavax — are rushing to complete clinical trials. But only Pfizer has indicated it may have late-stage results in October, and that’s not a given.

Yet any move by the FDA to green light a Covid-19 vaccine without late-stage results will be interpreted as an effort to boost Trump — and rightly so.

Consider Trump’s erratic and selfish remarks. He recently accused the FDA of slowing the vaccine approval process and being part of a “deep state.” No wonder there is concern he may lean on Hahn to authorize emergency use prematurely. For his part, Hahn has insisted he won’t buckle to political pressure, but he also said emergency use may be authorized based on preliminary data.

“It’s unprecedented in my experience that industry would do something like this,” said Ira Loss of Washington Analysis, who tracks pharmaceutical regulatory and legislative matters for investors. “But we’ve experienced unprecedented events since the beginning of Covid-19, starting with the FDA, where the commissioner has proven to be malleable, to be kind, at the foot of the president.”

Remember, we’ve seen this movie before.

Amid criticism of his handling of the pandemic, Trump touted hydroxychloroquine, a decades-old malaria tablet, as a salve and the FDA authorized emergency use. Two weeks ago, he touted convalescent blood plasma as a medical breakthrough, but evidence of its effectiveness against the coronavirus is inconclusive. And Hahn initially overstated study results.

Most Americans seem to be catching on. A STAT-Harris poll released last week found that 78% of the public believes the vaccine approval process is driven by politics, not science. This goes for a majority of Democrats and Republicans.

The info is here.

Monday, September 7, 2020

From sex robots to love robots: is mutual love with a robot possible?

S.R. Nyholm and L.E. Frank
Philosophy & Ethics

Some critics of sex-robots worry that their use might spread objectifying attitudes about sex, and common sense places a higher value on sex within love-relationships than on casual sex. If there could be mutual love between humans and sex-robots, this could help to ease the worries about objectifying attitudes. And mutual love between humans and sex-robots, if possible, could also help to make this sex more valuable. But is mutual love between humans and robots possible, or even conceivable? We discuss three clusters of ideas and associations commonly discussed within the philosophy of love, and relate these to the topic of whether mutual love could be achieved between humans and sex-robots: (i) the idea of love as a “good match”; (ii) the idea of valuing each other in our distinctive particularity; and (iii) the idea of a steadfast commitment. We consider relations among these ideas and the sort of agency and free will that we attribute to human romantic partners. Our conclusion is that mutual love between humans and advanced sex-robots is not an altogether impossible proposition. However, it is unlikely that we will be able to create robots sophisticated enough to be able to participate in love-relationships anytime soon.

From the Conclusion:

As with the development of any new technology that has the potential to be socially disruptive, we urge caution and careful ethical examination prior to and continuing through the research-and-development process. The consequences and techno-moral change that will potentially accompany the advancement of robots that can love and be loved is very difficult to predict. But a “no” answer to the question of whether we should invest in the creation of love robots should not be based on mere conservatism with respect to love relationships, unjustified preference for the natural over the artificial,  or an unsupported fear of the potential risks. Any such answer, in our view, should rather be based on an “opportunity cost” argument: that is, if it can be shown that the time, energy, and resources could be better spent on other, more easily attain-able endeavors, then those other projects should perhaps be favored over something as relatively far-fetched as sex robots advanced enough to participate in relationships of mutual love along the lines described in the previous sections.

A pdf can be downloaded here.

Sunday, September 6, 2020

Our morally unserious president on display in Kenosha

Michael Sean Winters
National Catholic Reporter
Originally posted 4 September 20

President Donald Trump went to Kenosha, Wisconsin, this week to "survey the property damage" according to a White House transcript. He spoke a lot about law and order and very little about justice, as if the concepts are not necessarily related. To him, they probably are not.

A morally serious person would begin any examination of the damage in Kenosha with a look at an MRI of Jacob Blake's shattered torso. Blake was shot seven times in the back — reports said he was shot at "point blank range," but that phrase covers a range of distances — the gun only a few feet from his body. The video made the shooting look like a public execution.

Donald Trump is not a morally serious person.

A morally serious person would continue his survey of the damage in Kenosha by visiting with the family of Jacob Blake, especially his three young sons who witnessed the shooting. They are ages 3, 5 and 8, and the trauma to which they were exposed is horrific to contemplate. A morally serious person would express sympathy with the family and the community, mindful of how much more shocking the shocking video of Blake's shooting was if you knew the victim.

Donald Trump is not a morally serious person.

A morally serious person would understand that, while it is entirely fitting for the nation's chief magistrate to mourn the death of Aaron "Jay" Danielson, the 39-year old Trump supporter gunned down on the streets of Portland, Oregon, it is wrong to mourn his death publicly without mentioning the shooting of Blake, on the very day you are going to Kenosha. Such uneven treatment epitomizes the very reason it is still necessary to remind the nation that Black lives matter.

Donald Trump is not a morally serious person.

A morally serious person would inquire into the legacy of racism, structural racism, in Kenosha and elsewhere, the racism that made the shooting of Blake horrifying but not surprising. A morally serious person would not take refuge in chatter about "a few bad apples" but confront the police culture that permits such bad apples to poison the bushel. A morally serious person would work, and work hard, at finding ways to ameliorate the effects of racism and call fellow citizens to that deep examination of conscience every episode of police brutality against Black men demands.

Donald Trump is not a morally serious person.

The info is here.

Saturday, September 5, 2020

Generosity without borders: The interactive effect of spatial distance and donation goals on charitable giving

A. Jing Xu, M. A. Rodas, C. J. Torelli
Organizational Behavior and 
Human Decision Processes
Volume 161, November 2020, Pages 65-78

Abstract

Although past research suggests that people are more likely to donate money to nearby causes to maximize their positive impact on others’ lives, donations to foreign causes are growing rapidly. Incorporating both other-focused impact goals and self-focused moral goals into our conceptualization, we propose that an interplay between the accessibility of impact/moral goals and the spatial distance between donors and recipients of charitable causes (e.g., faraway vs. nearby recipients) influences charitable behaviors (e.g., donation amounts and charitable choices). Specifically, when the goal to maintain a moral self-concept (impact recipients’ lives) is accessible, donors experience a more expansive conception of their moral circle (apply the “closeness-equals-impact” heuristic) and donate more money to faraway (nearby) causes. We further demonstrate that moral (impact) goals are more abstract (concrete) motivations, and their effects also emerge when priming an abstract (concrete) mindset. Five studies support these predictions while ruling out alternative interpretations.

Highlights

• The goal to maintain a moral self-concept leads to higher donations to faraway causes.

• This effect is mediated by perceived expansion of one’s circle of moral regard.

• The goal to impact recipients’ lives leads to higher donations to nearby causes.

• Moral goals are abstract and can be activated by an abstract mindset.

• Impact goals are concrete and can be activated by a concrete mindset.

• Self-importance of moral identity moderates the effect of spatial distance on donations.

The research is here.

Friday, September 4, 2020

X-Phi and Impartiality Thought Experiments: Investigating the Veil of Ignorance

N. Paulo & T. Pölzler
Diametros 17 (2020), 64: 72–89
doi: 10.33392/diam.1499

Abstract

This paper discusses “impartiality thought experiments”, i.e., thought experiments that attempt to generate intuitions which are unaffected by personal characteristics such as age, gender or race. We focus on the most prominent impartiality thought experiment, the Veil of Ignorance (VOI), and show that both in its original Rawlsian version and in a more generic version, empirical investigations can be normatively relevant in two ways: First, on the assumption that the VOI is effective and robust, if subjects dominantly favor a certain normative judgment behind the VOI this provides evidence in favor of that judgment; if, on the other hand, they do not dominantly favor a judgment this reduces our justification for it. Second, empirical investigations can also contribute to assessing the effectiveness and robustness of the VOI in the first place, thereby supporting or undermining its applications across the board.

From the Conclusion:

There are two ways in which empirical investigations of the VOI turned out to be normatively relevant. First, on the assumption that the VOI is effective and robust, if subjects dominantly favor a certain normative judgment behind the VOI this provides evidence in favor of that judgment; if, on the other hand, they do not dominantly favor a judgment this reduces our justification for it. Second, empirical investigations can also contribute to assessing the effectiveness and robustness of the VOI in the first place, thereby supporting or undermining its applications across the board. Analogous conclusions may apply to other impartiality thought experiments as well.

Thursday, September 3, 2020

Children’s evaluations of third-party responses to unfairness: Children prefer helping over punishment.

Lee, Y., & Warneken, F. (2020, June 13).
https://doi.org/10.31234/osf.io/x8e7w

Abstract

Third-party punishment of selfish individuals is an important mechanism to intervene against unfairness. However, there is another way in which third parties can intervene. Rather than focusing on the unfair individual, third parties can choose to help those who were treated unfairly by reducing inequality. Such third-party helping as an alternative to third-party punishment has received little attention in studies with children. Across four studies, we examined the evaluations of third-party punishment versus third-party helping in N = 322 5- to 9-year-old children. Study 1, 3 and 4 showed that when asked about the agents directly, children evaluated both helpers and punishers positively, but they preferred helpers over punishers overall. When asked about the type of intervention itself, children preferred helping over punishment, suggesting that their preference for the type of intervention corresponds to how children think about the agents performing these interventions. Study 2 showed that children’s preference for third-party helping is driven by distributive justice concerns and not a mere preference for giving or resource maximization as children consider which type of third-party intervention decreases inequality. Together, this series of studies demonstrate that children between 5 and 9 years of age develop a sophisticated understanding of punishment and helping as two adequate forms of intervention but also display a preference for third-party helping. We discuss how these findings and prior work with adults supports the hypothesis of developmental continuity, showing that a preference for helping over punishment is deeply rooted in ontogeny.

From the Discussion:

The current study contributes to the literature by moving beyond the focus on punishment alone and probing children’s thinking about punishment and helping side by side. Prior developmental research focused on comparing punishers with third parties such as onlookers who choose not to intervene after witnessing a transgression (e.g., Vaish et al., 2016) or givers who reward a transgressor(e.g., Hamlin et al., 2011), which might have led to inflating children’s preference for punishers. Instead, the current study compared punishment with helping, a valid and common form of third-party intervention. Additionally, our study assessed children’s evaluations of punishment intervention per se and revealed a subtle but meaningful difference in understanding punishers vs. punishment, which was especially remarkable in young children. With the use of various measures and comparisons, the current study provided a more comprehensive understanding of the development of third-party punishment in children

Wednesday, September 2, 2020

Poll: Most Americans believe the Covid-19 vaccine approval process is driven by politics, not science

Ed Silverman
statnews.com
Originally published 31 August 20

Seventy-eight percent of Americans worry the Covid-19 vaccine approval process is being driven more by politics than science, according to a new survey from STAT and the Harris Poll, a reflection of concern that the Trump administration may give the green light to a vaccine prematurely.

The response was largely bipartisan, with 72% of Republicans and 82% of Democrats expressing such worries, according to the poll, which was conducted last week and surveyed 2,067 American adults.

The sentiment underscores rising speculation that President Trump may pressure the Food and Drug Administration to approve or authorize emergency use of at least one Covid-19 vaccine prior to the Nov. 3 election, but before testing has been fully completed.

Concerns intensified in recent days after Trump suggested in a tweet that the FDA is part of a “deep state” conspiracy to sabotage his reelection bid. In a speech Thursday night at the Republican National Convention, he pledged that the administration “will produce a vaccine before the end of the year, or maybe even sooner.”

The info is here.

Please see top line: 80% of Americans surveyed worry that approving vaccine too quickly would worry about safety.  The implication is that fewer people would choose the vaccine if safety is an issue.

Tuesday, September 1, 2020

Systemic racism and U.S. health care

J. Feagin & Z. Bennefield
Social Science & Medicine
Volume 103, February 2014, Pages 7-14

Abstract

This article draws upon a major social science theoretical approach–systemic racism theory–to assess decades of empirical research on racial dimensions of U.S. health care and public health institutions. From the 1600s, the oppression of Americans of color has been systemic and rationalized using a white racial framing–with its constituent racist stereotypes, ideologies, images, narratives, and emotions. We review historical literature on racially exploitative medical and public health practices that helped generate and sustain this racial framing and related structural discrimination targeting Americans of color. We examine contemporary research on racial differentials in medical practices, white clinicians' racial framing, and views of patients and physicians of color to demonstrate the continuing reality of systemic racism throughout health care and public health institutions. We conclude from research that institutionalized white socioeconomic resources, discrimination, and racialized framing from centuries of slavery, segregation, and contemporary white oppression severely limit and restrict access of many Americans of color to adequate socioeconomic resources–and to adequate health care and health outcomes. Dealing justly with continuing racial “disparities” in health and health care requires a conceptual paradigm that realistically assesses U.S. society's white-racist roots and contemporary racist realities. We conclude briefly with examples of successful public policies that have brought structural changes in racial and class differentials in health care and public health in the U.S. and other countries.

Highlights

• A full-fledged theory of structural (systemic) racism for interpreting health care data.

• A full-fledged developed theory of structural (systemic) racism for interpreting public health data.

• Focus on powerful white decision makers central to health-related institutions.

• Importance of listening to patients and physicians of color on health issues.

• Implications of systemic racism theory and data for public policies regarding medical care and public health.

The info is here.